- Daiichi Sankyo, Inc. (Bernards, NJ)
- …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination ... Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo is primarily focused on providing novel therapies… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: ... net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for...product agnostic initiatives as well as strategic partnerships. Medicare : Required Medicare Advantage , with… more
- The Cigna Group (Austin, TX)
- …with cross functional teams and business partners. Performs actuarial analyses for Medicare Advantage business, including, but not limited to: medical expense ... analyses and projections, financial forecasts, Medicare Part C bid development, regulatory (CMS) bid submissions,...on specific topics. + Provide guidance to stakeholders including product , finance and other groups in the organization. +… more
- CVS Health (Carson City, NV)
- …- Travel as needed (majority within local area) **Preferred Qualifications** Experience with Medicare Advantage , SSI or Medicaid product sales or operations. ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and...Las Vegas Nevada area** Aetna is looking for a Medicare Sales Broker Manager to join the Nevada sales… more
- Elevance Health (West Des Moines, IA)
- …trends throughout Iowa, positively impacting the affordability of respective Medicaid and Medicare Advantage health plan products. + Develops new provider ... **Regional Vice President (RVP) Provider Solutions ** **Location:** Des Moines, Iowa **Summary:** The Regional Vice President (RVP) of Provider Solutions will be… more
- Banco Popular Puerto Rico (Guaynabo, PR)
- …the Region: North, Metro, East and West, among others. General Description As a Medicare advantage sales representative, you will be responsible for selling ... Medicare advantage plans to eligible seniors in...sales meetings and training sessions to stay updated on product knowledge, sales techniques, and industry trends. + Meet… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …in a leadership role. * Previous history solutioning for complex business challenges for Medicare Advantage and/or Medicare Prescription Drug health plans * ... opportunities for improvement and lead projects that enhance the company's product offerings (existing and new), performance, efficiency, customer satisfaction and… more
- CVS Health (Overland Park, KS)
- …key root-cause analyses, and manage the risk position of various value-based products ( Medicare Advantage , MSSP, ACO REACH).** **What will you do?** + Evaluate ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and...-ASA or close to ASA required -Strong knowledge of Medicare Advantage products, ACO, MSSP, ACO REACH… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... health and quality of life. **Agilist I** Assists teams, Product Owners, Scrum Masters, Service Delivery Managers, Service Request...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. IT Project ... of project communications and work with project sponsors or product owners to resolve issues, address changes and identify...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- The Cigna Group (Miramar, FL)
- …Experience with Medicare including Medicare Advantage and Medicare supplemental benefits + Experience with payer solutions in the healthcare industry ... Analysis Senior Advisor also reviews the quality of the product that the Team produces. This individual will work...Implementation Guides and Standards, and data management specific to Medicare along with focuses on respective components of the… more
- Mount Sinai Health System (New York, NY)
- …seizing solutions to drive performance for value-based contracts for Medicare Advantage , Managed Medicaid and Commercial arrangements. * Support the ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid, product pricing, and government price reporting. Coordination ... Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo is primarily focused on providing novel therapies… more
- CVS Health (Hartford, CT)
- …Care's growth in Value-Based Care. This position is responsible for selling Medicare Advantage and Fee-for-Service Provider Enablement services to providers and ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and...sales success, leadership experience and a strong knowledge of Medicare Advantage and value-based care programs. +… more
- CVS Health (Overland Park, KS)
- …all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage , and Medicaid). This position will support a wide range ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and...four major lines of business (Commercial Group, Commercial Individual, Medicare Advantage , and Medicaid); this suite of… more
- Deloitte (Fort Lauderdale, FL)
- …working knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare ... Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Managers, Senior Managers, and Partners… more
- CVS Health (Springfield, IL)
- …230 clients in ACO REACH, Medicare Shared Savings Program (MSSP), and Medicare Advantage programs. We are model-agnostic and payer-agnostic that is focused ... transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position… more
- Deloitte (Minneapolis, MN)
- …working knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare ... Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Managers, Senior Managers, and Partners… more
- Trinity Health (Columbus, OH)
- …Day Shift **Description:** **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other ... . Leads expansion opportunities into new states to ensure CMS adequacy and product salability by leveraging Quest Analytics and Zelis (or related tool) to benchmark… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …different access and reimbursement models, including Medicare Parts B and D, Medicare Advantage (eg, Medicare Coverage Determinations (NCDs, LCDs and ... customer needs and channel challenges and ensure timely implementation of solutions . + Strategic implementation and execute channel and account-based product… more
