- The Cigna Group (Birmingham, AL)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and changes to… more
- The Cigna Group (Nashville, TN)
- …to CMS Medicare Marketing Guidelines and procedures . Customer features, benefits and Medicare & Medicaid knowledge preferred . Self-starter, flexible, ... **Location - Remote , Middle & West Tennessee (must be located...role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted… more
- The Cigna Group (Columbus, OH)
- **Regional Marketing Manager (Senior Advisor), Medicare (TX/OK/AZ) - Remote ** Reporting into the Senior Manager , Regional Marketing this role will have ... to market level business strategies and have an overarching lens of the Medicare net growth opportunity with key considerations for optimization and efficiencies for… more
- The Cigna Group (Bloomfield, CT)
- **Job Summary:** The Business Analytics Senior Advisor position within the Medicare Growth Analytics Team is an opportunity to provide leadership on our analytics ... strategy, to support our broader Medicare Growth team and provide actionable insights and analytics....its goals. Reporting to the Cross Channel Analytics Senior Manager , this position will coordinate with cross functional teams… more
- Lowe's (Charlotte, NC)
- …offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit our benefits page ... offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit https://talent.lowes.com/us/en/ benefits… more
- Molina Healthcare (Columbus, OH)
- …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... + Project management. + Process design & engineering. + Medicare . + Proven track record with results. + Process...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Centene Corporation (Cheyenne, WY)
- …and meet company strategic objectives. + Develop and lead strategies for Medicare Supplemental benefits including dental, vision and hearing + Support ... Medicare Advantage bid development to determine product and benefit changes in response to CMS requirements and market positioning. + Lead potential vendor… more
- Medical Mutual of Ohio (OH)
- …C (medical drug) benefit programs. Configures, implements, maintains, and services Medicare and Individual pharmacy benefits , with a strong focus on member ... C (medical drug) benefit programs. Configures, implements, maintains, and services Medicare and Individual pharmacy benefits , with a strong focus on member… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …management by evaluating data trend experience, creating data analytics on supplemental benefits for the Medicare Advantage. This includes the evaluation of ... team colleagues to support the development and execution of Medicare Advantage product strategy and corresponding benefits ....Analyst will be instrumental in the building of plan benefit packages (PBPs), working with the Product Manager… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Implements and manages ... the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the Company's Medicare Advantage… more
- Elevance Health (St. Louis, MO)
- **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint ... complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk… more
- Prime Therapeutics (Hoover, AL)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager Must Reside in or Around Birmingham, AL - Remote **Job ... Description** **We are looking for a Clinical Program Manager for our Birmingham, AL plan. If you live in Alabama and would like to do some traveling, you will want… more
- Providence (CA)
- …people, we must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics, Commercial who will:** + Be responsible for producing pricing, ... and outside the organization (CMS, provider groups) **Providence Health Plan welcome 100% remote work for applicants who reside in one of the following States:** +… more
- Molina Healthcare (Bronx, NY)
- …long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare .** **We are looking for a candidate with a NY RN, NY LMSW or NY ... encouraged to apply.** **_Further details to be discussed during our interview process._** ** Remote position within the tri city areas- New York, New Jersey, or… more
- Highmark Health (Harrisburg, PA)
- …facilitate proactive and efficient provision of services. + Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of ... to create a collaborative approach to care management and benefit coordination. + Maintain a working knowledge of available...in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR + Bachelor's degree in Social Work… more
- TEKsystems (Morrisville, NC)
- Reimbursement Case Manager ( Remote - Local to RDU) Qualifications: + 2+ Years of relevant work experience or Bachelors Degree. + Reimbursement Experience + ... office, health insurance processing or related experience + Pharmacy Benefits Experience / Benefit Investigation + Prior...by all payer types including private/commercial and government (ie, Medicare , Medicaid, VA and DOD) + Take inbound calls… more
- Rush University Medical Center (Chicago, IL)
- …New Drugs (INDs) and/or lnvestigational Device Exemptions (IDEs). * Knowledge of Medicare coverage decisions, benefit policy manuals and billing processes. * ... 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** Reporting to the Director/ Manager of Clinical Trials Research Revenue Cycle, this position will create coverage… more
- Molina Healthcare (Nampa, ID)
- …are seeking a Registered Nurse with previous Case Management experience. Medicare and Medicaid knowledge/experience is highly preferred. Proficient knowledge of MS ... and time management skills is highly preferred. The Case Manager must have the ability to work in a...**_Further details to be discussed during our interview process._** ** Remote ; with about 50% field travel within Ada or… more
- Molina Healthcare (Newark, NJ)
- …services to chronically ill or disabled people who are eligible for Medicaid and Medicare .** **We are looking for Case Managers with a New York LMSW or LCSW ... preferred. Strong organizational and time management skills. The Case Manager must have the ability and be comfortable to...(all dialects), Bengali, and Korean are encouraged to apply._** ** Remote position with light field travel. On occasion, the… more
- CVS Health (Harrisburg, PA)
- …make health care more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States located in EST. External ... Special Needs Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...review to conduct an evaluation of member's needs and benefits . + Applies clinical judgment to incorporate strategies designed… more