- The Cigna Group (Morris Plains, NJ)
- **POSITION SUMMARY** The Medicare Client Strategy Senior Manager is accountable for and provides leadership to a team of Medicare Strategists and is ... Medicare clients. This client-facing position will take a lead role in supporting current clients. This involves using... Medicare strategic initiatives and market development. The Medicare Client Strategy Senior Manager plays a… more
- The Cigna Group (Franklin, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy , performing research and analysis within the ... to improve clinical programs, customer value, growth, and retention for Cigna Medicare . This role will help us accomplish this through data science, strategic… more
- The Cigna Group (Denver, CO)
- **Summary** The Business Analytics Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for ... Medicare Strategic Analytics. Reporting to the Manager of Care...Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes… more
- BlueCross BlueShield of North Carolina (NC)
- …of our current products, programs and market offer components. + Advise Medicare leaders on implications to strategy , market positioning, and business ... through product, program, market engagement and/or marketing communications strategies across all Medicare lines of business with a specific focus on Medicare … more
- USAA (Tampa, FL)
- …currently seeking a dedicated **Business Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- The Cigna Group (Plano, TX)
- …Analyst will be an individual contributor responsible for supporting the analytics strategy for Medicare Health Services, performing research and analysis within ... the Clinical Analytics team. This role will help us accomplish this through data-driven analytics, strategic insights, and collaboration with our internal partners. In addition, this person will be responsible to identify opportunities for our clinical… more
- Point32Health (Canton, MA)
- …1) support annual assessment of new product strategies in collaboration with Product Strategy counterparts; and 2) lead key aspects of product implementation and ... help flesh out detailed requirements to support overall product strategy decisions. The Senior Manager will also lead...of each market. All responsibilities extend to any new Medicare markets should Point32Health choose to expand its footprint… more
- The Cigna Group (Bloomfield, CT)
- … Growth Analytics Team is an opportunity to provide leadership on our analytics strategy , to support our broader Medicare Growth team and provide actionable ... on setting and executing the vision for how our Medicare Growth team can lead Cigna to...will play a pivotal role in shaping our data strategy and delivering advanced solutions for key growth reports… more
- Elevance Health (Columbus, OH)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Centene Corporation (Cheyenne, WY)
- …service levels, and value by leading the dental, vision and hearing Medicare Product development through strategy development, identify opportunities, plan, ... deliver defined requirements and meet company strategic objectives. + Develop and lead strategies for Medicare Supplemental benefits including dental, vision and… more
- Somatus (Mclean, VA)
- …+ And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment ... including all aspects of the various methods of executing on an MRA strategy (eg prospective, retrospective, concurrent approaches). + Lead the risk adjustment… more
- The Cigna Group (Bloomfield, CT)
- …D Stars Business Analytics Senior Advisor will be responsible for leading the analytics strategy for Cigna Healthcare within the Medicare Stars program with a ... Part D measures. This position is located within the Medicare Stars Analytics team, who's function is to provide... Star Ratings. The Business Analytics Senior Advisor will lead development of data analyses utilizing pharmacy claims, clinical… 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 (Nashville, TN)
- …talk about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, ... member retention and sales growth. **RESPONSIBILITIES:** . Execute multi-year local broker strategy for book of business . Influence brokers to sell more by… more
- The Cigna Group (Birmingham, AL)
- …success of CSB. **Responsibilities:** + Accountability for executing new business pricing strategy to drive profitable growth in the Medicare Supplement ... Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement… more
- CVS Health (Carson City, NV)
- …Candidates will sit in the Las Vegas Nevada area** Aetna is looking for a Medicare Sales Broker Manager to join the Nevada sales team that drives and achieves sales ... results through an assigned Nevada hierarchy of independent Medicare brokers. Responsibilities include: - Develop and execute market strategy impacting the… more
- Elevance Health (St. Louis, MO)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Vanderbilt University Medical Center (Nashville, TN)
- …audit results. Monitors new regulatory and/or billing requirement changes from Medicare Administrative Carriers and CMS websites and published guidance. Performs ... Compliance, Office of Legal Affairs, and Executive leadership teams. Regulatory Strategy (Intermediate) - Demonstrates ability to successfully analyze and present… more
- CareFirst (Washington, DC)
- …The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding federal and state public policy issues in ... The incumbent will have primary responsibility for issues related to Medicare / Medicare Advantage, prescription drugs, utilization management, and behavioral… more
- Elevance Health (Atlanta, GA)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... + Plan, design, develop and lead activities to ensure an effective Compliance program....Skills, Capabilities and Experiences** + Knowledge and understanding of Medicare rules and regulations for program areas including but… more