- AmeriHealth Caritas (Newtown Square, PA)
- ** Medicare Vendor Program Manager ** Location: Newtown Square, PA Primary Job Function: Medicare ID**: 37979 Your career starts now. We are looking ... initiatives, including overall growth, new market entry, and general plan performance. The Medicare Vendor Program Manager plays a vital role within the… more
- Centene Corporation (Cheyenne, WY)
- …Master's degree preferred. + 5+ years project implementation, product or program management experience. + Medicare Supplement Benefits (Dental, Vision, ... a fresh perspective on workplace flexibility. **Position Purpose:** Promote increased program efficiency, service levels, and value by leading the dental, vision… more
- Point32Health (Canton, MA)
- …including annual bid/rate and related filings, new benefit implementation, and product/ vendor management processes. The Senior Manager will support annual ... at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …D and/or EGWP programs.** **Scope of Responsibilities:** Provides oversight and management of Medicare Part D/EGWP program . **Job Summary:** The position will be ... and quality control. Coordination with Plan Sponsor to ensure program is compliant with Medicare Part D...+ Ensure compliance with CMS rules and regulations surrounding Medicare Part D + Support vendor relationships… more
- The Cigna Group (Mesa, AZ)
- …be responsible for direct management of day-to-day operations of the Medicare Advantage Fulfillment Operation team. This requires strong leadership competencies to ... needed in a fast paced, high performing culture. The Fulfillment Operations manager oversees a team responsible for ensuring the accurate and timely delivery… more
- The Cigna Group (Denver, CO)
- …reporting and analysis within the Clinical & Data Science Analytics team for Medicare Strategic Analytics. Reporting to the Manager of Care Management Analytics, ... support to our partners to improve customer care and affordability for Cigna Medicare . This role will help us accomplish this through reporting, dashboards, and… more
- Humana (Louisville, KY)
- …of our caring community and help us put health first** Come join our close-knit Vendor Management family. In this role, you will have the opportunity to manage the ... today, we would love to talk to you. The Senior IT Vendor Management Professional investigates available IT contingent labor suppliers; evaluates and recommends… more
- Commonwealth Care Alliance (Boston, MA)
- …strong organizational skills, and effective communication abilities. The program manager will be primarily focused on overseeing vendor day-to-day operations ... **Why This Role is Important to Us:** The Program Manager , Dental plays a pivotal...Collaborate with contracted vendors to ensure smooth execution of program services. + Monitor vendor performance, adherence… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Quality Program Manager III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Clinical Quality Program Manager is responsible for identifying, implementing, and guiding projects… more
- Point32Health (Canton, MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Compliance Senior Manager will report to the Government Programs Compliance Officer. This ... laws and regulations related to the Government Programs Compliance Programs for Medicare and Duals products. This role involves guiding teams and processes while… more
- Humana (Clearwater, FL)
- …sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , MarketPoint Sales will supervise Medicare Sales Field Agents who ... community and help us put health first** Our Senior Manager , MarketPoint Sales motivates and drives a team of..., MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services ... safety net required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio of… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. IT Project Manager I Assists in ... aspects of project status and track and report major issues. IT Project Manager II - III Manages enterprise projects and teams with support, in compliance… more
- Morehouse School Of Medicine (Atlanta, GA)
- …, client, and landlord agreements to ensure compliance with the corporate insurance program as well as vendor requirements. Provide waivers of insurance ... Insurance & Risk, Manager Bookmark this Posting Print Preview | Apply...landlord agreements to ensure compliance with the corporate insurance program as well as vendor requirements. Provide… more
- Stanford Health Care (Palo Alto, CA)
- …receivables, write-offs performance and, achieving and meeting KPI expectations. The Senior Manager is responsible for vendor management to ensure vendor ... cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational… more
- Cambridge Health Alliance (Cambridge, MA)
- …in business/healthcare administration or equivalent experience - Experience in government program operations ( Medicare and MassHealth eligibility) highly desired ... Government Programs Eligibility & Business Office Manager - PACE Elder Care Services Apply Refer...Name:** Non Union **Department Description:** CHA PACE is a Program of All-Inclusive Care for the Elderly (PACE) at… 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. Defines and executes ... to improve consistency, engagement, and lead conversion effectiveness. . Manages vendor relationships as needed for research, production, and other services. .… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Medicaid Manager for Third Party Liability Unit Augusta , Maine , United States | Community & Social Services | Full-time Apply by: Nov. 14, 2024 Apply with Linkedin ... Department of Health and Human Services (DHHS)Asst. Div. Director Medicaid/ Medicare ServicesOpening Date:October 31, 2024 Closing Date:November 14, 2024Job Class… more
- Commonwealth Care Alliance (Boston, MA)
- …projects + With some support from Enterprise Delivery Leader or Program Manager , facilitate and manage appropriate vendor performance for assigned projects + ... work under the general direction of the Enterprise Project Delivery Leader or Enterprise Program Manager and is primarily responsible for leading medium to large… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Development Manager - EDW Job Code A1119 Exemption Status Exempt Management Level Manager ... meet existing and emergent organizational needs. + Establishes and oversees vendor resources engaged in providing additional EDW development, quality assurance, and… more