- Point32Health (Canton, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have ... and related filings, new benefit implementation, and product/vendor management processes. The Senior Manager will support annual assessment of new product… more
- 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 strategic initiatives and market development. The Medicare Client Strategy Senior Manager ...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… more
- CVS Health (Southfield, MI)
- …risks. The individual will work independently, as well as collaboratively, with internal senior level Medicare compliance and business teams that operate MMP and ... onsite per week in Southfield, MI The Sr. Compliance Manager is an experienced/career level compliance position that applies...limited to: * Lead and implement an effective Compliance Program as described in CMS Medicare Managed… more
- The Cigna Group (Columbus, OH)
- …( Senior Advisor), Medicare (TX/OK/AZ) - Remote** Reporting into the Senior Manager , Regional Marketing this role will have accountability for driving ... 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 (Birmingham, AL)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …plans. Implements and manages the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the ... and Federal Regulations that affect our various company products, specifically Medicare Advantage program regulations, and Statutory Requirements. . Proficiency… more
- The Cigna Group (Bloomfield, CT)
- …can lead Cigna to achieving its goals. Reporting to the Cross Channel Analytics Senior Manager , this position will coordinate with cross functional teams to ... **Job Summary:** The Business Analytics Senior Advisor position within the Medicare ...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… more
- CVS Health (Hartford, CT)
- …for successful execution and delivery associated with leading large scale Medicare Part D product benefit implementation inclusive of testing for thoroughness ... allocations to ensure efficient and effective plan. + Conducts program implementation risk assessments and develops mitigation strategies to...builds and testing. + Minimum 3-5 years of solid Medicare Part D guidance & knowledge + Minimum 2… more
- The Cigna Group (Houston, TX)
- …who service existing and new customers. The Direct To Consumer (DTC) Conservation Senior Supervisor will monitor key performance indicator metrics and work with the ... DTC Retention Operations manager to oversee the entire conservation administration process. They...more** years people management experience + Extensive background in Medicare and other supplemental health products + Experience with… more
- The Cigna Group (Austin, TX)
- …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,...market-specific initiatives. + Communicating results of analyses to more senior actuarial team members. + Actively participate in team… more
- The Cigna Group (Nashville, TN)
- …proficient with data analytics . Knowledge of marketing strategy, value proposition and senior market . Adherence to CMS Medicare Marketing Guidelines and ... about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- Medical Mutual of Ohio (OH)
- …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and assist ... those members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate, monitor and evaluate options and services to… more
- Healthfirst (NY)
- …personalized role-based materials and resources + Design and Execute a Comprehensive Coaching Program for new hires + Supports the creation and delivery of new video ... maximizing opportunities and increasing recertification and retention rates across the Medicare Portfolio of Products + Helps remediate learning gaps identified… more
- The Cigna Group (Sunrise, FL)
- …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial review. + Assisting in initiatives and… more
- The Cigna Group (Seattle, WA)
- …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial review. + Assisting in initiatives and… more
- The Cigna Group (Atlanta, GA)
- …Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manager or Director, this individual ensures the effective ... network for his/her assigned sub-market and/or provider groups. The role of Senior Advisor with the Provider Performance Enablement team takes ownership for… more
- The Cigna Group (Franklin, TN)
- …analysis within the Clinical, STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist ... clinical programs, customer value, growth, and retention for Cigna Medicare . This role will help us accomplish this through...results of their work + Proactively works with more senior team members to understand project goals and priorities… more
- Elevance Health (Atlanta, GA)
- …required. **Preferred Skills, Capabilities and Experiences** + Knowledge and understanding of Medicare rules and regulations for program areas including but not ... design, develop and lead activities to ensure an effective Compliance program . + Oversees programs for multiple departments/functions with numerous stakeholders and… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Compliance Senior Manager will report to the Government Programs Compliance ... laws and regulations related to the Government Programs Compliance Programs for Medicare and Duals products. This role involves guiding teams and processes while… more