- Eisai, Inc (Boston, MA)
- …of: NYC, NJ, RI, CT, MA, NH, ME, VT Job Summary The Senior Manager , Access and Reimbursement will appropriately inform, support and manage regional customers' needs ... patient assistance, reimbursement support, distribution and coverage policies). The Senior Manager , Access and Reimbursement is a customer-facing resource that is… more
- Lundbeck (Philadelphia, PA)
- …and transform lives. Join us on our journey of growth! As a Neuroscience Account Manager , this is an incredible opportunity to join the growing promotion of our CNS ... to promoted portfolio using Lundbeck resources. Utilize deep understanding of Medicare payer landscape in addition to other payer channels including Medicaid… more
- Lundbeck (MA)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... transform lives. Join us on our journey of growth!As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing… more
- UCLA Health (Los Angeles, CA)
- Description As the Compliance Manager , Risk Management & Oversight, you will play a key role in developing and managing processes that maintain essential ... elements of our compliance efforts within the Medicare Advantage program. In this role, you'll oversee policy and procedure management, training, regulatory… more
- Healthfirst (NY)
- …Provider performance + Medical and Pharmacy Part D cost savings + Medicare Star Ratings/member experience. ** Compliance & Regulatory Responsibilities:** Noted ... on all aspects related to one or more specific Medicare performance areas such as Risk Score Accuracy, ...Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance, Medical and… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and business partners. **Responsibilities** + Provide oversight of operational activities of Medicare Part D/EGWP programs + Ensure compliance with CMS rules ... minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare -part-d-and-egwp-programs/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager III is responsible for assisting the product leadership team within the… more
- The Cigna Group (Springfield, IL)
- The **Regional Medicare ** **Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... reports to the Medicare Provider Contracting Regional Vice President. This role is...local market provider engagement, claims operations, clinical, Legal, analytics, compliance , sales, and provider relations. + Manages strategic positioning… more
- The Cigna Group (Austin, TX)
- …- Dallas, East Texas (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible strive to help ... about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- The Cigna Group (Bloomfield, CT)
- …The **Project Manager ** is a key role that supports **Cigna's Medicare Advantage** line of business, directly addressing customer and client demands for higher ... effectiveness, and service performance outcomes within their assigned segment(s). The **Project Manager ** will serve as a liaison between the National Ancillary team… more
- CVS Health (Salt Lake City, UT)
- …care more personal, convenient and affordable. **Position Summary** Aetna is looking for a Medicare Sales Broker Manager to join the Utah sales team who will ... achieve sales results through an assigned Utah hierarchy of independent Medicare brokers. Responsibilities include: - Develop and execute market strategy impacting… more
- Healthfirst (NY)
- …agency + Knowledgeable of Department of Health (DOH) and Center for Medicare & Medicaid Services (CMS) regulations ** Compliance & Regulatory Responsibilities:** ... the enabling tools and technology (software and hardware) that support the Medicare Sales Operations team Works with internal and external constituents as applicable… more
- UCLA Health (Los Angeles, CA)
- Description As the Manager of Medicare Advantage Sales, you will be driving our sales strategies and functions. You will be responsible for: * Serving as the key ... * Manage the sales-assisted enrollment and commission processes * Monitor compliance targets for Field Marketing Organizations and sales agents * Communicate… more
- Medical Mutual of Ohio (OH)
- …under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare ... under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare… more
- The Cigna Group (Nashville, TN)
- **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework and ... Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims, enrollment, fulfillment, network operations, and… more
- The Cigna Group (Maitland, FL)
- …travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a cross-functional, collaborative organization ... & Solutions). Reporting to the Provider Performance Director, the Provider Performance Manager ensures the effective management of the performance outcomes of the… more
- The Cigna Group (St. Louis, MO)
- …lines of businesses, stakeholders, and matrix partners (ex. Clinical, Compliance , Operations, Growth, Finance, etc.), providing proactive identification of ... analysis and serve as initial point of contact for compliance on CMS notices possibly impacting Stars and RA....gather materials for Stars and RA team meetings and Medicare leadership meetings: + Seniors Business Operating Review Monthly… more
- The Cigna Group (Bloomfield, CT)
- …reporting to the manager of CTMs. This role will support the Medicare Advantage line of business by directly supervising the CTM team. The primary ... a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager ... one of the listed 9 states. Job Summary The Medicare Encounter Data Analyst leads the process for the...Adhere to the organization's policies, procedures and other relevant compliance needs. + Perform other duties as needed. Experience… more
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