- Molina Healthcare (ID)
- …of business for upcoming contract year business readiness. Reviews all member -facing materials from all functional areas of Medicare for compliance per the ... the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main ... filings, new benefit implementation, and product/vendor management processes. The Senior Manager will support annual assessment of new product strategies by… more
- LA Care Health Plan (Los Angeles, CA)
- …teams including assistance with benefit trainings, explanation of benefit design, member materials development and distribution, sales and marketing collateral, ... Medicare Advantage Product Solutions Manager II...and specific strategic initiatives in support of optimizing the member experience while managing the ongoing evolution and strategic… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …grow, develop, and enhance EGWP programs and opportunities + Assist in creation of member and client materials ensuring consistent with CMS regulations + Support ... 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
- Healthfirst (NY)
- …and Annual Budget with Product, and prepare and facilitate product performance discussion materials and ad-hoc analysis on the Medicare LOB. + Manage and ... **Duties and Responsibilities:** + Monitor experience under Healthfirst's Medicare line of business. + Provide support for annual Medicare bids for all… 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
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Tuesday, November 5, 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
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... members achieve their best possible health and quality of life. **Account Manager - Individual Market** Responsible for brokers sales results and growth of… more
- VNS Health (Manhattan, NY)
- OverviewAssesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care ... manager generated requests for medical services and renders clinical...clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care… more
- VNS Health (Manhattan, NY)
- OverviewAssesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care ... manager generated requests for medical services and renders clinical...clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care… more
- VNS Health (Manhattan, NY)
- OverviewAssesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care ... manager generated requests for medical services and renders clinical...clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care… more
- State of Colorado (Pueblo, CO)
- Unit Nurse Manager -Adolescent Behavioral Treatment Unit CMHHIP - $25,000 SIGN ON INCENTIVE!! Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4744238) Apply Unit Nurse Manager -Adolescent Behavioral Treatment Unit CMHHIP - $25,000 SIGN ON… more
- Fallon Health (Worcester, MA)
- …care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Robert Half (Boston, MA)
- JOB REQUISITION Risk and Compliance - Healthcare - Senior Manager LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB DESCRIPTION You ... Protiviti is looking for a Risk and Compliance Senior Manager to join our growing Healthcare team. Protiviti's Financial...healthcare payer regulations and guidance with emphasis on the Medicare Managed Care Manual. + Expertise of core business… more
- Prime Therapeutics (Newark, NJ)
- …publications, oversight of formulary information in all provider and member materials and communications, and product ownership for Medicare and Medicaid ... every decision we make. **Job Posting Title** Clinical Program Manager - Candidate Must Reside in NJ - Hybrid...+ Knowledge of the applicable line of business (eg, Medicare , Medicaid, Exchange, Commercial, Employer Group) **Minimum Physical Job… more
- Molina Healthcare (Port Neches, TX)
- …representatives, including developing and/or presenting policies and procedures, training materials , and reports to meet internal/external standards. * Manages and ... positively influence future trends. * Develops and implements strategies to reduce member access grievances with contracted providers. * Oversees the IHH program and… more
- Trinity Health (Pensacola, FL)
- …in creating their individual territory tactical fiscal year sales plan with quarterly manager reviews to ensure growth targets are being achieved. + Ensures that the ... & home intake visits. + Perform Sales & Enrollment direct team member reports individual yearly evaluations. + Assists with recruiting, interviewing & presenting… more
- LifePoint Health (Brentwood, TN)
- * Manager , Facilities Environment of Care* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, ... employees find purpose and fulfillment. *What you'll do:* The Manager Facilities Environment of Care (EOC) and Life Safety...other inspections by regulatory agencies such as Centers for Medicare & Medicaid Services (CMS) and state agencies. *… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Community Resource Centers Job Category: Management/Executive Department: Community Resource Center-Westside Location: Los Angeles, CA, US, 90064 Position ... safety net required to achieve that purpose. Job Summary The Manager , Community Resource Centers (CRC) provides leadership, strategic direction, relationship… more
- VNS Health (Manhattan, NY)
- OverviewConducts comprehensive assessment of member UAS-NY for potential new members and existing members' conditions clinical, environmental, and social to ... establish an individual plan of care needed to maintain the member safe in the community. Identifies solutions that promote high quality and cost-effective health… more