- 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 for the ... growth, new market entry, and general plan performance. The Medicare Vendor Program Manager plays a vital...Experience:** + 3 to 5 years of experience in Medicare /Medicaid vendor account/contract management and operations . +… more
- Point32Health (Canton, MA)
- …information and meet applicable regulatory requirements and timelines. The Senior Manager works closely with claims, membership operations , clinical services, ... 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)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare ... **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides oversight… more
- Centene Corporation (Cheyenne, WY)
- …levels, and value by leading the dental, vision and hearing Medicare Product development through strategy development, identify opportunities, plan, organize, ... and meet company strategic objectives. + Develop and lead strategies for Medicare Supplemental benefits including dental, vision and hearing + Support Medicare… more
- The Cigna Group (Nashville, TN)
- …about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker ... excel. . Carry out appropriate sales activity standards as directed by their manager . Responsible for reporting their daily & weekly activities to ensure alignment… more
- CVS Health (Carson City, NV)
- …**Qualified 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 ... Experience with Medicare Advantage, SSI or Medicaid product sales or operations . - Microsoft experience, specifically Excel and PowerPoint - Health & Life… more
- Medical Mutual of Ohio (OH)
- …I** Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and ... II** Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and… more
- Elevance Health (Atlanta, GA)
- …objectives. + Collaborates with management to set strategic vision; oversees manager (s)/director(s) with direct reports. + Hires, trains, coaches, counsels, and ... **Preferred Skills, Capabilities and Experiences** + Knowledge and understanding of Medicare rules and regulations for program areas including but not limited… more
- Elevance Health (Columbus, OH)
- …member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked ... preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and… more
- US Tech Solutions (Canton, MA)
- **JOB SUMMARY:** The Lead Corporate Project Manager is responsible, on behalf of the Executive Sponsor or Business Sponsor, for the successful delivery of new ... Corporate Program Management Office (CPMO). The Lead Corporate Program Manager supports and advocates project management principles and methodologies within… more
- The Cigna Group (Sunrise, FL)
- …conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + ... provider group improvement plans autonomously, with expert-level technical support from manager . + Knowledge of quality and affordability metrics and tools;… more
- Elevance Health (Columbus, OH)
- **Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will ... 50 miles of our Elevance Health PulsePoint locations. The **Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for planning, directing and… more
- Elevance Health (Atlanta, GA)
- ** Medicare Medical Director** Location: This position will work a hybrid model (remote and office). The ideal candidate will **must live** within 50 miles of one of ... our Elevance Health PulsePoint locations. The ** Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical… more
- Molina Healthcare (Columbus, OH)
- …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... + 4 years' experience in healthcare and/or health plan operations . + 2 years of healthcare related process improvement...+ Project management. + Process design & engineering. + Medicare . + Proven track record with results. + Process… more
- Guidehouse (Lewisville, TX)
- …from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Account Review ... + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing.../ GED. + 0-2+ year's experience in office, business, operations , customer service or healthcare field. **What Would Be… more
- Elevance Health (Norfolk, VA)
- …discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- The Cigna Group (Nashville, TN)
- **Job Description** The job profile for this position is Senior Manager , which is a Band 4 Management Career Track Role. **Excited to grow your career?** We value ... success. **Role Details** As an enabler of Enterprise Strategic Priority for Medicare Advantage Growth, the DMOM program will drive a competitive administrative cost… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …care teams harmoniously monitor, manage, and protect life. The Director, People Operations is responsible for effectively developing and managing the activities of ... Kestra's People Operations function as they relate to Operational Development &...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- POSITION TITLE: Manager of Plant Operations REPORTS TO: Director of Plant Operations DESCRIPTION OF POSITION: To directly assist the Director of Plant ... & Information, California Department of Public Health, Centers for Medicare and Medicaid Services, to ensure the hospital is...someone suspected of trespassing on hospital grounds). . The Manager of Plant Operations maintains knowledge of,… more
- LA Care Health Plan (Los Angeles, CA)
- Regulatory Operations Project Manager II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Regulatory Operations Project Manager II manages a portfolio of complex regulatory change… more
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