- UCLA Health (Los Angeles, CA)
- …accuracy and compliance throughout the member lifecycle. Key Responsibilities: + Lead end-to-end Medicare Advantage product development. + Support and help ... Description We're seeking a strategic Senior Product Manager to lead the design,...+ Eight or more years of progressive experience in Medicare Advantage product management, … more
- CVS Health (Concord, NH)
- …of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group ... every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L...with corporate teams. The Market GM will drive local product strategy and local market intelligence, be responsible for… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare ...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- Humana (Dover, DE)
- …the industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is...will be critical in our growth plans. The Lead Product Manager - Growth & Operations will… more
- Point32Health (Canton, MA)
- …or related field **Experience** + Required (minimum): 5 years in Medicare Advantage , Medicaid managed care, or healthcare product strategy. + Preferred: 5 ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Performance Manager ( Product Strategy) is responsible for supporting product… more
- Geisinger (Danville, PA)
- …Job Duties + Focusing primarily on one line of business, develops and executes product roadmaps for: + Medicare Advantage Products ( Medicare ) ... Job Summary This role blends market analysis, product development, cross-functional collaboration, and regulatory compliance to deliver competitive, consumer-focused… more
- Abbott (Austin, TX)
- …(CTR). **What You'll Work On** + Review clinical investigative plan and payer policies ( Medicare , Medicare Advantage , Medicaid and Private Payer) to provide ... developments that affect existing and future clinical trials. + Assist sites with Medicare , Medicare Advantage , Medicaid and Private Payor prior… more
- CVS Health (Augusta, ME)
- …**Required Qualifications:** + 5+ years' experience working with government programs such as Medicare Advantage Organization (MAO) or Medicaid in one or more of ... each and every day. **Position Summary** The D-SNP Program Manager will play a critical role in ensuring annual... Advantage Plus (MAP), Virginia or New Jersey Medicare Advantage (FIDE) Dual Special Needs Plans… more
- UCLA Health (Los Angeles, CA)
- …Benefits to lead the oversight and strategic management of key vendors supporting our Medicare Advantage product line. This role plays a critical part ... experience. You will: + Oversee multiple complex vendors that support Medicare Advantage supplemental benefits, ensuring delivery against contractual,… more
- Molina Healthcare (Las Cruces, NM)
- …human service worker, Sales, Navigator, Assistor, Connecter, Promotora, Marketing, Growth, Manager , Supervisor, Leader, Management, Medicare Advantage Pay ... for all product lines. + Demonstrates thorough understanding of Molina's product lines, Medicaid, CHIP, Medicare SNP, Marketplace, MMP, etc **JOB… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …filings and financial statements for assigned business segments. + Leads preparation of Medicare Advantage bids and coordinates CMS bid review responses. + ... we encourage you to apply! Job Description: Summary: The Manager of Actuarial Services is responsible for managing a...for complex projects in support of our organization's diverse product portfolio. This role will oversee the development of… more
- Commonwealth Care Alliance (Boston, MA)
- …**Desired Experience (nice to have):** + Experience working in a health plan, with Medicare Advantage and/or dually eligible population + Experience with a care ... Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral… more
- Aveanna Healthcare (Atlanta, GA)
- …across all areas of sales support operations. + Collaborate with the CRM Product Manager to support Aveanna's Zoho CRM implementation including user setup, ... workflow coordination, training and ongoing system optimization. + Collaborate with the CRM Product Manager to provide support and training for the sales team… more
- Capgemini (Cincinnati, OH)
- … Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage / DSNP/ Medicaid or Exchange program/ product build knowledge ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more
- CenterWell (Frankfort, KY)
- …approval processes, financial reporting and maintaining market level sales materials for Medicare Advantage and ACO offerings + Develop and implement ... business development efforts to create and maintain a competitive product portfolio based off of dynamic competitive intel, to...year experience in Healthcare, with a specific focus on Medicare advantage with a history of effectively… more
- CVS Health (Chicago, IL)
- …will sell, cross-sell, up-sell, and retain through the use of the Aetna IVL Medicare product portfolio.This role will deploy an operating model that supports 3 ... not limited to, any questions related to plan benefits, product , and services offerings, as well as resolving any...or 1 to 2 years' experience of selling multiple Medicare products (ie, Medicare Advantage ,… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools ... policies to reduce selection price alternative plan designs and define product strategy, identifying strategies to reduce enterprise costs, reviewing reserves in… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more
- Marshfield Clinic (Marshfield, WI)
- …primary responsibility is to ensure positive customer interactions with one major product line ( Medicare Advantage or Commercial/Marketplace) of Security ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more