- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... Administrators. Provider Performance Enablement (PPE) is responsible for...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- Healthfirst (NY)
- …an accredited institution + Extensive knowledge and experience in one or more the following Medicare Advantage performance areas: + Risk Score Accuracy + ... Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance , Medical and Pharmacy Part D...Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Self-motivated and driven +… more
- The Cigna Group (Denver, CO)
- …the providers and the individual that represents Cigna Medicare Advantage . The Provider Performance External Representative's responsibilities include: ... to develop solutions for strategic business needs + May provide guidance to others in the department **Core** **Responsibilities:**...in the following aspects: **Growing the Medicare Advantage ** **Business** The Provider Performance … more
- Providence (OR)
- …ensuring compliance with regulatory guidelines, and providing critical insights to enhance the performance of our Medicare Advantage plans **_Please note the ... and speed for assessing product design impacts on financial performance for Medicare Advantage plans...career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace… more
- The Cigna Group (Bloomfield, CT)
- … Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a ... Product, Clinical and Strategic Sourcing; and is** responsible for negotiating Medicare Advantage national contracts within specified service segments, drive… more
- The Cigna Group (Bloomfield, CT)
- **This is a Medicare Advantage position.** **Work Location: This is a Remote position** The **National Ancillary Senior Advisor** is a key role that supports ... **Cigna's Medicare Advantage ** line of business, directly addressing...Touchpoints, Strategic Alignment + Monitor progress against goals, including Vendor/ Provider performance metrics, internal SLAs + Manage… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …in the Health Insurance Industry + 2 years \- Experience with Medicare Advantage products _Skills\\Certifications_ + Demonstrated ability to effectively work ... a staff that will educate and execute the strategy and vision related to provider engagement + Oversee functions related to MA provider education, engagement and… more
- The Cigna Group (Bloomfield, CT)
- …is REMOTE** The **Project Manager** is a key role that supports **Cigna's Medicare Advantage ** line of business, directly addressing customer and client demands ... & customer issues + Demonstrated ability to influence decisions in support of Medicare Advantage vision & strategy + **Proficient with MS Office Suite include… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Sales & Marketing Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage , with… more
- The Cigna Group (St. Louis, MO)
- …team and highlight/enable enterprise engagement efforts for leadership. + Regularly monitor performance to goals though collecting data to report status on Stars and ... draft agenda and gather materials for Stars and RA team meetings and Medicare leadership meetings: + Seniors Business Operating Review Monthly Meeting + Quarterly… more
- The Cigna Group (Atlanta, GA)
- …market, incumbent candidate will work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of a cross-functional, ... collaborative organization (which includes Market Provider Performance , Sales, Clinical Operations, Stars &...members contribute to the growth and profitability of the Medicare Advantage business in their market in… more
- The Cigna Group (Maitland, FL)
- …Must be able to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a cross-functional, ... collaborative organization (which includes Market Provider Performance , Sales, Health Services, Clinical, Stars...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market… more
- CVS Health (Lansing, MI)
- …We are seeking an Executive Director to lead the newly formed **Group Medicare Performance Optimization** team. This leader will preside over performance ... + 10+ years' of FP&A experience within the healthcare industry + Strong knowledge of Medicare . Knowledge of Group Medicare Advantage will be highly valued. +… more
- The Cigna Group (Nashville, TN)
- …to financial, affordability, growth and quality performance targets for Cigna Medicare . Negotiate and contract provider service and vendor agreements and ... as a top Subject Matter Expert to management and Medicare Advantage stakeholders for complex value-based and...for complex value-based and downside risk reimbursement methodologies for Medicare provider contracting matters. + Initiates and… more
- Humana (Columbus, OH)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy ... performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual … more
- Humana (Columbus, OH)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead, ... performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …integral member of the leadership team-driving BCBSMA's purposeful re-entry into the Group Medicare Advantage Market. The role will have responsibility for Group ... Medicare Advantage and Medicare Supplementary...to develop strategies that shape BCBSMA's overall direction in Medicare , achieve the company's performance goals and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind to more ... self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and...team of licensed telesales agents, fostering a culture of performance , accountability and motivation. . Provide coaching… more
- Humana (Columbus, OH)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Miami Lakes, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in...applicants selected for leader review may be asked to provide their social security number, if it is not… more