• Actuarial Senior Manager - Medicare

    The Cigna Group (Birmingham, AL)
    Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and changes to… more
    The Cigna Group (09/14/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Broker Sales Manager

    The Cigna Group (Nashville, TN)
    …to CMS Medicare Marketing Guidelines and procedures . Customer features, benefits and Medicare & Medicaid knowledge preferred . Self-starter, flexible, ... **Location - Remote , Middle & West Tennessee (must be located...role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted… more
    The Cigna Group (10/31/24)
    - Save Job - Related Jobs - Block Source
  • Regional Marketing Manager (Senior…

    The Cigna Group (Columbus, OH)
    **Regional Marketing Manager (Senior Advisor), Medicare (TX/OK/AZ) - Remote ** Reporting into the Senior Manager , Regional Marketing this role will have ... to market level business strategies and have an overarching lens of the Medicare net growth opportunity with key considerations for optimization and efficiencies for… more
    The Cigna Group (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Business Analytics Senior Advisor…

    The Cigna Group (Bloomfield, CT)
    **Job Summary:** The Business Analytics Senior Advisor position within the Medicare Growth Analytics Team is an opportunity to provide leadership on our analytics ... strategy, to support our broader Medicare Growth team and provide actionable insights and analytics....its goals. Reporting to the Cross Channel Analytics Senior Manager , this position will coordinate with cross functional teams… more
    The Cigna Group (11/08/24)
    - Save Job - Related Jobs - Block Source
  • Lowes Care Nurse - Case Manager

    Lowe's (Charlotte, NC)
    …offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit our benefits page ... offered, location, education, training, and/or experience. For information regarding our benefit programs and eligibility, please visit https://talent.lowes.com/us/en/ benefits more
    Lowe's (10/30/24)
    - Save Job - Related Jobs - Block Source
  • Sr. Process Consultant ( Medicare )…

    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 ... + Project management. + Process design & engineering. + Medicare . + Proven track record with results. + Process...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
    Molina Healthcare (11/07/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Program Manager III

    Centene Corporation (Cheyenne, WY)
    …and meet company strategic objectives. + Develop and lead strategies for Medicare Supplemental benefits including dental, vision and hearing + Support ... Medicare Advantage bid development to determine product and benefit changes in response to CMS requirements and market positioning. + Lead potential vendor… more
    Centene Corporation (09/20/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …C (medical drug) benefit programs. Configures, implements, maintains, and services Medicare and Individual pharmacy benefits , with a strong focus on member ... C (medical drug) benefit programs. Configures, implements, maintains, and services Medicare and Individual pharmacy benefits , with a strong focus on member… more
    Medical Mutual of Ohio (09/20/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Products Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …management by evaluating data trend experience, creating data analytics on supplemental benefits for the Medicare Advantage. This includes the evaluation of ... team colleagues to support the development and execution of Medicare Advantage product strategy and corresponding benefits ....Analyst will be instrumental in the building of plan benefit packages (PBPs), working with the Product Manager more
    Medical Mutual of Ohio (08/13/24)
    - Save Job - Related Jobs - Block Source
  • Senior Medicare Compliance Analyst

    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
    Medical Mutual of Ohio (11/06/24)
    - Save Job - Related Jobs - Block Source
  • Actuarial Analyst III - Medicare Risk…

    Elevance Health (St. Louis, MO)
    **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint ... complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk… more
    Elevance Health (10/30/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Program Manager Must Reside in…

    Prime Therapeutics (Hoover, AL)
    …our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager Must Reside in or Around Birmingham, AL - Remote **Job ... Description** **We are looking for a Clinical Program Manager for our Birmingham, AL plan. If you live in Alabama and would like to do some traveling, you will want… more
    Prime Therapeutics (10/24/24)
    - Save Job - Related Jobs - Block Source
  • Manager Actuarial Analytics Commercial…

    Providence (CA)
    …people, we must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics, Commercial who will:** + Be responsible for producing pricing, ... and outside the organization (CMS, provider groups) **Providence Health Plan welcome 100% remote work for applicants who reside in one of the following States:** +… more
    Providence (10/26/24)
    - Save Job - Related Jobs - Block Source
  • Manager , Healthcare Services RN, LMSW…

    Molina Healthcare (Bronx, NY)
    …long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare .** **We are looking for a candidate with a NY RN, NY LMSW or NY ... encouraged to apply.** **_Further details to be discussed during our interview process._** ** Remote position within the tri city areas- New York, New Jersey, or… more
    Molina Healthcare (11/06/24)
    - Save Job - Related Jobs - Block Source
  • Medical Case Manager - Pennsylvania…

    Highmark Health (Harrisburg, PA)
    …facilitate proactive and efficient provision of services. + Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of ... to create a collaborative approach to care management and benefit coordination. + Maintain a working knowledge of available...in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR + Bachelor's degree in Social Work… more
    Highmark Health (10/05/24)
    - Save Job - Related Jobs - Block Source
  • Reimbursement Case Manager ( Remote

    TEKsystems (Morrisville, NC)
    Reimbursement Case Manager ( Remote - Local to RDU) Qualifications: + 2+ Years of relevant work experience or Bachelors Degree. + Reimbursement Experience + ... office, health insurance processing or related experience + Pharmacy Benefits Experience / Benefit Investigation + Prior...by all payer types including private/commercial and government (ie, Medicare , Medicaid, VA and DOD) + Take inbound calls… more
    TEKsystems (11/07/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Trials Research Coverage Analyst…

    Rush University Medical Center (Chicago, IL)
    …New Drugs (INDs) and/or lnvestigational Device Exemptions (IDEs). * Knowledge of Medicare coverage decisions, benefit policy manuals and billing processes. * ... 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** Reporting to the Director/ Manager of Clinical Trials Research Revenue Cycle, this position will create coverage… more
    Rush University Medical Center (10/24/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Case Manager , LTSS…

    Molina Healthcare (Nampa, ID)
    …are seeking a Registered Nurse with previous Case Management experience. Medicare and Medicaid knowledge/experience is highly preferred. Proficient knowledge of MS ... and time management skills is highly preferred. The Case Manager must have the ability to work in a...**_Further details to be discussed during our interview process._** ** Remote ; with about 50% field travel within Ada or… more
    Molina Healthcare (11/03/24)
    - Save Job - Related Jobs - Block Source
  • Case Manager Mltc,Ltss LMSW or LCSW…

    Molina Healthcare (Newark, NJ)
    …services to chronically ill or disabled people who are eligible for Medicaid and Medicare .** **We are looking for Case Managers with a New York LMSW or LCSW ... preferred. Strong organizational and time management skills. The Case Manager must have the ability and be comfortable to...(all dialects), Bengali, and Korean are encouraged to apply._** ** Remote position with light field travel. On occasion, the… more
    Molina Healthcare (10/24/24)
    - Save Job - Related Jobs - Block Source
  • Case Manager RN ( Remote )

    CVS Health (Harrisburg, PA)
    …make health care more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States located in EST. External ... Special Needs Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...review to conduct an evaluation of member's needs and benefits . + Applies clinical judgment to incorporate strategies designed… more
    CVS Health (11/01/24)
    - Save Job - Related Jobs - Block Source