• 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)
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  • 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 , Nashville, TN (_** **_candidate must live in/or...role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted… more
    The Cigna Group (11/07/24)
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  • 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)
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  • Medicare Vendor Program Manager

    AmeriHealth Caritas (Newtown Square, PA)
    Medicare Vendor Program Manager plays a vital role within the Medicare Product team to ensure plan supplemental benefits administered by external entities ... ** Medicare Vendor Program Manager ** Location: Newtown...can focus on keeping our members healthy. **Our Comprehensive Benefits Package** Flexible work solutions include remote more
    AmeriHealth Caritas (11/15/24)
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  • 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)
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  • 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)
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  • 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)
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  • 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)
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  • 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 (11/12/24)
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  • Medicare Program Manager II

    Centene Corporation (Tallahassee, FL)
    …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... requirements and meet business needs and strategic objectives. + Support Medicare business department initiatives that promote, quality, network safety and cost… more
    Centene Corporation (11/16/24)
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  • 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)
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  • Product Manager - Medicare /D-SNP

    Centene Corporation (Harrisburg, PA)
    …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... initial conception through service delivery, including auditing of all assigned plan benefit package reviews + Monitor market trends to identify new product… more
    Centene Corporation (11/14/24)
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  • Case Manager RN - Medicare

    Molina Healthcare (Spartanburg, SC)
    **JOB DESCRIPTION** Case Manager RN will support our Medicare Population in the state of South Carolina. Case Manager will be required to communicate ... This is a fast-paced position and productivity is important. This position is currently remote - future field travel may be required in NW area of South Carolina… more
    Molina Healthcare (11/10/24)
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  • Medicare Clinical Auditor

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Working under general ... RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Medicare Clinical Auditor** + **Audits outpatient, inpatient and professional… more
    Medical Mutual of Ohio (11/15/24)
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  • Medicare Medical Director

    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
    Elevance Health (11/12/24)
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  • 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)
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  • Care Manager ( Remote )

    CareFirst (Baltimore, MD)
    …specifically the Medicare Advantage DSNP line of business. The Care Manager helps members, families, and caregivers access the health care delivery system ... **Resp & Qualifications** **PURPOSE:** Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and… more
    CareFirst (11/17/24)
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  • Senior Manager Reimbursements…

    Providence (CA)
    …and retain the best people, we must empower them.** **The Senior Manager , Reimbursement Regulatory Reporting is responsible for execution of extremely complex ... that include but are not limited to: Preparation and review of Medicare , Medicaid, and other regulatory reports, Wage index reviews, Medicaid Eligible Days… more
    Providence (11/16/24)
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  • 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)
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  • Manager , Healthcare Services Mltc RN, LMSW…

    Molina Healthcare (New York, 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 (11/13/24)
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