- The Cigna Group (Bloomfield, CT)
- …REMOTE** The ** Project Manager** is a key role that supports **Cigna's Medicare Advantage** line of business , directly addressing customer and client demands ... Masters in relevant field also valued + **2+ years Medicare experience, required** + **2+ years Project ...mentality + Experience in health care/managed care programs and/or operations preferred + Result-oriented with demonstrated project … more
- Healthfirst (NY)
- …point of contact for all supporting platforms, representing all Medicare sales business end users and leadership Conducts project estimate sessions with ... tools and technology (software and hardware) that support the Medicare Sales Operations team Works with internal...needs and expectations of the business Identify business requirements (eg, tech, infrastructure) working with Medicare… more
- Elevance Health (Columbus, OH)
- …Services to transform federal health programs. The **Director I Medicare Operations ** is responsible for directing multiple business function operations ... **Director I Medicare Operations ** **Location:** This position will...will make an impact:** + Responsible for directing multiple business function operations teams on Tier I… more
- USAA (San Antonio, TX)
- …what makes us so special! **The Opportunity** We are currently seeking a talented ** Business Process Owner I** that will support Medicare Supplement Claims for ... end-to-end claims process. This role will work with our third-party supplier and key business partners supporting our Medicare Supplement Claims. As business … more
- The Cigna Group (Bloomfield, CT)
- …offsites, Affordability projects, etc. + Support the execution of the Medicare business governance model, including operating model, leadership ... communications, and employee engagement. This role will manage business inputs into ELT and Medicare and...are being delivered and effectively disseminated by accountable teams ( Business Management, Business Development, Operations ,… more
- Healthfirst (NY)
- …specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations , Provider Performance, Medical and Pharmacy ... the following Medicare Advantage performance areas: + Risk Score Accuracy + Medicare Clinical Programming and Operations + Provider performance + Medical and… more
- The Cigna Group (Bloomfield, CT)
- …the Senior Director of NANPM Medicare & Commercial Alignment. Experience with Medicare Advantage and /or the Government Business is required for success. ... quarterly Joint Operating Committee (JOC) meetings to include vendors and internal business partners + Monitors and understand Medicare Advantage policies,… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... and the enterprise. The Product Solutions Manager III leads in supporting ongoing operations of the assigned product lines in bridging the gap between state… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... support achievement of product and enterprise goals. The position works with management, business owners and other key stakeholders to develop and manage the product… more
- Centene Corporation (Cheyenne, WY)
- …functional and technical knowledge regarding overall program requirements and operations **Education/Experience:** + Bachelor's degree in Business ... project implementation, product or program management experience. + Medicare Supplement Benefits (Dental, Vision, Hearing) experience strongly preferred. + 5+… more
- The Cigna Group (Bloomfield, CT)
- …Required: Up to 25% - local and some overnight regional travel. The Medicare Advantage Value-Based Contracting Regional Director serves as an integral member of the ... Medicare Advantage Expansion Provider Contracting Team and reports to...territories that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. +… more
- The Cigna Group (Franklin, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... to improve clinical programs, customer value, growth, and retention for Cigna Medicare . This role will help us accomplish this through data science, strategic… more
- LA Care Health Plan (Los Angeles, CA)
- …of requirements, assignments, priorities, and deadlines. The Regulatory Operations Project Manager II closely collaborates with business owners, vendors, ... Regulatory Operations Project Manager II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017… more
- Humana (Columbus, OH)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Project Management Certification + Experience in business consulting ... community and help us put health first** The Senior Project Manager manages all aspects of a project...experience + 5 or more years of experience managing business projects + Highly self-motivated and proactive with a… more
- MetroLink (Los Angeles, CA)
- …timeliness, implementing standards and best practices. + Provide guidance to operations / project management teams to recognize emerging issues, identify lessons ... FUNCTIONS Education and Experience + Bachelor's Degree in Engineering, Business Administration, Project Management or a related...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Project Management Director responsible for ... well as the ability to execute and interact with business partners and cross-functional teams to ensure project...for highest quality client experience and results; monitor all project processes and operations for time and… more
- WTW (Salt Lake City, UT)
- …with a strong focus on HRA administration. This role will require a business -oriented leader who recognizes changing market dynamics and can effectively partner with ... The Director must be a subject matter expert in Medicare , Qualified Health Plans, Health Reimbursement Arrangements and the...Health Reimbursement Arrangements and the processes related to our business . This is a remote position but must be… more
- Harvard University (Cambridge, MA)
- …include, but are not limited to, the following: + Oversee research project operations -- including managing grant requirements, developing timelines and ... Professional (N) Department Office Location:USA - MA - Boston Business Title: Project ManagerSub-Unit: Salary Grade (https://hr.harvard.edu/salary-ranges#ranges) :056Time… more
- Elevance Health (Columbus, OH)
- …priorities; must be comfortable interfacing with senior leadership. + Partner with business operations to understand operational metrics and reporting; assist ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...quality and other operational issues. + Assists in managing project scope to ensure business needs are… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Project Analyst II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los Angeles, CA, US, ... Project Analyst (TPA) II supports projects with Project Managers and/or business partners to ensure...and meaningful business and functional requirements for business and technical partners. Analyze operations and… more