• Medicare Advantage Product Solutions…

    LA Care Health Plan (Los Angeles, CA)
    Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los ... net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for...product agnostic initiatives as well as strategic partnerships. Medicare : Required Medicare Advantage, with experience serving… more
    LA Care Health Plan (10/30/24)
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  • Senior Manager , Medicare

    Point32Health (Canton, MA)
    …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two ... including annual bid/rate and related filings, new benefit implementation, and product /vendor management processes. The Senior Manager will support annual… more
    Point32Health (01/03/25)
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  • Manager , Actuarial Services…

    Healthfirst (NY)
    …(IBNR) analysis and other ad hoc analyses. + Research, evaluate and analyze Medicare market landscape. + Analyze product and segment performance, incorporating ... **Duties and Responsibilities:** + Monitor experience under Healthfirst's Medicare line of business. + Provide support for annual Medicare bids for all… more
    Healthfirst (12/06/24)
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  • Medicare Products Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    product development of the Medicare Advantage. This role supports Medicare product management by evaluating data trend experience, creating data analytics ... team colleagues to support the development and execution of Medicare Advantage product strategy and corresponding benefits....building of plan benefit packages (PBPs), working with the Product Manager and market leadership to balance… more
    Medical Mutual of Ohio (11/12/24)
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  • Medicare Broker Manager - Las Vegas,…

    CVS Health (Carson City, NV)
    …**Qualified Candidates will sit in the Las Vegas Nevada area** Aetna is looking for a Medicare Sales Broker Manager to join the Nevada sales team that drives and ... - Travel as needed (majority within local area) **Preferred Qualifications** Experience with Medicare Advantage, SSI or Medicaid product sales or operations. -… more
    CVS Health (11/05/24)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …current members. MAP Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island,...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
    Centers Plan for Healthy Living (12/03/24)
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  • Product Management Senior Manager

    The Cigna Group (Morris Plains, NJ)
    …Senior Advisors and Advisors responsible for the development and management of the Medicare Prescription Payment Plan (M3P) product . This individual will provide ... client facing products, broad-based knowledge of Regulated Markets/Pharmacy Benefit Manager (PBM) operations, experience leading people, a strategic mindset, and… more
    The Cigna Group (01/03/25)
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  • Lead Technology Product Manager

    Wolters Kluwer (Indianapolis, IN)
    …the **Wolters Kluwer Health Clinical Effectiveness team** , the Lead **Technology Product Manager ** **- Commercial Drug Information** role for **Medi-Span** ... answer is yes, come and join our dynamic team of awesome designers, clinicians, technologists, and product managers who all share the same passion as you! As part of… more
    Wolters Kluwer (11/27/24)
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  • Sr. Product Manager

    Waystar (Louisville, KY)
    **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are ... with User Experience team and Technology teams. The Senior Product Manager will lead cross departmental strategic...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
    Waystar (12/17/24)
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  • Product Management Senior Manager

    The Cigna Group (St. Louis, MO)
    **Description of Position:** + The Product Management Senior Manager of Regulated Markets Audit is responsible for leading a team that serves as the Regulated ... management. This position will ensure compliance with the Center for Medicare and Medicaid Services (CMS) guidance/regulations, work cross functionally across the… more
    The Cigna Group (01/07/25)
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  • Manager , Actuary

    VNS Health (Manhattan, NY)
    …challenging projects that push boundaries and decision making that drives results. As the Manager , Actuary for Medicare Advantage (MA), you will play a pivotal ... OverviewVNS Health Medicare Advantage experiences accelerated year-over-year growth, doubling membership...economics data support for care and utilization management, new product launches, IPA arrangements, vendor contracting, budget planning and… more
    VNS Health (12/13/24)
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  • Manager Product Analytics, Medical…

    Healthfirst (NY)
    …of provider reimbursement changes. + Keep abreast of New York Medicaid and Medicare reforms and their impact on Healthfirst and their owner hospital performance. + ... Manage and train a team of analysts. + Perform ad hoc analyses. **Minimum Qualifications:** + Bachelors Degree from an accredited institution. + 4+ years of experience in the managed care industry related to analytics. + Extensive knowledge of managed care… more
    Healthfirst (11/09/24)
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  • Senior Manager , MarketPoint Sales

    Humana (Ocala, FL)
    …Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , MarketPoint Sales will supervise Medicare Sales Field Agents ... community and help us put health first** Our Senior Manager , MarketPoint Sales motivates and drives a team of..., MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
    Humana (12/24/24)
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  • IT Project Manager I-IV

    Medical Mutual of Ohio (Dublin, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... best possible health and quality of life. IT Project Manager I Assists in leading enterprise projects and teams...of project communications and work with project sponsors or product owners to resolve issues, address changes and identify… more
    Medical Mutual of Ohio (12/04/24)
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  • Manager , Clinical Quality Improvement

    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. Manages the day-to-day ... Clinical Quality Improvement program and staff to include the activities of HEDIS, Medicare Stars, and Provider Quality. . Devises and manages the implementation of… more
    Medical Mutual of Ohio (12/05/24)
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  • Field Reimbursement Manager (North Texas)

    Endo International (Dallas, TX)
    …talented individuals to join our team. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo Access and ... the Company's products above. **Job Description** The Field Reimbursement Manager (FRM) position is a critical front-line member of...as anyone involved in the process of utilizing the product with the intention of minimize barriers and increasing… more
    Endo International (12/20/24)
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  • Project Manager

    Medical Mutual of Ohio (OH)
    …coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Project Manager II** Leads ... Provide all levels of project communications and work with project sponsors or product owners to resolve issues, address changes and identify risks. . Provide… more
    Medical Mutual of Ohio (12/04/24)
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  • Contract Manager

    WellSense (Manchester, NH)
    …NH product expansion, recruitment and contracting efforts. The Contract Manager will lead contract language and reimbursement negotiations with a variety of ... Contract Manager WellSense Health Plan is a nonprofit health...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
    WellSense (11/27/24)
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  • Site Reliability Engineering Manager

    Medical Mutual of Ohio (Dublin, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... quality of life. As a Site Reliability Engineering (SRE) Manager , you will lead a team of talented engineers...You will collaborate closely with software development, operations, and product teams to design and implement robust solutions that… more
    Medical Mutual of Ohio (01/03/25)
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  • Product Analyst

    Prime Therapeutics (Eagan, MN)
    …fuels our passion and drives every decision we make. **Job Posting Title** Product Analyst **Job Description** The Product Analyst is responsible for delivering ... products that drive value for our customers. This role is part of a Product Team and drives collaboration with Scrum Masters, Solution Product Owners, Engineers… more
    Prime Therapeutics (12/19/24)
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