- ConsultNet (North Kingstown, RI)
- …and absolute customer satisfaction in a complex, inbound Customer Care center. Customer Care Manager , Rx will focus on supporting our Medicare Part D and PBM ... The Customer Care Manager supervises daily operations and team members while...business by providing a complex level of service to Medicare Part D and Commercial PBM members and managing… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …care. Contributes to the provision of quality nursing care through performance improvement processes that demonstrate positive outcomes in patient care. Provides ... care. Contributes to the provision of quality nursing care through performance improvement processes that demonstrate positive outcomes in patient care. Provides… more
- Bridge Personal Care Services (Findlay, OH)
- …with organizational policies, procedures, and practices to ensure quality job performance and Medicare /Medicaid compliance. Duty 2: Demonstrates the knowledge ... Bridge services. Duty 3: Works with the HH Therapy Manager in managing the overall operations of the HH...process improvement initiatives. Duty 6: Supervises the staff in performance of their daily duties and assisting staff with… more
- Bridge Personal Care Services (Findlay, OH)
- …with organizational policies, procedures, and practices to ensure quality job performance and Medicare /Medicaid compliance to include OASIS if appropriate. ... plan, implement, and evaluate patient care in order to provide for the unique physical and emotional needs of...fistulas. Duty 4: Demonstrates knowledge and skill necessary to provide disease/diagnosis age specific care to the patients served… more
- Bridge Personal Care Services (Findlay, OH)
- …Complies with organizational policies, procedures, and practices to ensure quality job performance and Medicare /Medicaid compliance to include Home Health and/or ... Opportunities would include: Home Health RN Home Health Case Manager Home Health Admission Nurse Wound Care RN Unique...Driver's license with clean driving record and ability to provide own transportation while on duty required. Commitment to… more
- The Cigna Group (Maitland, FL)
- …market. Must be able to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a ... the Provider Performance Director, the Provider Performance Manager ensures the...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the… more
- The Cigna Group (Denver, CO)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative's ... and/or physician leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on… more
- 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 ... is responsible for the financial and operational activities of provider networks and this position involves extensive interaction with...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- The Cigna Group (Atlanta, GA)
- …Operations Senior Manager or Director, this individual ensures the effective performance management of the provider network for his/her assigned sub-market ... work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …a staff that will educate and execute the strategy and vision related to provider engagement + Oversee functions related to MA provider education, engagement and ... staff associated with this effort\. + Perform forecasting, analyzing current performance through the creation and monitoring of quality metrics, and conducting… more
- Healthfirst (NY)
- …areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance , Medical and Pharmacy Part D cost savings, and ... Advantage performance areas: + Risk Score Accuracy + Medicare Clinical Programming and Operations + Provider performance + Medical and Pharmacy Part D… more
- The Cigna Group (Bloomfield, CT)
- …The **Project Manager ** is a key role that supports **Cigna's Medicare Advantage** line of business, directly addressing customer and client demands for higher ... performance outcomes within their assigned segment(s). The **Project Manager ** will serve as a liaison between the National...downstream impact to Cigna MA Customers. This role will provide operational and project support to execute on the… more
- Humana (Chicago, IL)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …Aid internal teams to support clients and business partners. **Responsibilities** + Provide oversight of operational activities of Medicare Part D/EGWP programs ... minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare -part-d-and-egwp-programs/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East… more
- The Cigna Group (Austin, TX)
- …- Dallas, East Texas (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible strive to help ... about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… 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, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product… more
- 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 (Bloomfield, CT)
- …reporting to the manager of CTMs. This role will support the Medicare Advantage line of business by directly supervising the CTM team. The primary ... a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions… 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
- Commonwealth Care Alliance (Boston, MA)
- …This Role is Important to Us:** Under direction of the Director of Medicare Compliance, the primary focus areas of this position include development and oversight ... includes: Corrective Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance… more
