• Insmed Incorporated (Baton Rouge, LA)
    …experience for patients battling serious and rare diseases. The Field Access Manager will leverage his/her reimbursement expertise and demonstrated experience to ... offices strongly preferred Product launch experience preferred Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit… more
    HireLifeScience (10/31/24)
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  • Lundbeck (Murfreesboro, TN)
    …transform lives. Join us on our journey of growth!As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing ... apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on … more
    HireLifeScience (11/13/24)
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  • Lundbeck (Gary, IN)
    …and transform lives. Join us on our journey of growth!As a Neuroscience Account Manager , this is an incredible opportunity to join the growing promotion of our CNS ... apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on … more
    HireLifeScience (11/09/24)
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  • Lundbeck (Houston, TX)
    …lead the way in creating positive customer experiences!As a BioPharmaceuticals Account Manager , you lead the promotion of our infusion product, driving demand ... needs and organizational goals. Payer Access -Ability to grasp sophisticated reimbursement and distribution processes in a complex coverage landscape. Anticipates… more
    HireLifeScience (11/08/24)
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  • Novo Nordisk Inc. (OH)
    …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
    HireLifeScience (10/29/24)
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  • Finance Medicare Reimbursement

    AdventHealth (Altamonte Springs, FL)
    …role you'll contribute:** The Reimbursement Analyst is responsible for assisting the Reimbursement Manager with the preparation of work papers for the filing ... Duties assigned are performed under the oversight of the Reimbursement Manager . **The value that you bring...Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare more
    AdventHealth (08/21/24)
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  • 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 Angeles, ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product Strategy, Sales and Marketing… more
    LA Care Health Plan (10/30/24)
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  • Medicare Program Manager III

    Centene Corporation (Cheyenne, WY)
    …levels, and value by leading the dental, vision and hearing Medicare Product development through strategy development, identify opportunities, plan, organize, ... and meet company strategic objectives. + Develop and lead strategies for Medicare Supplemental benefits including dental, vision and hearing + Support Medicare more
    Centene Corporation (09/20/24)
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  • Medicare Technology Operations - Senior…

    The Cigna Group (Bloomfield, CT)
    The Medicare Technology Operations organization is looking for experienced, innovative and motivated leaders with strong technology engineering and cloud acumen, a ... strategic mindset, and demonstrated empathic collaboration. The Cloud Engineering Senior Manager will oversee a team dedicated to creating and delivering… more
    The Cigna Group (11/13/24)
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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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  • Actuarial Manager - Medicare Part C

    The Cigna Group (Austin, TX)
    …cross functional teams and business partners. Performs actuarial analyses for Medicare Advantage business, including, but not limited to: medical expense analyses ... and projections, financial forecasts, Medicare Part C bid development, regulatory (CMS) bid submissions,...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
    The Cigna Group (10/25/24)
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  • Medicare Broker Sales Manager

    The Cigna Group (Nashville, TN)
    …transportation, valid driver's license, and insurance required - mileage reimbursement provided_** **_Bilingual preferred, but is not required_** **_Valid local ... about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
    The Cigna Group (10/31/24)
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  • 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 Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members… more
    Medical Mutual of Ohio (09/20/24)
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  • Medicare Products Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare ... an integral role in the product development of the Medicare Advantage. This role supports Medicare product...of plan benefit packages (PBPs), working with the Product Manager and market leadership to balance market competitiveness and… more
    Medical Mutual of Ohio (11/12/24)
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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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  • Medicare Provider Performance Enablement…

    The Cigna Group (Seattle, WA)
    …creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, development, and vision ... for assigned territory. Participating with the Senior Manager / Manager in monthly financial review. + Assisting...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
    The Cigna Group (10/26/24)
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  • Business Analytics Lead Analyst ( Medicare

    The Cigna Group (Denver, CO)
    …reporting and analysis within the Clinical & Data Science Analytics team for Medicare Strategic Analytics. Reporting to the Manager of Care Management Analytics, ... partners to improve customer care and affordability for Cigna Medicare . This role will help us accomplish this through...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
    The Cigna Group (10/25/24)
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  • Patient Account Representative - Healthcare…

    Guidehouse (Lewisville, TX)
    …from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Account Review ... + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing...Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development… more
    Guidehouse (10/07/24)
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  • Data Science Lead Analyst ( Medicare )…

    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, ... and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data...clinical programs, customer value, growth, and retention for Cigna Medicare . This role will help us accomplish this through… more
    The Cigna Group (09/28/24)
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