• National Contracting Medicare Senior

    The Cigna Group (Bloomfield, CT)
    …relationships representing over 40% of Cigna's total medical cost savings. The **NANPM Medicare Senior Advisor** is responsible for negotiating Medicare ... position on the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment. Experience with Medicare Advantage and /or… more
    The Cigna Group (10/15/24)
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  • Medicare Advantage - Senior Contact…

    UCLA Health (Los Angeles, CA)
    Description As the Medicare Advantage Senior Contact Center Representative, you will be addressing and resolving complex member inquiries, providing detailed ... working in a Contact Center environment + Two or more years in a Medicare Advantage role, highly desired + Exceptional customer service and communication skills +… more
    UCLA Health (10/18/24)
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  • Senior Medicare Medicaid Biller…

    Prime Healthcare (Inglewood, CA)
    …Responsibilities The Senior Medicare ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166137/ senior - medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
    Prime Healthcare (10/26/24)
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  • Corporate Compliance ( Medicare Duals)…

    CVS Health (Southfield, MI)
    …risks. The individual will work independently, as well as collaboratively, with internal senior level Medicare compliance and business teams that operate MMP and ... business, analytical and communication skills to support, manage and develop Medicare and Medicaid compliance programs and processes that promote compliant and… more
    CVS Health (10/16/24)
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  • Data Science Senior Advisor…

    The Cigna Group (Denver, CO)
    …results and communicate recommendations to a variety of stakeholders, including the Medicare Advantage Senior Leadership team. This individual will collaborate ... **Summary** The Medicare Advantage Data Science team's mission is to...management, and improve customer value and affordability for Cigna Medicare . We accomplish this through strategic actionable insights, cross-departmental… more
    The Cigna Group (10/15/24)
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  • Regulated Markets Senior Manager…

    The Cigna Group (Morris Plains, NJ)
    **POSITION SUMMARY** The Medicare Client Strategy Senior Manager is accountable for and provides leadership to a team of Medicare Strategists and is ... for all Medicare strategic initiatives and market development. The Medicare Client Strategy Senior Manager plays a critical role in the interpretation of all… more
    The Cigna Group (10/25/24)
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  • Medicare Regional Provider Contracting…

    The Cigna Group (Bloomfield, CT)
    This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an integral member of the Network Development and ... Solutions Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor to… more
    The Cigna Group (10/25/24)
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  • Business Process Owner Senior

    USAA (Tampa, FL)
    …special! **The Opportunity** We are currently seeking a dedicated **Business Process Owner Senior ** that will support Medicare Supplement Claims for USAA Life ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
    USAA (10/23/24)
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  • Senior Analyst, FP&A Medicare

    CVS Health (Hartford, CT)
    …health care more personal, convenient and affordable. **Position Summary:** As the FP&A Medicare Finance Local Market Senior Analyst, you will work closely with ... identify variance drivers, and aid in the communication of performance to the Chief Medicare Officers. In this role, you support the Lead Director to gather insights… more
    CVS Health (10/26/24)
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  • Senior Actuarial Analyst, Medicare

    Providence (WA)
    …the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible for ... and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of Medicare Advantage… more
    Providence (10/31/24)
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  • Medicare Compliance Officer

    Centene Corporation (Austin, TX)
    …that Medicare Compliance reports are provided regularly to the CRECO, the Medicare Compliance Committee, the Medicare Senior Leadership team and the ... **Position Purpose:** This position will be a member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, attends… more
    Centene Corporation (09/20/24)
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  • Senior Manager Sales Medicare

    Banner Health (AZ)
    …our innovation to employment settings by including remote and hybrid opportunities. As a Senior Manager Sales Medicare , you will manage a small sales team and ... Plan Sales Department and meet sales targets. The Sales Senior Manager works within the Banner Medicare ...Sales Senior Manager works within the Banner Medicare program and is accountable for providing leadership, channel… more
    Banner Health (10/30/24)
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  • Senior Medicare Coverage Analyst

    Dana-Farber Cancer Institute (Brookline, MA)
    …for this position is full remote with occasional time onsite.** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies...are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and designates medical… more
    Dana-Farber Cancer Institute (10/22/24)
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  • Senior Medicare Compliance…

    Banner Health (AR)
    …8:00 AM - 5:00 PM (AZ Time). In this position you will be monitoring Medicare Advantage Parts C & D operational control measures ensuring appropriate oversight is in ... is in place for accurate, complete, and compliant for Medicare Advantage Parts C & D. + Identifying and...This position interacts with a multitude of executive and senior management, physicians and staff throughout Banner depending on… more
    Banner Health (10/11/24)
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  • Senior Medicare Communications…

    Centene Corporation (Raleigh, NC)
    …anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory requirements ... associated with the Medicare materials and sales compliance. Participates in the ongoing...ongoing oversight, analysis, review, and approval of all beneficiary-facing Medicare materials. In addition, may also support the department… more
    Centene Corporation (10/25/24)
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  • Medicare Part D Senior

    CVS Health (Hartford, CT)
    …for successful execution and delivery associated with leading large scale Medicare Part D product benefit implementation inclusive of testing for thoroughness ... coordinating pharmacy design builds and testing. + Minimum 3-5 years of solid Medicare Part D guidance & knowledge + Minimum 2 years Rx claims adjudication… more
    CVS Health (10/11/24)
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  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… more
    Medical Mutual of Ohio (09/20/24)
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  • Sr Medicare Medicaid Biller Collector - PVH…

    Prime Healthcare (National City, CA)
    …Responsibilities The Senior Medicare ... Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and… more
    Prime Healthcare (10/23/24)
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  • Senior Finance Medicare

    AdventHealth (Altamonte Springs, FL)
    …**Job Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the annual ... Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening...submit accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for… more
    AdventHealth (08/16/24)
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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 ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
    The Cigna Group (09/14/24)
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