- Humana (Columbus, OH)
- …with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead , you will deconstruct issues and challenges, perform ... largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This… more
- The Cigna Group (Bloomfield, CT)
- …a member of the clinical senior leadership team, the Chief of Staff for the Medicare Clinical Strategy team will report directly to the Vice President (VP) and ... and employee engagement. This role will manage business inputs into ELT and Medicare and CareAllies SLT presentations, Strategy Playbooks, and other enterprise … more
- The Cigna Group (Phoenix, AZ)
- …all Medicare businesses being managed + Support Product & Strategy leadership team to develop key business strategies, including providing competitive landscape ... Medigap, SHL, as well as companion products in the Medicare portfolio. + Assist Product & Strategy ...contribute individually and as part of a team + Lead and quickly demonstrate credibility as a subject matter… more
- CVS Health (Lansing, MI)
- …us to deliver unparalleled results. We are seeking an Executive Director to lead the newly formed **Group Medicare Performance Optimization** team. This leader ... prepare and report on ongoing business performance results, activities and initiatives + Lead the Group Medicare governance forum to communicate results, elevate… more
- Elevance Health (Tampa, FL)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** This is a...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (Wilmington, DE)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- USAA (San Antonio, TX)
- …currently seeking a talented **Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will ... 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
- Elevance Health (West Des Moines, IA)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (Columbus, OH)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Somatus (Mclean, VA)
- …+ And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment ... including all aspects of the various methods of executing on an MRA strategy (eg prospective, retrospective, concurrent approaches). + Lead the risk adjustment… more
- Humana (Columbus, OH)
- …Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how… more
- Healthfirst (NY)
- …including finance, clinical, medical economics, risk adjustment, and population health strategy implement Medicare strategy for profitable performance ... and develop solutions to continually improve product performance. + Lead presentations for on-going management meetings (ie monthly operating...+ Well versed on all aspects related to all Medicare products + Must be able to perform additional… more
- CareFirst (Baltimore, MD)
- …(VSOs). **ESSENTIAL FUNCTIONS:** In partnership with leadership, builds the marketing strategy and drives the execution of Veteran Medicare Advantage ... or Northern Virginia.** **PURPOSE:** This position is responsible for **Sales of Medicare Advantage** products designed to meet the needs of the veteran population.… more
- The Cigna Group (Austin, TX)
- …talk about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and ... (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever...and sales growth. **RESPONSIBILITIES:** . Execute multi-year local broker strategy for book of business . Influence brokers to… more
- The Cigna Group (Bloomfield, CT)
- …vendor/provider & customer issues + Demonstrated ability to influence decisions in support of Medicare Advantage vision & strategy If you will be working at home ... **This is a Medicare Advantage position.** **Work Location: This is a...this role includes driving and/or supporting the vendor service strategy , relationship management, business process improvements, operational efficiencies and… more
- The Cigna Group (St. Louis, MO)
- …will be responsible for supporting the development of business strategy , aggregating and synthesizing regulatory/external industry analysis, partnering with various ... will manage business inputs into ELT and SLT presentations, Strategy Playbooks, and other enterprise strategy processes....and RA team. _Stars and RA Special Projects_ + Lead Stars and RA Special Projects oversight, from intake… more
- The Cigna Group (Birmingham, AL)
- …success of CSB. **Responsibilities:** + Accountability for executing new business pricing strategy to drive profitable growth in the Medicare Supplement ... Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement… more
- The Cigna Group (Bloomfield, CT)
- …environments? If the foregoing describes you, then we want you! The Cigna Medicare Sales Performance Improvement team is all about leveraging training and other ... of our sales teams and helping to meet Cigna Medicare 's industry-defining business goals and we need a skillful...skills for sales professionals + Keep up with Cigna strategy , compliance, industry changes and product enhancements + Provide… more
- Travelers Insurance Company (Columbus, OH)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... at industry related conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives develops and directs… more
- The Cigna Group (Bloomfield, CT)
- Reporting to the Risk Adjustment Strategy and Operations Leader, this role serves as leading and managing all activities related to Cigna's Corporate Integrity ... CIA deliverables, including socializing and communicating the overall requirements, strategy and direction + Identifying and championing additional opportunities/efficiencies… more