• 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 ... role in supporting current clients. This involves using extensive Medicare knowledge to support product development, manage... Medicare strategic initiatives and market development. The Medicare Client Strategy Senior Manager more
    The Cigna Group (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Actuarial Senior Manager

    The Cigna Group (Birmingham, AL)
    …Maximize the efficiency to shorten the duration of full pricing cycle for new product launches. + Support senior exchange MedSupp product refresh strategy. ... 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 (09/14/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Regional Provider Contracting…

    The Cigna Group (Bloomfield, CT)
    …and sophisticated value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, ancillaries, and large ... This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves...+ Proficient in contract building software such as Contract Manager If you will be working at home occasionally… more
    The Cigna Group (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Part D Senior

    CVS Health (Hartford, CT)
    …Responsible for successful execution and delivery associated with leading large scale Medicare Part D product benefit implementation inclusive of testing for ... accurate adjudication. Collaborates with internal stakeholders (ie, Part D Product departments, Clinical, PBM, etc.) to ensure a smooth...builds and testing. + Minimum 3-5 years of solid Medicare Part D guidance & knowledge + Minimum 2… more
    CVS Health (10/11/24)
    - Save Job - Related Jobs - Block Source
  • 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,...market-specific initiatives. + Communicating results of analyses to more senior actuarial team members. + Actively participate in team… more
    The Cigna Group (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Broker Sales Manager

    The Cigna Group (Nashville, TN)
    …proficient with data analytics . Knowledge of marketing strategy, value proposition and senior market . Adherence to CMS Medicare Marketing Guidelines and ... role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted.... Influence brokers to sell more by positioning our product and promoting our brand . Execute on national… more
    The Cigna Group (10/31/24)
    - Save Job - Related Jobs - Block Source
  • Data Science Lead Analyst ( Medicare )…

    The Cigna Group (Franklin, TN)
    …analysis within the Clinical, STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist ... to improve clinical programs, customer value, growth, and retention for Cigna Medicare . This role will help us accomplish this through data science, strategic… more
    The Cigna Group (09/28/24)
    - Save Job - Related Jobs - Block Source
  • Product Management Senior

    The Cigna Group (Bloomfield, CT)
    … Advisors and Advisors responsible for the development and management of the Medicare Prescription Payment Plan (M3P) product . This individual will provide ... a team of Senior Advisors and Advisors responsible for the M3P product and strategic direction. + Review and provide direction on CMS guidance/regulations to… more
    The Cigna Group (10/04/24)
    - Save Job - Related Jobs - Block Source
  • Senior Manager , MarketPoint Sales

    Humana (Clearwater, FL)
    …Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , MarketPoint Sales will supervise Medicare Sales Field Agents who sell ... caring community and help us put health first** Our Senior Manager , MarketPoint Sales motivates and drives..., MarketPoint Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Senior Manager , Compliance

    Point32Health (Canton, MA)
    …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Compliance Senior Manager will report to the Government Programs Compliance ... laws and regulations related to the Government Programs Compliance Programs for Medicare and Duals products. This role involves guiding teams and processes while… more
    Point32Health (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Product Management Senior Advisor…

    The Cigna Group (St. Louis, MO)
    …Leads cross-functional, strategic products, projects, programs, and process improvement initiatives. The senior product manager will assist in gathering and ... **Supply Chain Product , Regulated Market Solutions Senior Advisor**...analyzing data to support business process enhancements and build/manage Medicare and Medicaid network product solutions, and… more
    The Cigna Group (10/23/24)
    - Save Job - Related Jobs - Block Source
  • Senior , IT Product Owner(Ciam)

    Humana (Columbus, OH)
    …and operating standards. **Responsibilities include:** + Collaborate with the CIAM Product Manager , customers/stakeholders, and dependent/diverse teams to align ... caring community and help us put health first** The Senior IT Product Owner (PO) role is...experiences **Preferred Qualifications** + ForgeRock highly preferred + SAFe Product Owner/ Product Manager Certification +… more
    Humana (11/01/24)
    - Save Job - Related Jobs - Block Source
  • Risk and Compliance - Healthcare - Senior

    Robert Half (Boston, MA)
    JOB REQUISITION Risk and Compliance - Healthcare - Senior Manager LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB DESCRIPTION ... You Protiviti is looking for a Risk and Compliance Senior Manager to join our growing Healthcare...with client personnel and further these relationships through quality product delivery. You'll foster a network within the business… more
    Robert Half (10/22/24)
    - Save Job - Related Jobs - Block Source
  • Senior Project Manager (Temporary…

    Medical Mutual of Ohio (OH)
    …Train business areas on their vital roles in projects. Continuous Education. ** Senior Project Manager (temporary assignment)** Qualifications + Bachelor's degree ... **Sr. Project Manager (temporary assignment)** **Location: Remote** Founded in 1934,...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.… more
    Medical Mutual of Ohio (10/16/24)
    - Save Job - Related Jobs - Block Source
  • Medical Claims FP&A Senior Manager

    The Cigna Group (Denver, CO)
    The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and ... is expected to be the largest focus for the manager in the medium and long term. This individual...including, but not limited to FP&A centralization, Market Finance, Product , Pricing, Reserving, Operations, and external Audit Firms. Given… more
    The Cigna Group (10/22/24)
    - Save Job - Related Jobs - Block Source
  • Senior Manager of Value-Based Care…

    Fairview Health Services (St. Paul, MN)
    **Overview** M Health Fairview has an immediate opening for a Senior Manager of Value-Based Care Performance to join our team based out of our Midway Corporate ... Quality Payment Programs (QPP), Primary Care Direct, Bundled Payment programs, Medicare Advantage, and other value-aligned initiatives. + Expertise in population… more
    Fairview Health Services (10/31/24)
    - Save Job - Related Jobs - Block Source
  • Senior Manager , Behavior Provider…

    CVS Health (Richmond, VA)
    …next role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager . In this individual contributor role, you will negotiate with, ... costs through effective provider contracting to meet state contract and product requirements. . Optimize interaction with assigned providers and internal business… more
    CVS Health (10/20/24)
    - Save Job - Related Jobs - Block Source
  • Insurance Product Manager

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Insurance Product Manager 2 Manages insurance product offerings for each market and ... customer need. The Insurance Product Manager 2 work assignments are varied...Familiarity with Humana's operating systems + Experience working with senior leadership + Ability to deal with ambiguity +… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Senior Nurse Manager Nursing…

    AdventHealth (Winter Park, FL)
    …stakeholder and campus representative who contributes to the overall value analysis of product and practice implementation. The Manager of Nursing Operations is ... boat launches and more. The role you'll contribute: The Manager of Nursing Operations is a registered professional nurse...Manger is responsible for the facilitation of process and product implementations that impacts care delivery of patients in… more
    AdventHealth (11/01/24)
    - Save Job - Related Jobs - Block Source
  • Sr. Product Manager - Analytics

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We ... closely with User Experience team and Technology teams. The Senior Product Manager will lead...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
    Waystar (10/07/24)
    - Save Job - Related Jobs - Block Source