- Healthfirst (NY)
- …Responsibilities:** + Well-versed on all aspects related to one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical ... Provider Performance, Medical and Pharmacy Part D cost savings, and Medicare Star Ratings/member experience. + Active analysis of complex financial reports… more
- 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 (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 (Austin, TX)
- …proficient with data analytics . Knowledge of marketing strategy, value proposition and senior market . Adherence to CMS Medicare Marketing Guidelines and ... be located in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever.... Influence brokers to sell more by positioning our product and promoting our brand . Execute on national… more
- The Cigna Group (Plano, TX)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of ... fee for service and sophisticated value-based reimbursements with providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large… more
- 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
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... Bring** **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum...or healthsystem + Experience with government plans/program such as Medicare , Medicaid, Duals + Master's degree in Business or… more
- The Cigna Group (Bloomfield, CT)
- …a blend of Product Management/ Product Development responsibilities. The Senior Digital Strategy Manager is directly responsible for the Cigna Individual ... & Family Plan (IFP) digital experience for prospects, customers, and producers/brokers. The Senior Digital Strategy Manager 's role is to help drive innovation,… more
- Medical Mutual of Ohio (OH)
- …and broker training on new products or enhancements. . Performs other duties as assigned. ** Senior Product Development Manager ** The Product Manager ... Advantage, Medicare Supplement, and individual plans. **Responsibilities** ** Product Development Manager II** The Product...MS Office products including MS teams, Excel, and PowerPoint. ** Senior Product Development Manager ** .… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. **Position Summary** As the Senior Manager of Commercialization and Sales Enablement, part of the ... collaborate and join forces with cross-functional teams (sales, strategy, product , marketing, finance, actuarial, clinical, sales operations, contracting, partner… more
- 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
- The Cigna Group (Bloomfield, CT)
- The Medical Expense 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
- Point32Health (FL)
- …Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic ... and mentoring to all members of the team. The Senior Manager will directly support complex analysis...DRGs), and health status risk adjustment. + Knowledge of Medicare and Medicaid reimbursement is a plus + Must… more
- CVS Health (Springfield, IL)
- …to make health care more personal, convenient and affordable. **Position Summary** The Senior Manager , Analytics & Value Delivery, is responsible for providing ... program outcomes, as well as contributing to defining how care management product value is delivered through contracted reporting and analytics via standard report… more
- CVS Health (Annapolis, MD)
- …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
- 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 (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with firsthand experience in business intelligence, analytics, and ... with the 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
- Humana (Columbus, OH)
- …we have an exciting opportunity for you! Humana Digital Shopping team is seeking a Lead Product Manager . In this role, you will be focused on building best in ... experiences for consumers and members and will also lead Senior Product Managers. You will collaborate with...initiatives that align with our organization's goals. The Lead Product Manager is a key member of… more
- Insight Global (Deerfield, IL)
- …ask questions. They will also be responsible for presenting to big groups and stakeholders. The Senior Product Manager on this team will train them, but then ... Description Insight Global's client is looking for a strong Product Manager to manage two of their...products are an EBT Snap Program and OTC (a medicare program). This person will be responsible for maintaining… more
- Humana (Columbus, OH)
- …external stakeholders Humana is actively searching for a dedicated and proficient Lead Product Manager to enhance our Interoperability team. This pivotal role ... on advancing the standardization of data across our interoperability product suite, developing intricate reporting structures utilizing diverse technologies,… more