- Novo Nordisk Inc. (Plainsboro, NJ)
- …structured to act as a hub, bringing together cross-functional teams such as Strategy and Innovation, Mature Business Unit, Market Access Account Directors and SPC ... of GPO/PBMs have created a need for additional resources to ensure our strategy is on course for national formularies and their downstream clients. This individual… more
- The Cigna Group (Philadelphia, PA)
- …for reporting and analytics related to the clinical programs in support of the Medicare Clinical Strategy . **Responsibilities** + Lead a team of analysts ... **Summary** The Medicare Advantage Clinical Analytics team's mission is to...The Clinical Programs Analytics Manager is an opportunity to lead complex analytics projects and produce insights related to… more
- The Cigna Group (Philadelphia, PA)
- …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
- Humana (Trenton, NJ)
- …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
- The Cigna Group (Philadelphia, PA)
- **Summary** The Medicare Advantage Clinical Analytics team's mission is to provide data science and analytical support to our partners, promote sustained revenue ... management, and improve customer value and affordability for Cigna Medicare . We accomplish this through strategic actionable insights, cross-departmental… more
- The Cigna Group (Philadelphia, PA)
- …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
- Travelers Insurance Company (Trenton, NJ)
- …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
- Humana (Trenton, NJ)
- …includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for ... record of driving operational performance improvement + Proven experience developing multi-product strategy at the market level or higher. + Excellent verbal and… more
- The Cigna Group (Philadelphia, PA)
- …advertising and broker sales support. Play a pivotal role in driving marketing strategy and initiatives with a strong focus on data-driven decision-making and a deep ... with other channels, meet brand standards and can positively impact Cigna's Medicare PDP growth goals. **Responsibilities** + Partner to provide the strategic… more
- The Cigna Group (Philadelphia, PA)
- …to lead complex analytics projects and initiatives for Cigna's Medicare Advantage Risk Adjustment business. The Manager will work collaboratively with business ... Adjustment Analytics programs in support of the broader RA Business Strategy . **Responsibilities** + Lead a team of analytics professionals to develop and apply… more
- Humana (Trenton, NJ)
- …and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health Strategy key responsibilities include: ... and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to lead initiatives developing… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business ... issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services.… more
- The Cigna Group (Philadelphia, PA)
- …Leadership, and Drive for Results. This Micromarket BFO role will oversee financial strategy , lead planning & analysis, enable growth, and be engaged in ... The Healthcare Financial Analyst Lead Analyst will support the Business Financial Officer...Officer (BFO) team within a highly complex and regulated Medicare Advantage business. The individual hired to this position… more
- CVS Health (Blue Bell, PA)
- …new and exciting ways every day. Aetna is recruiting for an AVP, Quality Strategy & Initiatives who is accountable for the achievement of quality performance and ... leadership of Aetna's quality government programs ( Medicare , Medicaid, IFP, Duals). This leader will focus on HEDIS Hybrid, STARS, Performance Improvement Plans,… more
- Humana (Trenton, NJ)
- …and help us put health first** Humana Healthy Horizons is seeking a Strategy Advancement Principal for Long Term Supports and Services (LTSS). The Strategy ... quality improvements, establishing long range goals, objectives, and plans. The Strategy Advancement, Principal is an experienced healthcare strategist with broad,… more
- The Cigna Group (Philadelphia, PA)
- **POSITION SUMMARY** The Medicaid/Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid/Marketplace strategic initiatives and market ... State and Federal Regulations. Responsible for contributing and driving the client strategy to ensure continuous improvement and enhancement of the support model.… more
- Prime Therapeutics (Trenton, NJ)
- …cost saving opportunities; support rebate related product development and implementation + Lead and coordinate work for Prime's Medicare Center of Excellence, ... passion and drives every decision we make. **Job Posting Title** Trade Client Strategy Director - Remote **Job Description** The Trade Client Relations Director is… more
- The Cigna Group (Philadelphia, PA)
- Expense Management Lead Analyst supporting Medicare expense management functions including but not limited to portfolio investment analysis, tracking, and ... for the tracking and reporting of strategic investment spend for our Medicare business, ensuring that investments and initiatives align with our segments overall… more
- Humana (Trenton, NJ)
- …and help us put health first for our members, providers and ourselves. Desired Lead Associate to lead and manage the enterprise framework to facilitate and ... and clinical policy) as well as enterprise support teams (process, risk, strategy , delegate oversight teams and regulatory compliance). As needed, they facilitation… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Lead Technical Product Manager is responsible for Humana's Unified API Catalog. This position plays ... as part of Humana's Enterprise API product team. The Lead Product Manager is accountable for the creation and...the creation and continuous evolution of Humana's API catalog strategy and guiding the enterprise toward adoption of a… more
