- BlueCross BlueShield of Tennessee (Nashville, TN)
- …in the Health Insurance Industry + 2 years \- Experience with Medicare Advantage products _Skills\\Certifications_ + Demonstrated ability to effectively work ... educate and execute the strategy and vision related to provider engagement + Oversee functions related to MA ...provider engagement + Oversee functions related to MA provider education, engagement and staff developing educational collateral to… more
- CVS Health (Nashville, TN)
- …health to leverage clinical, analytic, and consultative skills to join our team of Medicare Advantage Manager , Business Consultants ( MANAGER , BUSINESS ... improve health plan performance for our group commercial plan sponsors. The MANAGER , BUSINESS CONSULTANT role is a highly collaborative position working proactively… more
- Humana (Nashville, TN)
- …preferably in the health care or insurance industry, and specifically in Medicare Advantage products * Exceptional leadership and management skills, and ... caring community and help us put health first** The Manager , Career Marketing plans and organizes marketing and sales...email marketing, social media, etc. * Knowledge of the Medicare Advantage market, products, regulations, and compliance… more
- The Cigna Group (Nashville, TN)
- …Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid on a ... is expected to be the largest focus for the manager in the medium and long term. This individual...projections and results relative to expectations to senior leadership. Provide insights on actionable takeaways. + Guide the team… more
- The Cigna Group (Nashville, TN)
- …industry over the past several years. The Managed Care Leadership Development Program supports Medicare Advantage as well as several other of The Cigna Group's ... to work in any of these business lines. **Why choose The Cigna Group's MCLDP?** + Medicare Advantage is one of the leading growth and revenue engines of the… more
- The Cigna Group (Nashville, TN)
- …care support, as we further extend our operations serving a variety of Medicare Advantage , Medicaid, and Commercial clients. **Duties & Responsibilities:** + ... within the continuum of serious and complex illness; we provide the right level of care at the right...and thorough, and completed in a timely manner + Provider will ensure all appropriate consent forms are signed… more
- CenterWell (Nashville, TN)
- …Internal Medicine or Geriatric Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of ... team-based care environment. We are a value based care provider focused on quality of care for the patients...five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding… more
- Humana (Nashville, TN)
- …with Six Sigma and/or the Project Management Institute + Knowledge of Medicare Advantage **Scheduled Weekly Hours** 40 **Pay Range** The compensation ... Prescription Payment Plan program. The M3P program will provide all Medicare Part D enrollees an...put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest… more
- Elevance Health (Nashville, TN)
- …expertise and analytical leadership within a team of analysts specifically focused on Medicare Advantage CAHPS. + Conducts complex CAHPS analysis and works with ... - CAHPS/STARS** is responsible for high-priority analytical projects for the Medicare CAHPS Organization by leading the planning, direction, and management of… more
- Elevance Health (Nashville, TN)
- …forecasting. + Performs actuarial functions related to Elevance MMM (Puerto Rico) Medicare Advantage business + Responsible for assisting with forecasting, ... modeling + Frequent interaction with MMM Finance leadership team and Elevance Medicare Advantage pricing team. **Minimum Requirements:** Requires a BA/BS degree… more