• Medicare Strategy Lead

    Humana (Hartford, CT)
    …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
    Humana (09/06/24)
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  • Chief of Staff - Medicare Clinical Quality,…

    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 (09/10/24)
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  • Competitive Intelligence Advisor - Medicare

    The Cigna Group (Bloomfield, CT)
    …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
    The Cigna Group (08/10/24)
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  • Executive Director, Group Medicare

    CVS Health (Hartford, CT)
    …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
    CVS Health (09/12/24)
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  • Behavioral Health Medical Director…

    Humana (Hartford, CT)
    …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
    Humana (08/07/24)
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  • Actuarial Senior Manager - Medicare Pricing…

    The Cigna Group (Bloomfield, CT)
    …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 (09/14/24)
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  • Managing Director, Medicare & Debt…

    Travelers Insurance Company (Hartford, CT)
    …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
    Travelers Insurance Company (07/18/24)
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  • Medicare , Bilingual Instructional Designer…

    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
    The Cigna Group (08/28/24)
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  • Medicare Operations Program Management…

    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
    The Cigna Group (09/05/24)
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  • VP, Medicare Regional President-NE Region

    Humana (Hartford, CT)
    …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
    Humana (08/27/24)
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  • Marketing Advisor, DTC Advertising & Sales Support…

    The Cigna Group (Bloomfield, CT)
    …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 (08/14/24)
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  • Medicare Appeals Vendor Program Manager

    CVS Health (Hartford, CT)
    …more personal, convenient and affordable. **Position Summary** The Manager is accountable to lead , guide, and direct the vendor aspects as it relates to the ... projects at the stakeholder level as assigned and will lead /facilitate the review and report out on vendor performance...and report out on vendor performance across all of Medicare Appeals. This role requires business operational acumen to… more
    CVS Health (08/27/24)
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  • Data Governance & Ownership Sr. Manager…

    The Cigna Group (Bloomfield, CT)
    …develop, mentor, coach and retain top talent to enable execution of the Medicare growth strategy . **Qualifications** Candidates should model our team's core ... goals and metrics, as defined by business and regulatory requirements. They will lead a team of data stewards responsible for maintaining data lineage, business… more
    The Cigna Group (09/12/24)
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  • Capture Lead , Medicaid Clinical…

    Humana (Hartford, CT)
    …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 (08/15/24)
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  • Strategy Advancement Lead - Clinical…

    Humana (Hartford, CT)
    …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
    Humana (09/04/24)
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  • Utilization Management Strategy Lead

    Humana (Hartford, CT)
    …and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with internal and external stakeholders, ... (3) achieve these outcomes while driving operating efficiency. The Utilization Management Strategy Lead will bring deep expertise in utilization management (ie,… more
    Humana (09/19/24)
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  • AVP, Quality Strategy and Initiatives

    CVS Health (Hartford, CT)
    …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
    CVS Health (08/23/24)
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  • Financial Analysis Lead Analyst

    The Cigna Group (Bloomfield, CT)
    …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
    The Cigna Group (08/07/24)
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  • Director, Medicaid Product Management and Wellness…

    Humana (Hartford, CT)
    …Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the strategic direction and growth of the Medicaid ... opportunities and works across the Company to set actionable product strategy and accelerate development of novel solutions through ideation, concept development… more
    Humana (09/11/24)
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  • Strategy Advancement, Principal…

    Humana (Hartford, CT)
    …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
    Humana (07/25/24)
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