- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... Administrators. Provider Performance Enablement (PPE) is responsible for...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- The Cigna Group (Bloomfield, CT)
- … Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a ... Product, Clinical and Strategic Sourcing; and is** responsible for negotiating Medicare Advantage national contracts within specified service segments, drive… more
- The Cigna Group (Bloomfield, CT)
- **This is a Medicare Advantage position.** **Work Location: This is a Remote position** The **National Ancillary Senior Advisor** is a key role that supports ... **Cigna's Medicare Advantage ** line of business, directly addressing...Touchpoints, Strategic Alignment + Monitor progress against goals, including Vendor/ Provider performance metrics, internal SLAs + Manage… more
- The Cigna Group (Bloomfield, CT)
- …is REMOTE** The **Project Manager** is a key role that supports **Cigna's Medicare Advantage ** line of business, directly addressing customer and client demands ... & customer issues + Demonstrated ability to influence decisions in support of Medicare Advantage vision & strategy + **Proficient with MS Office Suite include… more
- CVS Health (Hartford, CT)
- …We are seeking an Executive Director to lead the newly formed **Group Medicare Performance Optimization** team. This leader will preside over performance ... + 10+ years' of FP&A experience within the healthcare industry + Strong knowledge of Medicare . Knowledge of Group Medicare Advantage will be highly valued. +… more
- Humana (Hartford, CT)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy ... performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual … more
- Humana (Hartford, CT)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead, ... performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual … more
- Humana (Hartford, CT)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Hartford, CT)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... general surgery preferable** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other Medical… more
- Humana (Hartford, CT)
- …This includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for ... provider engagement activities for all lines of business + Medicare Advantage experience **Additional Information** This position will require approximately… more
- The Cigna Group (Bloomfield, CT)
- …proposition, positioning, and consultative selling skills + Expert/working knowledge of Medicare Advantage , Medicare Supplement, Prescription Drug Plan, ... foregoing describes you, then we want you! The Cigna Medicare Sales Performance Improvement team is all...Cigna strategy, compliance, industry changes and product enhancements + Provide strong, evident leadership both within and outside the… more
- The Cigna Group (Bloomfield, CT)
- …improvements. + Provide accurate and insightful assessments of current process performance including risks with actions to mitigate and/ or eliminate + Be a ... and/or other emerging automation technologies strongly preferred + UIPath exposure an advantage + Medicare experience preferred + Green belt Certified preferred… more
- Highmark Health (Hartford, CT)
- …locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, implements and executes strategies ... the Organization are met and to optimize outcomes. Collaborates with the company's Medicare Advantage matrixed teams to improve processes, procedures and best… more
- Humana (Hartford, CT)
- …Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among ... grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance -based… more
- The Cigna Group (Bloomfield, CT)
- …the Business Financial Officer (BFO) team within a highly complex and regulated Medicare Advantage business. The individual hired to this position will manage ... the MidAmerica market. The Medicare Advantage business includes a broad portfolio... business includes a broad portfolio of products and provider risk arrangements. The skill sets needed to manage… more
- The Cigna Group (Bloomfield, CT)
- …Licensed Practical Nurse (LPN) or Registered Nurse (RN) + 3-5 years' experience in Medicare Advantage Health Plans or related experience in a healthcare setting ... the available information and as well as research and provide a written detailed clinical summary for the Plan...inquiries and requests for service + Working knowledge of Medicare Advantage , Original Medicare and… more
- Humana (Hartford, CT)
- …Sales and Specialty Marketing will advance our approach to marketing for Group Medicare Advantage , Individual and Group Specialty health care plans. In addition, ... We believe our role goes beyond that of a provider of insurance to that of a well-being partner...Humana's broad range of insurance plans, including the robust Medicare Advantage portfolio. This incumbent will combine… more
- Humana (Hartford, CT)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Hartford, CT)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Hartford, CT)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... Claims Review Representative 2 + Maintains required standards of performance and productivity to meet turnaround times and service...+ Works with other departments such as Claims, Finance, Provider Services, and Provider Configuration and Load… more