- 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
- 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 (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
- 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
- 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
- The Cigna Group (Bloomfield, CT)
- …vendor/provider & customer issues + Demonstrated ability to influence decisions in support of Medicare Advantage vision & strategy If you will be working at home ... **This is a Medicare Advantage position.** **Work Location: This is a...this role includes driving and/or supporting the vendor service strategy , relationship management, business process improvements, operational efficiencies and… more
- 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
- 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
- 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
- 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
- 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
- Elevance Health (Wallingford, CT)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- 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
- 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
- The Cigna Group (Bloomfield, CT)
- …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
- 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
- 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 (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
- The Cigna Group (Bloomfield, CT)
- …CareAllies' standard contracting requirements across all payors' lines of business (Commercial, Medicare , Medicaid, ACA) and products (HMO, POS, EPO, OA, PPO etc.). ... + Participates in the development of financial plans, business plans and strategy to support administrative, financial, and marketing objectives for clients. +… more
- Humana (Hartford, CT)
- …and Clinical Analytics organization is looking for a seasoned leader to lead strategic planning and business operations. The primary objective of this leader ... and does so efficiently and effectively. **Location:** remote The Director, Strategy Advancement provides data-based strategic direction to identify and address… more