- Humana (Trenton, NJ)
- …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 (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
- Elevance Health (Wilmington, DE)
- …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. ... **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (Wilmington, DE)
- …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. ... **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (Wilmington, DE)
- …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. ... **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… 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)
- …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
- Humana (Trenton, NJ)
- …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
- Elevance Health (Wilmington, DE)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead ** will support our Medicare Administrative Contract (MAC) with the ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...creating a culture that is designed to advance our strategy but will also lead to personal… 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)
- …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 (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
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that provides data-driven strategic ... guidance to deliver a consistent and best-in-class Clinical function. The Strategy Advancement Advisor also enhances operational stability and effectiveness for… more