- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … Medicare and Product/ Customer Solutions teams to develop and execute optimal Medicare strategies + Influences the corporate sales strategy as a member of ... Reporting to the SVP, Sales & Client Management, the Director , Group Medicare Sales, is an integral...with EMT in support of sales and account relationship strategy to retain and grow our Medicare … more
- The Cigna Group (Plano, TX)
- …TEXAS market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare ** serves as an integral member of the ... Network Development and Strategy Team and reports to the Provider Contracting Senior...service and sophisticated value-based reimbursements with providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large… more
- Travelers Insurance Company (Columbus, OH)
- …Directs industry analysis and bench-marking studies. + Adjusts claim practices, marketing strategy and customer service as appropriate to anticipate, respond to, ... strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic… more
- The Cigna Group (Bloomfield, CT)
- …a critical position on the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment. Experience with Medicare Advantage ... This is a ** Medicare Advantage position** WORK LOCATION: REMOTE position The...Plan (CAPs) and mitigation plans when needed. + Leads strategy development, improve operational performance, internal/external relationships across assigned… more
- The Cigna Group (Nashville, TN)
- …of the National Development and Network Solutions team, reporting directly to the Medicare National Partnerships Director . This role is a key contributor for ... **What You'll Do** The Medicare National Contracting Advisor position is an integral...Medical Economics, Compliance, Sales and Marketing, Grievance, Appeals, and Customer Service that may have downstream impacts relative to… more
- Humana (Frankfort, KY)
- …first** The Director of Utilization Management (UM) Cost of Care Strategy provides data-based strategic direction to identify and address business issues and ... The Director of Utilization Management (UM) Cost of Care Strategy requires an in-depth understanding of how organization capabilities interrelate across the… more
- Humana (Columbus, OH)
- …of providing frameworks to maximize available resources to achieve growth. The ** Director ,** **Medicaid Insurance Product Management and Wellness Strategy ** will ... Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the strategic direction and growth of the Medicaid… more
- AbbVie (Mettawa, IL)
- …all payer and distribution channels including Commercial health plans, PBMs, Medicare , Medicaid, VA/DoD, Employer, Health System, Pharmacy, Wholesalers and Oncology ... GPO's. The USMA Strategy Group is a sub-function within USMA that is...light of Channel dynamics and potential opportunity + Create customer connections in collaboration with Account Management Teams to… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Associate Director of Access Strategy is responsible for developing and ... current as well as future hematology portfolios. This individual will report to the Director of MM Access Strategy and will work closely with Brand Marketing,… more
- Highmark Health (Triadelphia, WV)
- …Financial Leadership: Support the development of a comprehensive financial strategy that supports long-term growth and profitability, considering the unique ... key financial drivers, specifically with Health Plan segments, including Medicare , Medicaid, commercial and third-party administrators. + Expertise with financial… more
- Novo Nordisk (Princeton, NJ)
- …Director , HEOR Evidence Synthesis is responsible to work closely with the HEOR Strategy Director to ensure that stakeholder evidence needs (RWE or modeling) ... HEOR Evidence Synthesis works in tandem with the HEOR Strategy Director and very closely with a...and analysis plan and interpret results with the external customer in mind. Throughout the conduct of research, this… more
- Martin's Point Health Care (Portland, ME)
- …as a "Great Place to Work" since 2015. Position Summary The Senior Director Clinical Programs provides oversight and coordination of care management and disease ... objectives, and analysis for the Martin's Point Health Plan. The Senior Director is responsible for Care Management design, implementation and operations and will… more
- Elevance Health (Houston, TX)
- ** Director 1 Customer Care** **Location** : This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one ... of our Elevance Health PulsePoint locations. The ** Director 1 Customer Care** is responsible for...skills, attention to detail and well organized preferred + Medicare experience preferred. For URAC accredited areas, the following… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …with assigned specialty distributor and specialty pharmacy accounts. The Associate Director of Trade will collaborate with members of Supply Chain, Commercial, ... Market Access, Marketing, Sales Operations, and Legal) to address broad-based customer needs and channel challenges and ensure timely implementation of solutions.… more
- Molina Healthcare (Long Beach, CA)
- …knowledge into business requirements. In partnership with Plan Growth Leaders, the Director , Customer Experience is responsible for developing, implementing and ... **Job Description** **Job Summary** This role on the Customer Experience team will be responsible for technically...monitoring a successful strategy to achieve Molina's Medicaid membership retention goals &… more
- Martin's Point Health Care (Portland, ME)
- …(DOD) contracts. Job Description Key Outcomes: + Leads the development and execution of customer service strategy for Martin's Point Health Plan that aligns with ... Work" since 2015. Position Summary The position of Senior Director , Member and Provider Services is responsible for the...the organizational customer service and experience strategy . + Provides… more
- AbbVie (Chicago, IL)
- …on LinkedIn. Allergan Aesthetics | An AbbVie Company Job Description Associate Director , Market Access and Advocacy- Plastic Regenerative Medicine, will focus on the ... reimbursement. This position will call on commercial payors, managed care organizations, Medicare MACs, state Medicaid, Medicare Advantage and commercial plans… more
- CareFirst (Baltimore, MD)
- …based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the utilization management ... Will be responsible for the Commercial, Federal Employee Program, Medicaid, and Medicare lines of business. Establishes performance metrics to ensure the needs and… more
- Stryker (MD)
- …(https://d25zu39ynyitwy.cloudfront.net/oms/000000/document/2024/6/SMVZW\_USStrykerEmployeebenefits/USStrykerEmployeebenefits.pdf) The ** Director , Health Policy ... of their businesses. This person should have a material understanding of Medicare reimbursement and a general understanding of Commercial plans. **Essential Duties &… more
- Point32Health (Canton, MA)
- …guides strategy , policies, and protocols in accordance with organizational strategy . The Director will ensure collaboration and coordination with enterprise ... at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director , Utilization Management is responsible for directing, leading, and… more