- Merck & Co. (North Wales, PA)
- …as part of the Inflation Reduction Act, state Prescription Drug Affordability Boards, Medicare , Medicaid, and 340b, while planning for the loss of exclusivity of key ... prioritization to broaden our pipeline. 2. Evolve Commercialization Model: Realize benefits from customer experience modernization, leveraging digital, - data, and… more
- Merck & Co. (North Wales, PA)
- …for all US payer customer segments (health plan, PBM, ADAP, Medicaid, Medicare , federal, pharmacy, hospital and GPO) Develop pricing and contracting strategies for ... forecasting Support appropriate pull-through activities and payer related solutions for field sales and account management teams Work with Senior Specialist to… more
- Merck & Co. (North Wales, PA)
- …teams, agency partners and focus on customer segments (eg health plans, Medicare , Medicaid, federal, pharmacy, hospital, Group Purchasing Organization s, etc.), as ... resource support, on-going planning around messaging, and communications for field facing teams at our Company (eg Key Accounts,...for open positions.If you have been offered a separation benefits package, but have not yet reached your separation… more
- Merck & Co. (North Wales, PA)
- …agency partners and focus on customer segments (eg health plans, Medicare , Medicaid, federal, pharmacy, hospital, GPO, etc.).- Primary Responsibilities Work closely ... accountable for resource support, on-going planning around messaging, and communications for field facing teams at our Company (eg Oncology Sales Teams, Key… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, August 5, 2024 Centers Plan for Healthy Living's goal is to create the ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor - Will promote and sale...and performing all required tasks assigned by the Sales Field Manager. Incumbent will be responsible for educating and… more
- The Cigna Group (Bloomfield, CT)
- …Ancillary Senior Advisor ** is a key role that supports **Cigna's Medicare Advantage** line of business, directly addressing customer and client demands for ... **This is a Medicare Advantage position.** **Work Location: This is a...service performance outcomes within their assigned segment(s). The Senior Advisor will monitor, assess and evaluate National MA vendor… more
- The Cigna Group (Bloomfield, CT)
- …the ongoing needs of CMS Medicare Risk Adjustment processes and systems. The ** Medicare Risk Adjustment Analytics Advisor ** would be a member of the Risk ... in Analytics, Data Science, Statistics, Applied Math, or related field .** + **6+ years of diverse work in a...secure. That's why you'll enjoy a comprehensive range of benefits , with a focus on supporting your whole health.… 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...in Instructional Design or equivalent work experience in related field is highly preferred** + Otherworldly design skills with… more
- Centers Plan for Healthy Living (Bronx, NY)
- Licensed Benefits Advisor ( Field Based)...need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor - Medicare Sales, Maintains ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...Services (CMS) and company policies and regulations. The Licensed Benefits Advisor will develop a presence in… more
- The Cigna Group (Birmingham, AL)
- The Financial Analysis and Modeling Advisor position within the Medicare Advantage Revenue Finance Team is an opportunity to support our quarterly financial ... provide consultative advice to leadership on tracking the company's Medicare Revenue. This role will work with a series...+ Bachelors Degree in Finance, Actuarial Science or related field strongly preferred + 4+ years of experience developing… more
- Elevance Health (Columbus, OH)
- **Anticipated End Date:** 2024-09-09 **Position Title:** Rating/Claims System Senior Advisor **Job Description:** **Rating/Claims System Senior Advisor ** ... IN; Chicago, IL; Manchester, NH; Boston, MA.** The **Rating/Claims System Senior Advisor ** leads the activities for India based Commercial Claims Operations, Claims… more
- Conviva (North Miami Beach, FL)
- …our caring community and help us put health first** The Patient Service Advisor is an embedded growth and retention associate responsible for executing initiatives ... and providing a personalized care journey. The Patient Service Advisor plays a key role in ensuring success of...the health system and educating them about available resources, benefits , and events. + Conduct 30/60/90 day follow up… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Physician - Physician Advisor **Cost Center:** 301081296 Service Line Admin **Scheduled Weekly Hours:** 40 ... Description:** **Marshfield Clinic Health System** is seeking a Physician Advisor . The right physician will be BC/BE in their.... The right physician will be BC/BE in their field of specialty and will be responsible for completing… more
- CommonSpirit Health (Houston, TX)
- …states will be considered for future openings.** As the Utilization Management Physician Advisor II, the Physician Advisor (PA) conducts clinical case reviews ... Understand the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS-DRG, APR-DRG, and the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations… more
- AbbVie (Kansas City, MO)
- …hired at a level commensurate with experience. The Reimbursement Business Advisor (RBA) educates health care professionals (HCP), administrative staff, and surgical ... + Demonstrates competence in the following areas: medical and pharmacy benefits , Buy & Bill products, specialty pharmacy, injectables, medical devices, payer… more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-12-30 **Position Title:** Business Change Advisor (Test Analyst) **Job Description:** The **Business Change Advisor (Test ... of sources through newsletters, dashboards and presentations. + Promotes benefits of function within region as well as throughout...**Minimum Requirements:** + Requires a BA/BS in a related field and minimum of 2 years related experience; or… more
- The Cigna Group (Denver, CO)
- The Medicare Advantage (MA) Finance Enablement VBA Modeling Advisor will manage FP&A models for provider groups engaged via a professional capitation, ... to current models (whether added functionality/complexity or greater efficiency). The Advisor will need to understand existing models, help maintain and provide… more
- Ventura County (Ventura, CA)
- …HCA Administration Opening Date 06/26/2024 Closing Date Continuous + Description + Benefits + Questions Description THE POSITION Under general direction (III, IV), ... for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal… more
- Humana (Columbus, OH)
- …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...quality, and savings to medical costs. The Strategy Advancement Advisor works on diverse and complex problems by bringing… more
- Billings Clinic (Billings, MT)
- …locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all ... Time Off, employee wellness program, and much more.Click here (https://www.billingsclinic.com/careers/employee- benefits /) for more information ordownload the Employee Benefits… more
