- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM ... coordinators and nurses. You'll work closely with Medicare Advantage leadership to plan, execute, and...off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager… more
- UCLA Health (Los Angeles, CA)
- Description As the Manager of Medicare Advantage Sales, you will be driving our sales strategies and functions. You will be responsible for: * Serving as the ... Organizations and sales agents * Communicate new UCLA Health Medicare Advantage Plans to sales agents *...complex ideas in a simple and understandable fashion + Provide input to market research, including competitive benchmarking and… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …in the Health Insurance Industry + 2 years \- Experience with Medicare Advantage products _Skills\\Certifications_ + Demonstrated ability to effectively work ... educate and execute the strategy and vision related to provider engagement + Oversee functions related to MA ...provider engagement + Oversee functions related to MA provider education, engagement and staff developing educational collateral to… more
- The Cigna Group (Bloomfield, CT)
- …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
- The Cigna Group (St. Louis, MO)
- …draft agenda and gather materials for Stars and RA team meetings and Medicare leadership meetings: + Seniors Business Operating Review Monthly Meeting + Quarterly ... or equivalent work experience, highly preferred. + **5 or more years of** ** Medicare project and team management** **experience** + Track record of managing and… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Sales & Marketing Department: Medicare Product Location: Los Angeles, CA, US, 90017 ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage , with… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well ... or equivalent work experience + Minimum of 5 years' experience in a Medicare or Managed Care environment managing enrollment, claims, premium billing or encounters… more
- 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 ... is responsible for the financial and operational activities of provider networks and this position involves extensive interaction with...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …is responsible for completing the Medical Policy activities outlined in BCBSLA's Medicare Advantage Medical Policy Development Policies & Procedures locating, ... information and working closely with the Medical Directors and Manager of Medical Policy and Medical Appeals to ensure...needed to support the Medical Directors in developing appropriate Medicare Advantage medical policies. + Writes a… more
- CVS Health (Columbus, OH)
- …health to leverage clinical, analytic, and consultative skills to join our team of Medicare Advantage Manager , Business Consultants ( MANAGER , BUSINESS ... improve health plan performance for our group commercial plan sponsors. The MANAGER , BUSINESS CONSULTANT role is a highly collaborative position working proactively… more
- The Cigna Group (Springfield, IL)
- The **Regional Medicare ** ** Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... reports to the Medicare Provider Contracting Regional Vice President. This...negotiating experience involving complex delivery systems and organizations required. Medicare Advantage experience required. + Experience with… more
- The Cigna Group (Maitland, FL)
- …+ All market team members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the following aspects: + ... to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- The Cigna Group (Denver, CO)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage . The Provider Performance External Representative's ... business in their market in the following aspects: **Growing the Medicare Advantage ** **Business** The Provider Performance External Representative… more
- The Cigna Group (Bloomfield, CT)
- …experience involving complex delivery systems and organizations required, preferably with Medicare Advantage ** + Experience leading and mentoring others. + ... an integral member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the… more
- The Cigna Group (Atlanta, GA)
- …All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing ... candidate will work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of a cross-functional, collaborative… more
- Healthfirst (NY)
- … Medicare Advantage performance areas: + Risk Score Accuracy + Medicare Clinical Programming and Operations + Provider performance + Medical and Pharmacy ... skills + Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Self-motivated and driven + Understands and translates… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace of mind to more ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- The Cigna Group (Nashville, TN)
- …to lead complex analytics projects and initiatives for Cigna's Medicare Advantage Risk Adjustment business. The Manager will work collaboratively with ... them achieve business goals in conjunction with the senior manager + Provide individual and team leadership...through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.… more
- The Cigna Group (Bloomfield, CT)
- …Organization reporting to the manager of CTMs. This role will support the Medicare Advantage line of business by directly supervising the CTM team. The ... a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions… more