- Daiichi Sankyo, Inc. (Boston, MA)
- …Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo is primarily focused on providing novel therapies ... facilitate patient access to DSI oncology products. The ADFR (FRM) will provide reimbursement education and support to oncologists and professional staff, and to… more
- Cambia Health Solutions, Inc (Portland, OR)
- …Cambia: Qualifications: Bachelor's degree in a related fieldMinimum 5 years of Medicare Advantage or Commercial risk adjustment experience includingMinimum 4 ... acts as primary point of contact for assigned key provider engagements across Commercial and Medicare lines...provider organization to engage with and drive successful performance of the provider engagement.Assists senior leadership… more
- Cambia Health Solutions, Inc (Portland, OR)
- … Medicare Compliance activities.Directs activities necessary to assure compliant operation of Medicare Advantage and Medicare Part D contracts as well ... Officer leads the company's Government Programs Compliance efforts, including Medicare Compliance efforts and Federal Employee Program compliance efforts. To… more
- Fidelity TalentSource LLC (Boston, MA)
- …ability to lead cross-functional teams, foster collaboration, and drive a high- performance culture is important for effectively managing product development and ... Health and Welfare Services, Health and Benefit Accounts, Expense Management, and Medicare Services.As an integral part of the Health Data, Analytics and Guidance… more
- Fidelity TalentSource LLC (Westlake, TX)
- …database platforms.\u00A0Experience working on ML model monitoring, observability and performance testing.\u00A0Experience with working on Gen AI solutions with ... of solutions include health and welfare services, health and benefit accounts, and Medicare services. As we generate an abundance of data and insights, you will… more
- The Cigna Group (Atlanta, GA)
- …market, incumbent candidate will work from local office 3 days per week.** The Provider Performance Enablement Senior Advisor is an integral part of a ... cross-functional, collaborative organization (which includes Market Provider Performance , Sales, Clinical Operations, Stars &...members contribute to the growth and profitability of the Medicare Advantage business in their market in… 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 ... Administrators. Provider Performance Enablement (PPE) is responsible for...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- Healthfirst (NY)
- …an accredited institution + Extensive knowledge and experience in one or more the following Medicare Advantage performance areas: + Risk Score Accuracy + ... Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance , Medical and Pharmacy Part D...Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Self-motivated and driven +… more
- The Cigna Group (Denver, CO)
- …the providers and the individual that represents Cigna Medicare Advantage . The Provider Performance External Representative's responsibilities include: ... to develop solutions for strategic business needs + May provide guidance to others in the department **Core** **Responsibilities:**...in the following aspects: **Growing the Medicare Advantage ** **Business** The Provider Performance … more
- Providence (OR)
- …ensuring compliance with regulatory guidelines, and providing critical insights to enhance the performance of our Medicare Advantage plans **_Please note the ... and speed for assessing product design impacts on financial performance for Medicare Advantage plans...career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace… more
- The Cigna Group (Bloomfield, CT)
- … Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a ... Product, Clinical and Strategic Sourcing; and is** responsible for negotiating Medicare Advantage national contracts within specified service segments, drive… more
- The Cigna Group (Bloomfield, CT)
- **This is a Medicare Advantage position.** **Work Location: This is a Remote position** The **National Ancillary Senior Advisor** is a key role that supports ... **Cigna's Medicare Advantage ** line of business, directly addressing...Touchpoints, Strategic Alignment + Monitor progress against goals, including Vendor/ Provider performance metrics, internal SLAs + Manage… more
- CareFirst (Baltimore, MD)
- …Maryland, DC or Northern Virginia.** **PURPOSE:** This position is responsible for sales of Medicare Advantage products designed to meet the needs of the veteran ... leadership, builds the marketing strategy and drives the execution of Veteran Medicare Advantage product launch and partnerships, including direct sales strategy… 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 Position ... 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
- The Cigna Group (St. Louis, MO)
- …team and highlight/enable enterprise engagement efforts for leadership. + Regularly monitor performance to goals though collecting data to report status on Stars and ... draft agenda and gather materials for Stars and RA team meetings and Medicare leadership meetings: + Seniors Business Operating Review Monthly Meeting + Quarterly… more
- The Cigna Group (Maitland, FL)
- …Must be able to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a cross-functional, ... collaborative organization (which includes Market Provider Performance , Sales, Health Services, Clinical, Stars...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market… more
- Health First (Rockledge, FL)
- …goals for Health First Health Plans. * Primary Accountabilities * * Engage with Medicare Advantage prospects to provide needs-based sales consultation in a ... is responsible for providing top-tier sales, service and enrollment consultation to Medicare Advantage prospects for Health First Health Plans (HFHP) throughout… more
- The Cigna Group (Nashville, TN)
- …to financial, affordability, growth and quality performance targets for Cigna Medicare . Negotiate and contract provider service and vendor agreements and ... as a top Subject Matter Expert to management and Medicare Advantage stakeholders for complex value-based and...for complex value-based and downside risk reimbursement methodologies for Medicare provider contracting matters. + Initiates and… more
- Humana (Columbus, OH)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead, ... performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual … more
- Humana (Columbus, OH)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy ... performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual … more
