- Lundbeck (Minneapolis, MN)
- …and transform lives. Join us on our journey of growth! As a Neuroscience Account Manager , this is an incredible opportunity to join the growing promotion of our CNS ... to promoted portfolio using Lundbeck resources. Utilize deep understanding of Medicare payer landscape in addition to other payer channels including Medicaid… more
- Lundbeck (MA)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... transform lives. Join us on our journey of growth!As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing… more
- AlohaCare (Honolulu, HI)
- …updates as new positions become available.Director of Product Management - Medicare /Medicaid AlohaCare is a local, non-profit health plan serving the Medicaid ... and Medicare dual eligible population. We provide comprehensive managed care...in rural Hawaii and neighbor islands.Ensures legal and regulatory compliance of new products and product enhancements.Leads and/or oversees… more
- HealthEdge Software Inc (Honolulu, HI)
- As a Senior Product Manager , within the claims value stream for HealthRules Payor, you will have ownership of system functionality related to claims adjudication, ... and the overall market.What You Bring:5+ years' experience as a product manager in a SaaS-based, Agile /Scrum technology company including all related processes… more
- Sutter Health Corporation (San Francisco, CA)
- …laws, standards, and regulations. Establishes protocols and practices, ensuring compliance with department, affiliate, operating unit, and/or system standards, ... in resolving challenging or complex situations.To be in the Manager , Area II, the job should meet 3 of...Outpatient Services is required, including, but not limited to, Medicare , MediCal, Medicaid, the Knox Keene Act, and the… more
- Sutter Health (San Francisco, CA)
- …laws, standards, and regulations. Establishes protocols and practices, ensuring compliance with department, affiliate, operating unit, and/or system standards, ... in resolving challenging or complex situations.To be in the Manager , Area II, the job should meet 3 of...Outpatient Services is required, including, but not limited to, Medicare , MediCal, Medicaid, the Knox Keene Act, and the… more
- Jennifer Powers (Santa Clara, CA)
- …resourceful, efficient, progressive, and professional leadership." The City operates under a Council- Manager form of government. The City Council consists of a Mayor ... projects, ensuring reliable transmission and distribution, and adhering to regulatory compliance are key qualifications. The ability to work effectively with diverse… more
- Onco360 Oncology Pharmacy (Boston, MA)
- …Managed Care Payor segments including: Smaller PBM clients, Government ( Medicare & Medicaid), Commercial Health Plans, Regional Accountable Care Organizations ... presentations, as well as all other client-facing meetings.Work collaboratively with account manager on the development of the QBR decks.Negotiate and manage new… more
- Onco360 (Boston, MA)
- …Managed Care Payor segments including: Smaller PBM clients, Government ( Medicare & Medicaid), Commercial Health Plans, Regional Accountable Care Organizations ... as well as all other client facing meetings. Work collaboratively with account manager on the development of the QBR decks. Negotiate and manage new client… more
- Healthfirst (NY)
- …Provider performance + Medical and Pharmacy Part D cost savings + Medicare Star Ratings/member experience. ** Compliance & Regulatory Responsibilities:** Noted ... on all aspects related to one or more specific Medicare performance areas such as Risk Score Accuracy, ...Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance, Medical and… more
- The Cigna Group (Bluffton, SC)
- …across the business units. + Reports to the Part C Legal Compliance Manager ;*Monitors transactions and business processes associated with reconciling ... Responsible for Part C audit activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and business partners. **Responsibilities** + Provide oversight of operational activities of Medicare Part D/EGWP programs + Ensure compliance with CMS rules ... minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare -part-d-and-egwp-programs/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager III is responsible for assisting the product leadership team within the… more
- CVS Health (Blue Bell, PA)
- …make health care more personal, convenient and affordable. **Position Summary** : The Medicare Product Content Manager position is an individual contributor role ... feedback to partners on benefit language. Work with legal, compliance and business partners to ensure the language used...effective content. **Required Qualifications** : + 3+ years of Medicare Advantage experience + 2-4 years in communications or… more
- The Cigna Group (Bloomfield, CT)
- This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an integral member of the Network Development and Solutions ... Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor to the… more
- The Cigna Group (Austin, TX)
- …- Houston, Texas (must be located in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible strive to help ... about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- The Cigna Group (Bloomfield, CT)
- …The **Project Manager ** is a key role that supports **Cigna's Medicare Advantage** line of business, directly addressing customer and client demands for higher ... effectiveness, and service performance outcomes within their assigned segment(s). The **Project Manager ** will serve as a liaison between the National Ancillary team… more
- CVS Health (Carson City, NV)
- …Summary** **Qualified Candidates will sit in Southern Nevada** Aetna is looking for a Medicare Sales Broker Manager to join the southern Nevada sales team that ... achieves sales results through an assigned Nevada hierarchy of independent Medicare brokers. Responsibilities include: - Develop and execute market strategy… more
- CVS Health (Salt Lake City, UT)
- …care more personal, convenient and affordable. **Position Summary** Aetna is looking for a Medicare Sales Broker Manager to join the Utah sales team who will ... achieve sales results through an assigned Utah hierarchy of independent Medicare brokers. Responsibilities include: - Develop and execute market strategy impacting… more
- Healthfirst (NY)
- …agency + Knowledgeable of Department of Health (DOH) and Center for Medicare & Medicaid Services (CMS) regulations ** Compliance & Regulatory Responsibilities:** ... the enabling tools and technology (software and hardware) that support the Medicare Sales Operations team Works with internal and external constituents as applicable… more
