- The Cigna Group (Bloomfield, CT)
- **Role Summary** The Medicare Part C Compliance Senior Manager is responsible for the design, implementation , and ongoing execution of the Medicare ... determine Cigna's compliance policies as it relates to corresponding Medicare programs . + Leverage an enterprise mindset...is needed to be considered.** + 5+ years of Medicare program experience required; vendor management experience… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare -part-d-and-egwp- programs ... **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs .** **Scope....** **Scope of Responsibilities:** Provides oversight and management of Medicare Part D/EGWP program . **Job Summary:** The… more
- BlueCross BlueShield of North Carolina (NC)
- …Leads and manages the day-to-day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and ... business owners and sponsors to develop and successfully implement projects/ programs . Assesses ongoing performance risks, develops mitigation and contingency plans.… more
- State of Indiana (Indianapolis, IN)
- …is fully engaged with this mission. Role Overview: In this role, Medicaid/ Medicare Coordination Manager , you will establish priorities, targets, and deadlines ... the subject matter expert on dually-eligible individuals, staying breast of Medicare /Medicaid policy and program innovations, current research and opportunities… more
- Centene Corporation (Austin, TX)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Manages either the Medicare Sales or the Broker Field Sales teams to drive and achieve ... for the position. **Responsibilities:** + Oversees the overall performance of Texas Medicare Sales and Broker Field Sales teams. + Ensures compliance with existing… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in ... performance, forecast sales and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization of all benefits… more
- CVS Health (Hartford, CT)
- …a team of learning professionals + 5+ years' experience in the development and implementation of effective measure program + 5+ years' experience of performance ... personal, convenient and affordable. Position Summary: As a Senior Manager of Learning and Development, you are a strategic...Development, you are a strategic partner for the Aetna Medicare CTM, Grievances & Appeals business. You are a… more
- The Cigna Group (Birmingham, AL)
- …Alabama/Mississippi Market. Must live in either Alabama or Mississippi._** The ** Manager , Provider Contract Network Management** serves as an integral member of ... operational standards and external provider expectations. Ensures the accurate implementation , and administration through matrix partners. + Assists in resolving… more
- Molina Healthcare (Milwaukee, WI)
- …follow-up and resolution of investigations. **Knowledge/Skills/Abilities** * Assists with implementation and day-to-day operations of the Compliance Program , ... development and implementation of compliance policies and procedures and training programs for the Molina enterprise. * Oversees and provides direction of site… more
- The Cigna Group (Tampa, FL)
- …5+ years of experience in process design/development and translating changes into implementation plans (DFSS and DMAIC preferred) + Medicare Operations ... A member of the Cigna Medicare Business Operational Excellence Process Engineering team. This...enterprise level initiatives including: business assessment, detailed analysis, design, implementation , and control of new or improved processes. This… more
- CVS Health (Atlanta, GA)
- …health care more personal, convenient and affordable. Position Summary: The Product Implementation Manager position will be responsible for CMS Bid Submission ... and implementation of Individual Medicare products to downstream...project management skills: multi-tasking priorities and facilitating/executing multiple marketing programs . (*) Strong written and verbal communication skills. (*)… more
- WTW (Tampa, FL)
- …the Individual Marketplace service line and will serve as the account manager for high profile/complex implementations of Willis Towers Watson's retiree services and ... programs . The key areas of this role include development...Senior Associate must be a subject matter expert in Medicare , Qualified Health Plans, Health Reimbursement Arrangements, and the… more
- Bon Secours Mercy Health (Greenville, SC)
- …the quality and value of services. + Growth - Committed to the implementation of programs that inspire positive development in the organization, co-workers ... and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is a key contributor to the overall financial, quality, and clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …Demonstrated skills in the program management, project management, and implementation of programs with varying degrees of complexity. Excellent ... Marketing Program Manager III Job Category: Sales...works with the team to discuss and evaluate the programs implementation processes and programs … more
- Bon Secours Mercy Health (Greenville, SC)
- …and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is a key contributor to the overall financial, quality, and clinical ... performance at St. Francis Health System. The RN Care Manager will: + Facilitate the extraction of all clinical...issues and reporting of variances through the Quality Improvement Program . Educate all members of the patient care team… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Initiatives Program Manager II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Care Management Initiatives Program Manager II is responsible for leading...health care or a related field, doing policy and/or program implementation work. Experience building relationships with… more
- Prime Therapeutics (Chapel Hill, NC)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote (North Carolina Preferred) **Job Description** **This role ... Preferred State of applicant is in North Carolina or surrounding states** The Clinical Program Manager is responsible for the management of all client specific… more
- UCLA Health (Los Angeles, CA)
- Description The Department of Medicine is seeking a dynamic and motivated Program Manager to oversee the ]day-to-day project activities. Key responsibilities in ... this role will include managing data use agreements for Medicare claims data and other databases, coordinating with federal...managing the project budget in collaboration with the fund manager . The Program Manager will… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (Limited Duration- 12 months)) Job Category: Administrative, HR, Business Professionals Department: Claims Data and ... achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading...managing a portfolio of strategic and transformational enterprise wide programs and projects that are generally complex and large… more
- HSS (New York, NY)
- …too can be part of our transformation across the enterprise. Center for Health Equity Program Manager HSS believes Health Equity is a moral imperative; as the ... strategies, evidence-based interventions, and standardized performance metrics. The Health Equity Program Manager will contribute to achieving the vision and… more