- LA Care Health Plan (Los Angeles, CA)
- …the delivery of strategic programs and projects at the portfolio level. The Senior Manager will provide strategic guidance to his/her team to promote a ... program/project performance , resolve higher scope issues, and aggregate and provide insights on portfolio risks. This position manages all aspects of running… more
- Sonora Quest (Tucson, AZ)
- …provides general operational supervision under the direction of the director/ manager to assigned personnel. Responsible for organizing, directing and controlling ... workflow aspects of the section in order to improves processes to provide high quality and cost effective services.CORE FUNCTIONS1. Hires, trains and conducts … more
- Sonora Quest (Tucson, AZ)
- …provides general operational supervision under the direction of the director/ manager to assigned personnel. Responsible for organizing, directing and controlling ... workflow aspects of the section in order to improves processes to provide high quality and cost effective services.CORE FUNCTIONS1. Hires, trains and conducts … more
- The Cigna Group (Maitland, FL)
- …market. Must be able to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a ... the Provider Performance Director, the Provider Performance Manager ensures the...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the… 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 ... and/or physician leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on… 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 ... 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
- The Cigna Group (Atlanta, GA)
- …Operations Senior Manager or Director, this individual ensures the effective performance management of the provider network for his/her assigned sub-market ... work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- Healthfirst (NY)
- …areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance , Medical and Pharmacy Part D cost savings, and ... Advantage performance areas: + Risk Score Accuracy + Medicare Clinical Programming and Operations + Provider performance + Medical and Pharmacy Part D… 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 ... performance outcomes within their assigned segment(s). The **Project Manager ** will serve as a liaison between the National...downstream impact to Cigna MA Customers. This role will provide operational and project support to execute on the… more
- Humana (Chicago, IL)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …Aid internal teams to support clients and business partners. **Responsibilities** + Provide oversight of operational activities of Medicare Part D/EGWP programs ... 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
- The Cigna Group (Austin, TX)
- …- Dallas, East Texas (must live 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
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product… more
- The Cigna Group (Tallahassee, FL)
- …license is required** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and ... and excel. * Carry out appropriate sales activity standards as directed by manager . * Responsible for reporting daily & weekly activities. * Adheres to compliance… 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
- Commonwealth Care Alliance (Boston, MA)
- …This Role is Important to Us:** Under direction of the Director of Medicare Compliance, the primary focus areas of this position include development and oversight ... includes: Corrective Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance… more
- CVS Health (Hartford, CT)
- …to make health care more personal, convenient and affordable. **Position Summary** The Medicare Strategic PMO is seeking a number of qualified program and project ... by working in a fast paced, complex, cross-functional environment. The Sr. Manager , Project Program Management will lead a cross-functional team focused on… more
- Alight (FL)
- …careers.alight.com. **About the Role** The Sales and Service Center virtual Sales Manager is responsible for front-line sales delivery. The SM operates ethically to ... . Driving sales results through daily, weekly, monthly agent performance management and accountability. . Managing outbound tele sales campaigns.… more
- BlueCross BlueShield of North Carolina (NC)
- …the deployment of actuarial concepts. As a Consulting Actuary you will also provide Medicare thought leadership and assist in the development of go-to-market ... a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting,...D topics + Manage relationship with external Pharmacy Benefits Manager as primary point of contact + Experience providing… more
- R1 RCM (Detroit, MI)
- R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and ... costs and enhancing the patient experience. As our The Medicare Bad Debt Analyst you will work with the...ready for their review prior to submitting to the manager /senior manager . Working as a part of… more
