- Novo Nordisk Inc. (Plainsboro, NJ)
- …structured to act as a hub, bringing together cross-functional teams such as Strategy and Innovation, Mature Business Unit, Market Access Account Directors and SPC ... of GPO/PBMs have created a need for additional resources to ensure our strategy is on course for national formularies and their downstream clients. This individual… more
- Lundbeck (Stockton, CA)
- …Join us on our journey of growth!As a Psychiatry Account Manager, you lead the promotion of our psychiatry portfolio, executing sales and marketing strategies with ... use digital tools and apply data-based insights to create opportunities, develop strategy & tactics, allocate resources to enhance sales execution, monitor progress… more
- Ironwood Pharmaceuticals (Boston, MA)
- …for which there is a significant unmet medical need. The lead product candidate, apraglutide, is a next-generation, best-in-class, synthetic peptide analog ... Global Market Access, Reimbursement, and Distribution, the Senior Director, Market Access Strategy and Marketing will play a leading role in expanding the company's… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health firstAs the Lead , IT Portfolio Management, you'll be more than a steward of our financial resources-you'll ... it's about innovation. We value bold ideas and collaboration, and we're looking for a lead who is eager to explore new approaches, inspire others, and deliver on the… more
- Globe Life Inc. (Mckinney, TX)
- …successful candidate will work on is broad including individual and group Medicare supplement, cancer, critical illness, accident, disability income, and a range of ... exercise latitude and independence in assignments. Responsible for developing the strategy for delivering annual assumptions based on experience studies, including… more
- Fidelity TalentSource LLC (Boston, MA)
- …is crucial for ensuring the confidentiality and integrity of client data.Skills: Strategy and Planning: Develop and implement a strategic roadmap that aligns with ... or Kanban is preferred.Leadership and team management: The ability to lead cross-functional teams, foster collaboration, and drive a high-performance culture is… more
- Versique Consulting & Search (Minneapolis, MN)
- …preparation of all financial reporting to regulatory parties (ie, FSR, UDS, Medicare , HRSA, state tax returns, etc.) Attends routine finance committee meetings and ... teams in a private practice healthcare organization. Ability to lead a diverse staff group toward financial and operational...executing plans is second nature to you. You chart strategy and work through details. Ability to steward change… more
- Humana (Columbus, OH)
- …with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead , you will deconstruct issues and challenges, perform ... largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This… more
- The Cigna Group (Houston, TX)
- **Summary** The Business Analytics Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for ... Medicare Strategic Analytics. Reporting to the Manager of Care...Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes… more
- The Cigna Group (Phoenix, AZ)
- …all Medicare businesses being managed + Support Product & Strategy leadership team to develop key business strategies, including providing competitive landscape ... Medigap, SHL, as well as companion products in the Medicare portfolio. + Assist Product & Strategy ...contribute individually and as part of a team + Lead and quickly demonstrate credibility as a subject matter… more
- Elevance Health (Columbus, OH)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Date:** 2024-09-19 **Position Title:** Audit & Reimbursement III - Medicare Cost Report Audit **Job Description:** **Audit & Reimbursement...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (Charleston, WV)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-17 **Position Title:** Audit & Reimbursement Senior- Medicare Cost Report Audit **Job Description:** **Audit & Reimbursement Senior… more
- USAA (San Antonio, TX)
- …currently seeking a talented **Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- Elevance Health (Columbus, OH)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-30 **Position Title:** Audit & Reimbursement III- Medicare Cost Report Appeals **Job Description:** **Audit & Reimbursement III- … more
- Elevance Health (Columbus, OH)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-23 **Position Title:** Pharmacy Account Director, Medicare **Job Description:** A proud member of the Elevance Health family of… more
- CareFirst (Baltimore, MD)
- …(VSOs). **ESSENTIAL FUNCTIONS:** In partnership with leadership, builds the marketing strategy and drives the execution of Veteran Medicare Advantage ... DC or Northern Virginia.** **PURPOSE:** This position is responsible for sales of Medicare Advantage products designed to meet the needs of the veteran population.… more
- Somatus (Mclean, VA)
- …+ And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment ... including all aspects of the various methods of executing on an MRA strategy (eg prospective, retrospective, concurrent approaches). + Lead the risk adjustment… more
- Humana (Columbus, OH)
- …Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how… more
- The Cigna Group (Austin, TX)
- …talk about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and ... (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever...and sales growth. **RESPONSIBILITIES:** . Execute multi-year local broker strategy for book of business . Influence brokers to… more
- Healthfirst (NY)
- …including finance, clinical, medical economics, risk adjustment, and population health strategy implement Medicare strategy for profitable performance ... and develop solutions to continually improve product performance. + Lead presentations for on-going management meetings (ie monthly operating...+ Well versed on all aspects related to all Medicare products + Must be able to perform additional… more
