- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. **Position Summary** The Senior Manager, Medicare Member Experience Consultation will design enterprise-wide and/or ... cross-functional solutions to address opportunities to improve our Medicare Advantage member experience. This work results...experience in managed care + 2 plus years of Project or Program Management experience + Experience… more
- Medical Mutual of Ohio (OH)
- …guidelines including Ohio Department of Insurance agent licensing requirements. + Strong vendor management and project management skills. + Intermediate to ... experience with government health insurance programs which includes exposure to Medicare Advantage, MA compliance protocols, member experience, agent experience,… more
- Elevance Health (Columbus, OH)
- …Ability to multi-task while independently and effectively prioritizing work using time management , initiative, project management and problem-solving skills. ... **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a...States based position._ **National Government Services** is a proud member of Elevance Health's family of brands. We administer… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with performance measurement and analytics teams, consumer experience unit, marketing, health management , and member services to define business needs in ... care management , and consumer experience + Experience in supporting Medicare market, especially Medicare Stars improvement, strongly preferred. Minimum… more
- NORC (WA)
- …analysis, or related field, including at least 3 years of social science project management . Advanced graduate degrees can substitute for years of experience. ... Senior Research Scientist to Lead Policy Analysis on Medicare Alternative Payment Models - Hybrid Office or...semi-structured interviews. + Manage multiple concurrent work streams and project staff. + Manage contract work and engage with… more
- Providence (CA)
- …queries in SQL or another programming language + Demonstrated experience applying project management skills in data-related and financial analysis projects ... empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible for developing and maintaining actuarial… more
- LA Care Health Plan (Los Angeles, CA)
- …written and verbal communication and presentation skills. Ability to serve as member on cross-functional implementation or project teams. Ability to interpret ... Medicare Advantage Product Solutions Manager II Job Category:...of product and enterprise goals. The position works with management , business owners and other key stakeholders to develop… more
- AmeriHealth Caritas (Newtown Square, PA)
- …prior manager of case management experience preferred + Minimum of 1 year project management experience required, preferably at the management level + ... in and supports the corporate Medical Management Strategy. 5. Directs the case management activities to comply with the Medicare Model for case management… more
- Point32Health (Canton, MA)
- …applicable software and database programs including Excel, Word, PowerPoint. + Strong project management and stakeholder management skills, including ability ... annual bid/rate and related filings, new benefit implementation, and product/vendor management processes. The Senior Manager will support annual assessment of new… more
- Humana (Oklahoma City, OK)
- …+ Engaged with the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual with ... us put health first** Are you passionate about the Medicare population, looking for a role in management...+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information + Must reside in… more
- Healthfirst (NY)
- …the healthcare industry At least 6 months (nonconsecutive) experience in program or project management Ability to understand complex federal rules and guidelines ... **Duties & Responsibilities:** Support Medicare Retention Manager in overseeing and measuring a...Sales) on new initiatives Healthfirst can leverage to improve member migrations and reduce involuntary disenrollment Monitor and Measure… more
- Molina Healthcare (AZ)
- …education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience working with complex, often highly technical ... or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and… more
- UCLA Health (Los Angeles, CA)
- …with: * Bachelor's degree in related area and/or equivalent experience/training * Project Management Professional (PMP) or Certified Professional in Healthcare ... * Proven experience managing cross-functional projects with multiple stakeholders * Strong project management skills with the ability to develop and execute… more
- Corewell Health (Grand Rapids, MI)
- …care or health insurance Preferred + 2 years of relevant experience in project management or process improvement Preferred + Extensive knowledge of managed ... Job Summary The Medicare Appeals Analyst Supervisor is responsible for managing,...review processes Preferred About Corewell Health As a team member at Corewell Health, you will play an essential… more
- Public Consulting Group (Columbus, OH)
- …or related field preferred . Experience with GAAP principles . Experience with project accounting. . Experience with Medicare or Medicaid cost reporting ... change lives for the better. The firm is a member of a family of companies with experience in...department and PCG grow and as deemed necessary by management . **Required Skills** + Ability to analyze account fluctuations… more
- Sutter Health (Emeryville, CA)
- …Enrollment, and Revenue. + Superior business acumen, exceptional analytical and advanced project management skills, with the proven ability to provide innovative ... Monitors and reports on the performance of each business line, including Medicare Advantage and Preferred Provider Organization (PPO) health care plans. Participates… more
- The Cigna Group (St. Louis, MO)
- …and client retention results + Demonstrated ability managing projects, utilizing proven project management processes + Ability to work cross-functionally to ... recurring webcasts as appropriate. + Champion internal advocacy for client service. Member experience. + Supports Risk Management for client performance… more
- MetroLink (Los Angeles, CA)
- Senior Manager, Project Management (Limited Term) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4663705) Apply Senior Manager, Project ... METROLINK Commuter Rail System, is seeking a Senior Manager, Project Management who will provide leadership and...of communication of SCORE Program status with SCRRA Executive Management , Member Agencies, and other Key Stakeholders,… more
- MetroLink (Los Angeles, CA)
- …cost, commitments, forecast and schedule for projects. + Establish a standard project management methodology to help reduce costs and improve timeliness, ... implementing standards and best practices. + Provide guidance to operations/ project management teams to recognize emerging issues, identify lessons learned and… more
- Convey Health Solutions (Chicago, IL)
- …understanding of Medicare Advantage plans, the Star Ratings system, and project management best practices. Key Responsibilities: * Quality Star Solution ... requirements related to Medicare Advantage. * Certifications: * Project Management Professional (PMP) certification or Lean/Six Sigma certification… more