- Humana (Chicago, IL)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of ... train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must... Sales must have a solid understanding of the market they serve, how to resolve operational problems and… more
- Healthfirst (NY)
- …Responsibilities:** + Well-versed on all aspects related to one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical ... Provider Performance, Medical and Pharmacy Part D cost savings, and Medicare Star Ratings/member experience. + Active analysis of complex financial reports… more
- UCLA Health (Los Angeles, CA)
- …within New Century Health Plan and shape the marketing strategies for UCLA Health's Medicare Advantage Plan. Utilize your expertise to innovate and lead in a dynamic ... with key stakeholders to advance our mission. Reporting to the Director of Medicare Advantage Growth & Strategic Initiatives, you will oversee the development and… more
- The Cigna Group (Springfield, IL)
- The **Regional Medicare ** **Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... reports to the Medicare Provider Contracting Regional Vice President. This role is...to the development of the strategic direction of assigned markets and is accountable for the management of value-based… more
- Elevance Health (Tampa, FL)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** This is a virtual position, the ideal candidate will live within 50 miles of an ... and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative Contract (MAC) with… 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 Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...quality initiatives + Perform financial analysis & participate in market financial review with senior management. +… more
- The Cigna Group (Bloomfield, CT)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of ... value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- The Cigna Group (Austin, TX)
- …data analytics . Knowledge of marketing strategy, value proposition and senior market . Adherence to CMS Medicare Marketing Guidelines and procedures . ... (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever...directly contracted agents, and broker down-line sales within the market for the book of business they manage through… more
- The Cigna Group (Maitland, FL)
- …All market team members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the following aspects: + ... is required for a minimum 50% in the assigned market . Must be able to travel between Tampa, Orlando,...between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a cross-functional, collaborative… more
- Elevance Health (Hanover, MD)
- **Risk Adjustment Advanced Analyst Senior ** **Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... **Preferred Location:** Hanover, MD. The **Risk Adjustment Advanced Analyst Senior ** is responsible for creating statistical models to predict, classify,… more
- The Cigna Group (Denver, CO)
- …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial...members contribute to the growth and profitability of the Medicare Advantage business in their market in… more
- The Cigna Group (Atlanta, GA)
- …Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manager or Director, this individual ensures the effective ... performance management of the provider network for his/her assigned sub- market and/or provider groups. The role of Senior...members contribute to the growth and profitability of the Medicare Advantage business in their market in… more
- The Cigna Group (Plano, TX)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of ... **WORK LOCATION: TEXAS market - can live in Houston, San Antonio,...service and sophisticated value-based reimbursements with providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large… more
- The Cigna Group (Bloomfield, CT)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and ... and seeks broader value-based business opportunities to support the local market strategy. + Initiates and maintains effective channels of communication with… more
- ConvaTec (Bridgewater, NJ)
- …the time. We're a business that never stands still. Join the team as the Director/ Senior Director, US Policy and Global Market Access and Reimbursement - AWC and ... you won't either. Market Access & Reimbursement is a newly created function...Lead Convatec in ensuring optimal US reimbursement policies, especially Medicare , and advancing Convatec reimbursement objectives with government, trade,… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. **Position Summary** As the Senior Manager of Commercialization and Sales Enablement, part of the ... as a consultative sales resource and be able to offer insights on competitive market strategies and capabilities as well as promoting the value of our enterprise… more
- Elevance Health (Dearborn, MI)
- …Services to transform federal health programs. The **Audit and Reimbursement Senior -Appeals** will support our Medicare Administrative Contract (MAC) with ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Blue Matter (New York, NY)
- …and rare disease. Our commercial planning also spans diverse care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join ... and build the company. You will work collaboratively with senior internal and client team members to address critical...benefit across all major US payer segments (eg, Commercial, Medicare , Medicaid, and Federal Markets ) + Demonstrated… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... and knowledge transfer for key productfeatures + Work on related go-to- market and organization enablement activities with key stakeholders including Customers,… more
- CVS Health (Tallahassee, FL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** Senior Manager will be responsible for managing and leading a dental ... delivering discount improvements to our designated PPO business nationally. Senior Manager will be responsible for setting...metrics for the team, strong knowledge of the competitive market and Aetna's market position is vital.… more