- Eisai, Inc (Boston, MA)
- …consists of: NYC, NJ, RI, CT, MA, NH, ME, VT Job Summary The Senior Manager , Access and Reimbursement will appropriately inform, support and manage regional ... (examples: patient assistance, reimbursement support, distribution and coverage policies). The Senior Manager , Access and Reimbursement is a customer-facing… more
- Senior Living Communities (North Branford, CT)
- …Woods, North Branford's premier Retirement Community is now accepting applications for a HR Manager . The ideal candidate will have experience in a wide variety of HR ... colleges at Career Fairs and introduce SLC to school Program Curriculum Directors. 13. Update UKG with new hires,...and assist with other annual training compliance 28. Attend Senior Leadership Meetings 29. Update training files with team… more
- Signature HealthCARE (Roanoke Rapids, NC)
- …talented and high performing employees, daily meetings, monthly billing, chart audits & program developmentWe are hiring for a Rehab Manager to lead out ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as...you Need to make a Difference As Rehab Service Manager , you will be responsible for the leadership and… more
- Cambia Health Solutions, Inc (Portland, OR)
- …project management skills and thrive in an environment that requires alignment with Program Manager teammates. Together, you will create a comprehensive training ... including small, mid-size, and large-group employers, as well as Individual and Medicare plans. The manager must deliver results efficiently, communicate… more
- CVS Health (Hartford, CT)
- …by working in a fast paced, complex, cross-functional environment. The Sr. Manager , Project Program Management will lead a cross-functional team focused ... care more personal, convenient and affordable. **Position Summary** The Medicare Strategic PMO is seeking a number of qualified... Strategic PMO is seeking a number of qualified program and project managers to drive and lead large,… more
- 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...+ This role is part of Humana's Driver safety program and requires an individual to have a valid… 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 (St. Louis, MO)
- …and other day of choosing)** **Summary:** The Stars and Risk Adjustment Operations Senior Advisor will report to the Stars and Risk Adjustment Managing Director and ... actions into a synthesized set of business updates and strategies for a senior executive-level audience. Ideally this high-potential candidate uses this role as a… 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...Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including… more
- The Cigna Group (Birmingham, AL)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- Elevance Health (Smithfield, RI)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government ... 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)
- …which is a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint ... Resolutions Senior Supervisor is a... manager of CTMs. This role will support the Medicare Advantage line of business by directly supervising the CTM… more
- The Cigna Group (Bloomfield, CT)
- …appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care ... impacting care coordination, and Special Needs Plans Model of Care program goals and requirements, as applicable. **Essential Duties and Responsibilities:** +… 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 ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… 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)
- …who service existing and new customers. The Direct To Consumer (DTC) Conservation Senior Supervisor will monitor key performance indicator metrics and work with the ... DTC Retention Operations manager to oversee the entire conservation administration process. They...more** years people management experience + Extensive background in Medicare and other supplemental health products + Experience with… 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 ... quality of care and greater affordability for the senior population. The primary focus for this role includes...service performance outcomes within their assigned segment(s). The **Project Manager ** will serve as a liaison between the National… more
- The Cigna Group (Austin, TX)
- …proficient with data analytics . Knowledge of marketing strategy, value proposition and senior market . Adherence to CMS Medicare Marketing Guidelines and ... (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever...out appropriate sales activity standards as directed by their manager . Responsible for reporting their daily & weekly… 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 ... of the regulatory coompliance program . This includes: Corrective Action Plan (CAP) management, regulatory...Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department… more
- The Cigna Group (Nashville, TN)
- **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework ... Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims, enrollment, fulfillment, network operations, and… more
