- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well ... as product owners/managers/directors to achieve project objectives and deliverables that...experience + Minimum of 5 years' experience in a Medicare or Managed Care environment managing enrollment, claims, premium… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager III ( Medicare ) Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, ... net required to achieve that purpose. Job Summary The Product Solutions Manager III is responsible for...Experience in improving Stars and Quality Measures. Experience in Medicare Advantage , with experience serving duals population.… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager II ( Medicare...partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage , with ... Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position Type:...net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for… more
- CareFirst (Baltimore, MD)
- … performance, forecast sales and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization of all ... **Resp & Qualifications** **PURPOSE:** Manages product lifecycle (strategy, design, execution, and optimization) for products and plans in the Medicare ,… more
- Healthfirst (NY)
- …Excel skills + Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Self-motivated and driven + Understand and translate ... communication skills + Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Team player who contributes to creating a… more
- Providence (Portland, OR)
- …of study + 5+ years of healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development + Experience with writing queries ... must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics who will:** + Lead the review...of Actuaries (FSA or ASA) + Experience certifying the Medicare Advantage Bid + Experience with Commercial,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare ...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- Universal Health Services (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... organization, and facilitation of the development of Prominence commercial and Medicare Advantage products, system and infrastructure improvements, and vendor… more
- Humana (Jacksonville, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... of how organization capabilities interrelate across department(s). The Senior Manager , MarketPoint Sales will supervise Medicare Sales Representatives… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Medical Mutual' ... possible health and quality of life. The Specialty Account Manager is responsible for providing service and retaining their...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Universal Health Services (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... across all lines of business including Commercial fully-insured, self-insured, and Medicare Advantage products. The position will regularly interface with… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Manages ... certificate production and product filings. Support the Company's initiatives to introduce new,...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Cleveland Clinic (Cleveland, OH)
- …quality, cost, and utilization data preferred. + Knowledge of ACO, Medicaid, and Medicare Advantage quality measures, NCQA and HEDIS standards, and Medicare ... As part of the CCHS Value Based Performance team, the Program Manager will help support value based contracting, implementation, program management, and performance… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Responsible for ... of project communications and work with project sponsors or product owners to resolve issues, address changes and identify...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... **_The IT Project Manager role is a Hybrid role (in-office &...of project communications and work with project sponsors or product owners to resolve issues, address changes and identify… more
- Point32Health (Canton, MA)
- …reporting + Knowledge of Centers of Medicare and Medicaid Services (CMS) Medicare Advantage (MA) and Medicare and Medicaid Program (MMP) programs ... we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Audit Manager reports to the Audit Senior Manager and supports the… more
- Deloitte (Stamford, CT)
- …of the individual medical and small group markets + 1+ years experience with Medicare products, including Medicare Advantage or Medicare Supplement ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...long term care, etc. + 1+ years experience with product design and/or product strategy + 1+… more
- ChenMed (Detroit, MI)
- …+ Direct-to-patient sales and marketing experience preferred. + Experience within the Medicare Advantage population strongly preferred. Experience working for a ... we need great people to join our team. The Manager , Market Sales is responsible for leading a team...personal contact and rapport with key local communities serving Medicare -eligible seniors. Leverages connections to increase community events and… more
- Magellan Health Services (San Diego, CA)
- …Requirements Responsibilities Knowledge of HIPAA, federal and state regulatory processes. Medicare Advantage and/or Medicaid managed care experience preferred ... Serves as the compliance and privacy manager for assigned areas of the company or...from diverse operational groups and organizations into a written product . Excellent verbal and written communication skills. 5-8 years… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Development Manager - EDI Exemption Status Exempt Department Business Intelligence Manager ... architecture planning. + Create systems architecture plans with focus on taking advantage of new cloud technologies, resolving challenges encountered, and setting up… more
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