- Novo Nordisk Inc. (Minneapolis, MN)
- …Access Sales to gain addition of promoted products to individual Commercial, Medicare and Medicaid formularies Provide education, communication and coordination ... product pipeline can only be as effective as our ability to provide life-changing information to healthcare providers, key stakeholders and policymakers. Our Market… more
- Novo Nordisk Inc. (Philadelphia, PA)
- …the NNI portfolio strategy in tandem with our marketing team, and balance performance with compassion to ensure that the latest therapies and products reach the ... current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and… more
- Atrium Health (Charlotte, NC)
- Atrium Health is seeking a Registered Nurse (RN) Manager , Clinic for a nursing job in Charlotte, North Carolina.Job Description & RequirementsSpecialty: ... on priorities for Enterprise Population Health within the Southeast region. The Manager of Clinical Documentation Integrity is responsible for the clinical and… more
- Marion County (Salem, OR)
- …culture. Review supervisors work for completeness, accuracy, quality, and quantity. Provide regular feedback on performance to supervisors and their ... employees. Use reports and data to provide transparent, data-driven feedback on outcomes and ...from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide… more
- The University of Vermont Health Network (Elizabethtown, NY)
- Job Summary:The manager role is responsible for all aspects of employee health disease, exposure, pre-employment, and annual requirements. The manager is ... responsible for record keeping for all of employee health documents and reports. The manager is a registered professional nurse manager who is responsible for… more
- Marion County (Salem, OR)
- …and consultation to nurses on complex cases; provides input to the manager /supervisor concerning performance strengths and areas of improvement among nursing ... not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND… more
- Marion County (Salem, OR)
- …not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND ... support a high-risk and underserved population. In this position, you would provide mental health therapy to individuals diagnosed with serious and persistent mental… more
- The Cigna Group (Baltimore, MD)
- …and/or physician leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on ... The Provider Performance External Representative is a...group improvement plans autonomously, with expert-level technical support from manager . + Knowledge of quality and affordability metrics and… more
- The Cigna Group (Tucson, AZ)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and ... is responsible for the financial and operational activities of provider networks and this position involves extensive interaction with...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- The Cigna Group (Bloomfield, CT)
- …and outstanding learning and performance professional for the role of ** Medicare Sales Effectiveness Training Manager ** . This role is responsible for ... paced, the work is meaningful and intense, and our performance expectations are high. To continue to meet and...business areas in sales and across the enterprise. The ** Medicare Sales Effectiveness Training Manager ** will model… more
- Providence (Portland, OR)
- …to financial/encounter data submission in support of Medicaid capitation rate setting + Provide expertise and consultation to support the Medicare bid process ... must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics who will:** + Lead the review...and pricing strategy + Evaluate the financial performance for Medicaid/ Medicare lines of business +… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and ... role does not manage people + This role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer + Necessary Contacts: In order… 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, CA, US, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....to achieve that purpose. Job Summary The Product Solutions Manager III is responsible for assisting the product leadership… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …Aid internal teams to support clients and business partners. **Responsibilities** + Provide oversight of operational activities of Medicare Part D/EGWP programs ... minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare -part-d-and-egwp-programs/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-East… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager II ( Medicare ) Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product… more
- UCLA Health (Los Angeles, CA)
- …regulatory and CMS compliance requirements. You will manage the coding consultants who provide audit, coding expertise, and provider education to internal and ... at UCLA Health. As a key leader within our Medicare Advantage team, you will develop and execute of...execute of strategies, programs, and projects while managing key performance indicators to drive operational excellence. You will be… more
- The Cigna Group (Bloomington, MN)
- **POSITION SUMMARY:** The Account Management Lead Associate (Account Manager ) will provide support to the Account team for their assigned Line of Business. The ... Account Management Lead Associate will provide client facing support, complete non-standard reporting, submit client...benefit set-up and project support as requested within the Medicare and/or Exchange lines of business. The primary focus… more
- The Cigna Group (Austin, TX)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and changes to… 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 ... includes: Corrective Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in ... assessing product performance , forecast sales and membership in line with growth...and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization… more
