- 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
- The Cigna Group (Philadelphia, PA)
- 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
- The Cigna Group (Philadelphia, PA)
- …programs and bi-directional data exchange initiatives, and overseeing regional and market program performance . This work includes support in initial provider ... regular updates on market and regional level risk adjustment metrics and prospective program performance , which includes identifying areas to improve RA accuracy… more
- The Cigna Group (Philadelphia, PA)
- …oversight of a region of facility networks and will be responsible for its contract performance . This Senior Manager will be responsible for directing a team of ... to manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other Regional Senior Managers to develop facility… more
- Mathematica (Trenton, NJ)
- …complex client relationships and stakeholder expectations. Primary clients include research, program , or technology offices, up to and including executive leadership ... for a discretionary bonus based on company and individual performance . To apply, please submit a cover letter, resume,...our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other agencies. Most staff working… more
- Penn Medicine (Hamilton, NJ)
- …Improvement: + Assume a leadership role in the implementation of hospital and program performance improvement plans, initiatives and goals. + Support customer ... discharge, and attendance to ensure best possible treatment outcomes. + Facilitate program performance improvement meetings and maintain minutes for clinical… more
- CenterWell (Trenton, NJ)
- …culture and a focus on goal attainment are key skills for this role. ** Manager Responsibilities** + Ensuring program success and goal achievement across teams + ... caring community and help us put health first** The Manager , Sales Support oversees a team of Telesales leaders...Ownership of process improvement + New program / campaign management + Collaboration with Field Sales,… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **CVO Senior Credentials Manager ** This is a full-time remote position. Job Summary: + Experienced leader ... and privileges of 10,000 providers. As the CVO Senior Manager , you will collaborate with and provide data to...Joint Commission (TJC), Department of Health (DoH), Centers for Medicare & Medicaid Services (CMS), and the National Committee… more
- St. Luke's University Health Network (Allentown, PA)
- …Collaborates with Laboratory Quality team, designs and implements a Quality Management process/ program to document performance and resolve system problems and ... a patient's ability to pay for health care. The Laboratory Site Manager manages the administrative, fiscal, technical, and human resources activities associated with… more
- Humana (Trenton, NJ)
- …help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability ... from strategy to execution. **Location:** remote The Lead Product Manager partners across various multi-disciplinary teams at Humana to design, define and deliver… more
- Humana (Trenton, NJ)
- …sustainable growth and competitive advantage for our business. The Category Manager will provide subject matter expertise on categories including construction, ... certifications: Certified Professional in Supply Management (CPSM), Certified Purchasing Manager (CPM), Project Management Professional (PMP), Certified Construction … more
- Penn Medicine (Bala Cynwyd, PA)
- …Compliance and Government Audits/Appeals directs the planning, coordinating, scheduling and performance of annual chart reviews and focused audits including high ... upon review results. + Responsible for the preparation and performance of annual compliance education sessions for hospital, home...party audits to include but not limited to RAC ( Medicare and Medicaid), + Medicare Administrative Contractors… more
- CVS Health (Trenton, NJ)
- …Reconciliation Act (COBRA), Emergency Medical Treatment & Labor Act (EMTALA), and Medicare acts and regulations. + Assists in implementing and sustaining action ... and other key departments to assist in the evaluation of performance initiatives, subsequently recommending appropriate training to positively impact outcomes. +… more
- CenterWell (Trenton, NJ)
- …and other stakeholders + Serve as an internal and external champion for the program areas under purview + Support pharmacy performance improvement activities and ... align pharmacy services with improvement quality metrics and Medicare part D performance . + Collaborate with...care practice. + 5-7+ years of progressive clinical pharmacy program leadership experience as a manager , director,… more
- CenterWell (Trenton, NJ)
- …new program opportunities. + Track and monitor population health and clinical program performance data, feedback, and trends to drive continuous program ... of care) at a population level. This leader will oversee program development, implementation, evaluation, and iteration of current care management programs… more
- ChenMed (Philadelphia, PA)
- …PCP Essentials + Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and ... General Manager to drive continued improvement of center financial performance , and helping increase center membership + Performs other duties as assigned… more
- Humana (Trenton, NJ)
- …Lead focuses on + overseeing the daily operations of the regional sales manager and sales support team. + responsible for maintaining relationships with current and ... business dictates** + 5+ years of experience in the Medicare industry + 2+ years of management experience +...+ This role is part of Humana's Driver Safety Program and requires an individual to have a valid… more
- Penn Medicine (Philadelphia, PA)
- …services; Maintains technical ability and knowledge required to supervise the performance of any procedure in the section; Assumes overall responsibility for ... the formulation and monitoring of a Quality Control/Quality Improvement program ; Takes responsibility for staff errors; Oversees and resolves test system problems… more
- Trinity Health (Newtown, PA)
- …**Summary:** **Under the direction of the Regional Patient Access Call Center Manager , the Scheduling Specialist is responsible for timely and accurate appointment ... medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare… more
- Trinity Health (Newtown, PA)
- …**Summary:** Under the direction of the Regional Patient Access Call Center Manager , the Scheduling Specialist is responsible for timely and accurate appointment ... medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare… more
