- Novo Nordisk Inc. (Minneapolis, MN)
- …Access accounts encompasses third party payers of Commercial, Medicaid and Medicare medical and prescription benefit plans. Customer channels and specific customers ... field sales forces are accomplished. Essential Functions Regional account manager (ram) coaching: Ensure that RAMs understand their level...after account calls and guidance to RAMs on their performance Hold interim reviews so that the RAMs work… 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)
- …Health & Human Services is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its mission: ... program staff as well as financial and operational performance of the service(s) and program (s). SUPERVISION...program , department, county and community.Community Partnerships The YFS Program Manager is responsible to build and… more
- Marion County (Salem, OR)
- …daily duties to other staff. You will be working directly under the Nurse Program Manager , and overseeing daily operations of the outpatient clinic, working ... problem solving. SUPERVISION RECEIVEDWorks under the general supervision of the Nurse Program Manager , who assigns duties, establishes goals and reviews results.… more
- Marion County (Salem, OR)
- …This is an opportunity for you to join our expanding Adult Behavioral Health Program to support a high-risk and underserved population. In this position, you would ... and their families. SUPERVISION RECEIVED Work under the general supervision of a manager or supervisor, who assigns work, establishes goals, and reviews the results… 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 ... report on Compliance objectives, projects, timelines, and deliverables for the Medicare Advantage Compliance Program . Create and maintain compliance dashboards,… 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
- LA Care Health Plan (Los Angeles, CA)
- …serving duals population. Direct experience in Medicare and Duals program administration including stars, quality, financial performance review, operational ... Product Solutions Manager III ( Medicare ) Job Category: Administrative,...navigate the regulatory/legislative and market environment to drive desired performance levels to balance short-term business needs with long-term… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …partners to determine best practices, efficiencies, or process improvements that enhance program performance and member experience. + Partner with other ... D and/or EGWP programs.** **Scope of Responsibilities:** Provides oversight and management of Medicare Part D/EGWP program . **Job Summary:** The position will be… more
- LA Care Health Plan (Los Angeles, CA)
- …serving duals population. Direct experience in Medicare and Duals program administration including stars, quality, financial performance review, operational ... Product Solutions Manager II ( Medicare ) Job Category: Administrative,...and distribution, sales and marketing collateral, talking points and program education, configuration and benefit display requirements. Develops training… more
- BlueCross BlueShield of North Carolina (NC)
- …Leads and manages the day-to-day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and ... ongoing performance risks, develops mitigation and contingency plans. Oversees program to ensure initiatives have required resources, meets milestones, and are… more
- The Cigna Group (Baltimore, MD)
- …goals. + Understanding, developing, tracking, monitoring and reporting on key program performance metrics, such as utilization, coding, and Stars/quality ... physician leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on… more
- The Cigna Group (Tucson, AZ)
- …business needs. + Understands, develops, tracks, monitors and reports on key program performance metrics, such as utilization, coding, and STARs/quality ... Pima County based - Medicare Provider Performance Enablement (PPE) Senior...Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other Administrators. Provider Performance … 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
- UCLA Health (Los Angeles, CA)
- …relationship-building skills with clinical and non-clinical personnel + Knowledge of the Medicare Advantage STARS program and NCQA technical specifications + ... 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 (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
- 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 ... and assist with benefit set-up and project support as requested within the Medicare and/or Exchange lines of business. The primary focus for the position is… more
- Healthfirst (NY)
- …peers, and leaders. + Keeps up to date on Medicaid and other entitlement program issues and on changes in Medicaid/ Medicare /HMO laws and shares information with ... and other Care Team members as appropriate. + Contributes to continuous performance improvements, this includes but not limited to monitoring staff effectiveness… more
- The Cigna Group (Bloomfield, CT)
- …seasoned professional for the role of Business Analytics Advisor within the Medicare Growth Analytics Team to assist our self-service analytics strategy. Reporting ... to the Growth Analytics Sr. Manager , this role will work with a team of...on setting and executing the vision for how our Medicare Growth team can lead Cigna to achieving its… more
