- The Cigna Group (Houston, TX)
- **The Provider Performance Lead Analyst is a key member of the market that assists in the growth and development of the provider network. The Lead ... providers and the individual that represents Cigna MA.** The Provider Performance Lead Analyst's responsibilities...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- The Cigna Group (Baltimore, MD)
- The Provider Performance External Representative is a key member of the market that assists in the growth and development of the provider network. The ... to the providers and the individual that represents Cigna MA. The Provider Performance External Representative's responsibilities include: + Most likely to… more
- The Cigna Group (Huntsville, AL)
- …and distribute provider informatics, reports, dashboards + Track and monitor performance guarantees for assigned BOB + Promotes Provider Index score ... systems. + Understanding of medical insurance products and associated provider issues + Ability to lead an..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- AmeriHealth Caritas (Delaware County, PA)
- …The Medicare Performance Program Oversight Manager will report to the Medicare Regulatory Data & Analytics Manager and lead a team that manages the ... **Manager, Medicare Performance Program Oversight** Location: Remote,...implementing, and executing work, monitoring, and communications plans. + Provide leadership to the teams for ingesting performance… more
- CenterWell (Columbus, OH)
- …a part of our caring community and help us put health first** The Original Medicare ('OM') Growth Strategy Advancement Lead will design and implement the new ... help develop and implement effective growth strategies specifically targeting the Original Medicare population. You will provide data driven expertise and… more
- CVS Health (Sacramento, CA)
- …personal, convenient and affordable. Position Summary The Director of Client Management - Medicare Product will have the opportunity to lead our client ... which are best able to drive improvements As the Lead Director you will work closely with the Executive...+ Five (5) or more years of experience with Medicare ; possession of industry knowledge which includes performance… 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,...of Business. The primary measure of the Account Management Lead Associate's performance is by way of… more
- The Cigna Group (Houston, TX)
- …high-quality, and competitive solutions to the market. This critical role on the Medicare Performance Optimization team will be accountable for financial ... stream strategy, along with plans designed to ensure Cigna's Medicare programs meet key business performance goals....Local Markets, Enterprise Affordability and other key domains + Lead the Medicare Affordability team and facilitate… more
- CVS Health (Hartford, CT)
- …enhancing data accuracy, and improving efficiency. * Guides management for individual performance evaluations aimed to provide critical feedback for skills ... CVS, we are looking for a leader who can provide strategic leadership and oversight for financial planning and...and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial… more
- USAA (Phoenix, AZ)
- …currently seeking a talented **Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- The Cigna Group (Bloomfield, CT)
- …position within the Medicare Growth Analytics Team is an opportunity to provide leadership on our analytics strategy, to support our broader Medicare Growth ... on setting and executing the vision for how our Medicare Growth team can lead Cigna to...strategy and plan. + Enhances understanding of distribution channel performance and its impact on growth and profitability. +… more
- PruittHealth (Norcross, GA)
- …to learning new processes, concepts, and skills; Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. ... **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting,...a volume of work as established by PruittHealth productivity performance standards, are familiar with the rules and regulations… more
- CVS Health (Hartford, CT)
- …is the senior HR thought-partner to the executive leadership team of the Aetna Medicare business, a business that announced a new leader earlier in 2024. This HR ... the SVP, CPO for Aetna and the President of Medicare to review and refresh the operating model of...in this role hinges upon a leader's ability to lead , influence and execute successfully in a matrix organization… more
- CVS Health (Hartford, CT)
- …strategic thought leader in support of business direction. Monitor and report on performance relative to plan and strategic alignment. Provide financial analysis ... team members as required in support of strategic initiatives. Provide business and financial expertise needed to set planning...the monthly close, budgeting, and forecasting from the various Medicare product lines. + Lead the financial… more
- BlueCross BlueShield of North Carolina (NC)
- …the deployment of actuarial concepts. As a Consulting Actuary you will also provide Medicare thought leadership and assist in the development of go-to-market ... a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting,...about making health care better for all. Help us lead the charge for better health care by joining… more
- Somatus (Mclean, VA)
- Overview The Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- Wider Circle (Mcallen, TX)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....predetermined goal of outbound calls each day from the lead list to prospective beneficiaries to educate them about… more
- CVS Health (Hartford, CT)
- …will also play an important part in helping to align and communicate the Medicare Local Market teams around current performance , and the forecasts and Budgets ... Revenue Management, and Performance Management teams to drive local market performance and accountability across the 4-5 Medicare regions. Help set targets… more
- State of Indiana (Indianapolis, IN)
- …opportunities to continue professional development. + Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees. ... Medicare Claims Analyst Date Posted: May 8, 2024...and promoting employees based on individual ability and job performance . Our policy is to provide equal… 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 ... is calling a Manager Actuarial Analytics who will:** + Lead the review of Medicaid capitation rate assumptions and...and pricing strategy + Evaluate the financial performance for Medicaid/ Medicare lines of business +… more