- AmeriHealth Caritas (Delaware County, PA)
- ** Manager , Medicare Performance Program Oversight** Location: Remote, United States Primary Job Function: Medicare ID**: 34248 Your career starts now. We ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Medicare Performance Program Oversight Manager will… 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 (Houston, TX)
- …and/or physician leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on ... **The Provider Performance Lead Analyst is a...and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial review. + Assisting… 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
- CTG (CA)
- …and a thorough understanding of customer service best practices in the healthcare Medicare Advantage industry. As the Customer Service Manager , you will be ... protected classes. Submit a referral to this job (https://usjobs-ctg.icims.com/jobs/10669/ medicare -advantage-plan-call-center- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834384795) **ID** _2024-10669_ **Title** _Medicare Advantage… more
- Healthfirst (New York, NY)
- The Project Manager , Medicare will manage small to large enterprise-level projects that have department or enterprise-level importance, moderate to high risk and ... support of higher-level project or program managers. The Project Manager , Medicare will work collaboratively with the...and our matrix organization. Our environment is fast-paced, our performance expectations are high, and the work is both… more
- Humana (Atlanta, GA)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS… 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
- Healthfirst (New York, NY)
- The Manager , Medicare Markets is passionate and motivated by Healthfirst's mission and wants to make a lasting impact in healthcare. This individual will create ... clinical, medical economics, risk adjustment, and population health strategy implement Medicare strategy for profitable performance and ensure seamless… 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 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
- Healthfirst (New York, NY)
- The Manager , Medicare Benefits Enrollment oversees the activities of staff who provide Healthfirst's Medicare members and families with assessment and ... date on Medicaid and other entitlement program issues and on changes in Medicaid/ Medicare /HMO laws and shares information with Care Team Social Work and other Care… more
- Centene Corporation (Brooklyn, NY)
- …for assigned markets + Manage sales activities for assigned markets and ensure Medicare product performance is consistent with the corporation's business and ... Center for Medicare and Medicaid Services (CMS) regulatory requirements + Provide functional and technical support regarding Medicare product requirements +… 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 (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 (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 achieving its...its goals. Reporting to the Cross Channel Analytics Senior Manager , this position will coordinate with cross functional teams… 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
- 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,...D topics + Manage relationship with external Pharmacy Benefits Manager as primary point of contact + Experience providing… more