- The Cigna Group (Baltimore, MD)
- …to inform external partners. + Supporting the development, management and oversight of the physician/ provider network in his/her assigned **Mid-Atlantic (MD, ... including but not limited to Health Services, Medical Economics, Sales , and Sales & Risk Adjustment in...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- Medical Mutual of Ohio (OH)
- …coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider Analyst II** ... provider networks. Performs claims repricing, discount analyses, etc. to support group sales efforts and RFPs. Provides understanding of financial impact based on… more
- The Cigna Group (Seattle, WA)
- **Role Summary:** 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 ... Analyst is the primary conduit to the providers and...'s responsibilities include: + Supporting the development, management and oversight of the physician/ provider network in his/her assigned… more
- Randstad US (Phoenix, AZ)
- …business and financial operations occupations + referenceAB_4525099 job details The Medicare Marketing Oversight Specialist is a compliance-minded individual who ... legal compliance associate analyst . + phoenix , arizona (remote) + posted...all materials are compliant and adhere to Center for Medicare & Medicaid Services and requirements prior to use.… more
- Highmark Health (Columbus, OH)
- …to support multiple areas which will include program (and/or vendor) oversight , using appropriate measurement processes and potential audits. Gather and analyze ... Healthcare experience + Project Management experience **Preferred** + Project Management + Medicare or Pharmacy knowledge a plus + Data analysis skills highly… more