- CVS Health (Hartford, CT)
- …Enterprise Economics, the Strategy team supporting Medicare , as well as the core Medicare Finance team. This Executive Director will also: + Be a strategic ... affordable. Position Summary As a direct of the CFO, Medicare this role will work to ensure that the... Responsible for providing guidance and direction to influence senior business leadership and cross-functional team members as required… more
- CVS Health (New York, NY)
- …for energetic team member to bring discipline and strategic thinking to our Medicare Marketing Efforts. The Lead Director , Medicare Marketing Strategic ... Planning will play a critical role in enabling, optimizing and advancing the Aetna's Medicare Marketing. This role will serve as a key member of the Medicare … more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Regulatory Compliance works directly with the Vice President Health Plan Regulatory Compliance/National ... Medicare Compliance Officer to develop and maintain an effective...develop and maintain an effective Health Plan Regulatory Compliance Program . This position is responsible for leading the development,… more
- The Cigna Group (Bloomfield, CT)
- **Remote, work from home - United States** **Summary** The Business Analytics Senior Advisor position within the Medicare Growth Analytics Team is an opportunity ... to provide leadership on our analytics strategy, to support our broader Medicare Growth team and provide actionable insights and analytics. This role will work with… more
- CVS Health (Hartford, CT)
- …the development of monthly and quarterly reporting packages, budget presentations for senior leadership, and day-to-day ad-hoc analyses + Medicare Experience. ... and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …workgroups and projects as a subject matter expert (SME) + Collaborate with Director and Senior Program Consultants to identify/ implement workflows ... integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through...+ Accurately plan and scope projects; keep project leads, senior consultants, and Director informed of key… more
- CVS Health (Jackson, MS)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment ( Medicare ) will be responsible for leading Risk ... Adjustment for the Georgia & the Gulf States Medicare Market, specifically in Mississippi. This role will have...working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the… more
- CVS Health (Atlanta, GA)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment ( Medicare ) will be responsible for leading Risk ... Adjustment for the Georgia & the Gulf States Medicare Market. This role will have specific responsibility for...working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …fulfill the goals and objectives of the Medicare Advantage Compliance Program , in collaboration with senior management and stakeholders. Plan, execute, and ... administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program , including development and...manage people + This role reports to this job: Director , Medicare Advantage Compliance & Medicare… more
- Commonwealth Care Alliance (Boston, MA)
- **Why 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 reporting to Centers for Medicare & Medicaid… more
- VIP Care (Tampa, FL)
- …enable the company to expand the program into new markets. This Senior Medical Director must be effective at influencing community physicians and providers, ... Summary/Objective: The Senior Medical Director is responsible for...performance improvement strategies to ensure success in our existing ( Medicare Advantage) as well as net new LOBs. They… more
- Providence (Irvine, CA)
- **Description** \*This role will be based in Irvine, CA The Senior Director Support Services provides leadership, oversight and support to effectively execute ... are not limited to Facilities Engineering, EVS, Safety, Security, Emergency Management. This Senior Director will manage and coordinate the leaders of these… more
- ChenMed (Detroit, MI)
- …is a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical ... Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance +...to increasingly assume the role and responsibilities of a Senior Medical Director , which may include: +… more
- Boston University (Boston, MA)
- …Education and Research programs for the Department of Medicine. Education The Senior Director provides administrative oversight to the Internal Medicine office ... , staff education, policy and procedure coordination, compliance, accreditation, and budgeting. The Senior Director reports to the Vice Chair of Education in the… more
- BrightSpring Health Services (Arlington, TX)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy… more
- BrightSpring Health Services (Arlington, TX)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy… more
- ChenMed (Columbia, SC)
- …+ Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth Essentials ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...work in collaboration with the operational leader, or Center Director , at their centers to ensure company success. Culture… more
- Arvinas (New Haven, CT)
- …**Position Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function ... responsibilities of this role include, but are not limited to: + Provides senior management and cross functional team members with relevant pricing and reimbursement… more
- LA Care Health Plan (Los Angeles, CA)
- Associate Counsel III Senior Director Health Care Legal Services Job Category: Administrative, HR, Business Professionals Department: Health Care Legal Services ... net required to achieve that purpose. Job Summary The Associate Counsel III Senior Director Health Care Legal Services functions as second-in-command for the… more
- Brookdale Senior Living (Greenwood Village, CO)
- …Time Benefits Eligibility + Medical, Dental, Vision insurance + 401(k) + Associate assistance program + Employee discounts + Referral program + Early access to ... and to verify appropriate levels of care are established according to Medicare /Medicaid reimbursement levels. + Maintains care plans for each resident; monitors… more