- Marion County (Salem, OR)
- …in meetings, committees, and Board sessions as assigned by the Division Director . Program development opportunities should include input and opportunities for ... Health & Human Services is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its mission: To… more
- Atrium Health (Charlotte, NC)
- …quality of care metrics. Assumes accountability as delegated by the Director . Essential Functions: Position manages and develops interprofessional teams, providing ... measurement activities. Upholds all AAH leadership behaviors while performing program oversight. Oversees Clinical Documentation Integrity (CDI) program ;… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Medicare Compliance works directly with the Vice President Medicare Compliance/National Medicare ... ; and disseminating requirements to appropriate internal staff. The Director of Medicare Compliance is accountable to...feedback to subordinate staff. **What You'll Be Doing:** + ** Medicare Compliance Program ** + Ensure Medicare… more
- 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...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The Cigna Group (Bloomfield, CT)
- …provide significant opportunities for a leader to shape a significant component of the Medicare Growth strategy. The Director of Telesales will lead strategy and ... - United States** **Summary** The Direct to Consumer (DTC) Medicare channel is a significant driver of current and...driving strategy and execution of targeted technology investments. The Director of Telesales will build the necessary strategy and… more
- CVS Health (Hartford, CT)
- …remote based (work at home) based anywhere in the US.**Responsibilities of this Medical Director role are related to Medicare Appeals.* Direct daily work on part ... appeals.* Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The Cigna Group (Columbus, OH)
- **Channel Marketing Director , Medicare Advantage - Hybrid** The Marketing Director will be responsible for leading the channel marketing team that supports ... the Cigna Medicare Advantage (MA) business. The MA business is a...line within the larger Cigna Government business. The Marketing Director will have accountability for local marketing efforts that… more
- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and ... Programs to optimize the programs' clinical benefit, financial accuracy and ensure program compliance with governing bodies' regulations, including the Center for … more
- CVS Health (Hartford, CT)
- …convenient and affordable. Position Summary Works closely with the Executive Director , National SNP Sales Strategy, in the creation, refinement and delivery ... a well-rounded SNP subject-matter-expert in sales, distribution, marketing and Medicaid/ Medicare processes, contributing holistic support to any recommendation. +… more
- CVS Health (Hartford, CT)
- …Stars, and Revenue Integrity teams for each of the 4-5 regions that Medicare operates under. This organization will help strengthen the teams that currently support ... 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 that… more
- The Cigna Group (Morris Plains, NJ)
- The Director , Centene Account Management provides strategic, financial, clinical, relationship, and organizational leadership for the Medicare D and Exchange ... Operations, Technology, Legal, Finance, and Compliance to ensure successful program maintenance and expansion, maintain compliance with Federal and state-specific… more
- UCLA Health (Los Angeles, CA)
- …Join the dynamic team at the New Century Health Plan (NCHP) as our Director of Pharmacy Benefits Management! Reporting directly to the Chief Medical Officer of ... Medicare Advantage, you'll spearhead the development and oversight of...Previous experience in operations, data analysis, report development, or program development within the healthcare field, required + Comprehensive… more
- CVS Health (Hartford, CT)
- …strategic leadership and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial analysts, coordinating budgeting ... budget presentations for senior leadership, and day-to-day ad-hoc analyses + Medicare Experience. EducationBachelor or similar work experience This is a hybrid… 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 ... manage people + This role reports to this job: Director , Medicare Advantage Compliance & Medicare...on Compliance objectives, projects, timelines, and deliverables for the Medicare Advantage Compliance Program . Create and maintain… more
- Centers Plan for Healthy Living (Staten Island, NY)
- … Medicare or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The physical requirements described ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island,...responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with… more
- The Cigna Group (Bloomfield, CT)
- …- 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....to achieving its goals. Reporting to the Growth Analytics Director , this position will coordinate with cross functional teams… 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
- 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 Other ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… more
- Corewell Health (Grand Rapids, MI)
- …of the member appeal and fair hearing review processes for all Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, ... Act as lead for expedited requests, gathering relevant information, working with Medical Director to determine if criteria is met. If expedited criteria is met,… 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 and process ... part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as...and scope projects; keep project leads, senior consultants, and Director informed of key issues/ risks and meet deadlines… more
