- The Cigna Group (Denver, CO)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative's ... Advantage business in their market in the following aspects: **Growing the Medicare Advantage** **Business** The Provider Performance External Representative… more
- The Cigna Group (Atlanta, GA)
- …market, incumbent candidate will work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of a cross-functional, ... collaborative organization (which includes Market Provider Performance , Sales, Clinical Operations, Stars &...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- The Cigna Group (Maitland, FL)
- …Must be able to travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a cross-functional, ... collaborative organization (which includes Market Provider Performance , Sales, Health Services, Clinical, Stars...members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the… more
- CVS Health (Lansing, MI)
- …We are seeking an Executive Director to lead the newly formed **Group Medicare Performance Optimization** team. This leader will preside over performance ... enhance and / or maintain profitability + Analyze Group Medicare business performance , profitability and trends to identify and lead business performance … more
- GEHA (Lee's Summit, MO)
- …a personalized customer experience, sustained by a nimble and efficient organization. The Medicare Part D Performance Management Specialist will report to the ... healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, GEHA empowers health… more
- Molina Healthcare (Bowling Green, KY)
- …role in managing and optimizing call center operations, with a focus on supporting Medicare -related services. As an AVP, you'll lead a team responsible for ... **Strategic Leadership** + Develop and execute strategies to enhance call center performance , ensuring efficient handling of Medicare inquiries, claims, and… more
- The Cigna Group (Bloomfield, CT)
- …a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions ... Senior Supervisor is a leadership role within the Cigna Medicare Customer & Client Service Experience (CCSE) Organization reporting to the manager of CTMs. This role… more
- The Cigna Group (Bloomfield, CT)
- …actions & improvements, and implementing changes, to improve the organization's overall performance and effectiveness, in partnership with the Medicare CMO. + ... senior leadership team, the Chief of Staff for the Medicare Clinical Strategy team will report directly to the...the administrative assistant to support coordination of activities. + Lead all portfolio funding related activities for the Clinical… more
- USAA (San Antonio, TX)
- …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
- Elevance Health (Columbus, OH)
- **Director I Medicare Operations** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...as well as to ascertain adherence to the policies, Provider Outreach and Education, PSC Liaison activities, data mining… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. **Position Summary** The Lead Director, Project Program Management will lead a cross-functional team ... focused on delivering large, complex strategic initiatives for the Medicare Organization. In a matrix management capacity, you will... Organization. In a matrix management capacity, you will provide leadership and strategic direction to a team of… more
- Somatus (Mclean, VA)
- …mental well-being + Community engagement opportunities + And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… 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
- Wider Circle (Los Angeles, CA)
- …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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. Medicare Member Advocate Remote work availableFull Time$20.51 / hour ($40,000 / year) ... growth as skills progress + Annual raise/bonus based on performance BCBSMA is seeking new Member Advocates for our...BCBSMA is seeking new Member Advocates for our elite Medicare Services Division! At Blue Cross Blue Shield of… more
- Humana (Columbus, OH)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how ... will attend and participate in meetings involving care management, provider relations, quality of care, audit, grievance and appeal...an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing… more
- Elevance Health (Atlanta, GA)
- **Director Medicare Pharmacy Management** **Location: This is a hybrid position. Candidates must live within 50 miles of an Elevance Health location.** **Build the ... Make an extraordinary impact.** Responsible for oversight and implementation of the Medicare Pharmacy Benefit and vendor(s) that administer the Medicare pharmacy… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 ... Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's… more
- Humana (Albany, NY)
- …This includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for ... objectives and plans for the Region; drives financial and operational performance ; and coordinates activities of senior managers and their respective functions.… more
- The Cigna Group (Austin, TX)
- …- Houston, Texas (must be located in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible strive to help ... about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more