- The Cigna Group (Houston, TX)
- The Medicare Affordability Director serves as the strategic leader responsible for designing and activating innovative solutions across the Medicare ... for the development and execution of the medical cost management and strategy. The Medicare Affordability Director must be an experienced leader with a deep… 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
- CVS Health (Sacramento, CA)
- …to make health care more personal, convenient and affordable. Position Summary The Director of Client Management - Medicare Product will have the opportunity ... lead our client acquisition and retention strategy for our Medicare specific products. The Director will be...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Director , Group Medicare Sales and Labor Relations sells health insurance and related ... 300+ contracts) and leads the Labor Relations team. The Director , Group Medicare Sales and Labor Relations...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… 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
- 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
- Molina Healthcare (Long Beach, CA)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… more
- Somatus (Mclean, VA)
- Overview The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to ... optimize the programs' clinical benefit, financial accuracy and ensure program compliance with governing bodies' regulations, including the Center for Medicare … 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
- 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)
- …of, Medicare or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements : The physical requirements ... 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
- CVS Health (Buffalo Grove, IL)
- …more personal, convenient and affordable. Position Summary The Sr. Clinical Pharmacist, Medicare - Medical Affairs leads within the Medical Affairs team and external ... across the organization to support customer needs. The Sr. Clinical Pharmacist, Medicare - Medical Affairs is responsible for supporting the creation and maintenance… 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
- CVS Health (Jackson, MS)
- …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)
- …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