- Novo Nordisk Inc. (OH)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... others within the influence map) Researches, understands and tailors account plans based on stakeholders and accounts business practices...$84,000 to $103,000 DCS II - $97,000 to $119,000 Sr . DCS - $118,000 to $144,000 In addition, this… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …role will have responsibility for Group Medicare Advantage and Medicare Supplementary new sales, retention, growth and account management strategies for ... performance goals and deliver an exceptional experience for BCBSMA's Senior members. This role is eligible for the Flex...Key Responsibilities: + Develops and implements Group Medicare new sales, retention, growth and account … more
- The Cigna Group (Morris Plains, NJ)
- …in the model, the Account Management Lead Associate must collaborate with the Account Manager, Operations Sr . Manager, Account Executive, and Clinical ... **POSITION SUMMARY:** The Account Management Lead Associate ( Account Manager)...benefit set-up and project support as requested within the Medicare and/or Exchange lines of business. The primary focus… more
- Elevance Health (Albany, NY)
- …includes virtual work and in office days 1-2 times per week. The ** Group Underwriting Consultant Sr .** is responsible for determining acceptability of insurance ... risks and appropriate premium rates for large and complex group cases. This position is the most senior...other departments to ensure accuracy and consistency of overall account reporting. + Proposes rates for prospective business utilizing… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …Analyst role: * Establishes audit plan to review top 80% of contracted account formularies across commercial, Medicare Part D, and managed Medicaid channels. ... Sr . Contract Compliance Analyst III Date: Apr 17,...customers. This position works with the Teva Market Access account managers and the contracted account to… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s status ... 4% and an additional company contribution. + Health Savings Account with a company matching contribution. + Excellent medical,...group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **37429BR** **Extended Job Title:** Sr Medical Billing Associate (MPIP/Alberta) **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** ... with credit balances and process accordingly (following a batch system: prepare account for refund, transfer money, and/or reverse adjustment) + Process patient and… more
- Molina Healthcare (New York, NY)
- …through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences ... for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... up on payment delays, taking corrective action(s) to finalize account disposition and/or referring claims to the appropriate staff...standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and… more
- CVS Health (Irving, TX)
- …affordable. Position Summary As part of the Trade Relations Team, you will support a group that plays an important role in reducing the costs of goods for our ... clients and helping to make pharmaceuticals more accessible. The Senior Analyst works with multiple internal and external stakeholders to generate, red-line, and… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …program effectiveness tasks to fulfill the goals and objectives of the Medicare Advantage Compliance Program, in collaboration with senior management and ... manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and… more
- Henry Ford Health System (Grand Rapids, MI)
- GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group ) accounting for more than $400 million in ... through the development and implementation of process improvements for both new sales ( group and individual) and the employer group renewal process. Coordinate… more
- The Cigna Group (St. Louis, MO)
- …to demonstrate the clinical needs of our clients. + Provide oversight to the VP, Account Management and Sr . Directors and their clinical teams of Clinical ... **The Managing Director, Clinical Strategy and Account Management** will create, lead and drive the...the voice of the customer and partnering with cross-functional senior leadership across the PBM and Evernorth to ensure… more
- AbbVie (Minneapolis, MN)
- …based" therapy adoption success *This position can be filled with either a Senior Account Consultant or Account Consultant depending on experience. ... Talent will be hired at a level commensurate with experience. The Account Consultant position manages sales processes for AbbVie's therapeutic products in accordance… more
- Fallon Health (Dartmouth, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Responsibilities** **Summary:** ... This position requires that the Outreach Account Executive achieves personal referral/sales/outreach goals for the Summit...the Summit Elder Care program. Manages a territory and group of referral source accounts, providing regular follow up… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s status ... on all products, industry trends, and plan functions. **Responsibilities** ** Sr . Account Executive** . Develops and sustains...group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- AbbVie (Birmingham, AL)
- …Deliver technical product and procedure training; consultative selling and comprehensive account management to support customer adoption and broaden utilization. + ... limited to Abbvie sales teams, Customer Service (Austin), RBAs, MSLs, Key Account Managers, and Marketing. Significant Work Activities - Continuous standing for… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s status ... is a trusted and relied-upon internal and external resource. ** Sr . Account Administrator** **.** **Performs Account...in Northeast Ohio. Year after year we've received this recognition ! + On-site wellness center at most locations. Enjoy… more
- The Cigna Group (Bloomfield, CT)
- Clinical Program Senior Advisor - BCGP / LTC Focused **POSITION SUMMARY** + The Senior Clinical Geriatric Consultant Pharmacist will support quality, safety, and ... trends in clients' providers prescribing and collaborates with client, client's ESI account team and others to optimize opportunities to educate prescribers with the… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace ... The Sr . Organizational Development Specialist designs, develops and implements...tools to support individual and team development. *Consults/partners with executive/ senior business leaders and HR Business Partners to determine… more
