- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of… more
- Medical Mutual of Ohio (OH)
- …**We are looking for compassionate and experienced case managers to support Medicare patients. Ideal candidates will have a strong background in care coordination, ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision,… more
- Humana (Oklahoma City, OK)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... motivate, train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid understanding of the market they serve,… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and ... enhancing customer service for millions of healthcare consumers. In this role you`ll be responsible for overseeing machine learning-driven voice experiences, managing the product roadmap for contact center technology and driving continuous improvements. We are… more
- CVS Health (St. Louis Park, MN)
- …more than $387M in annual revenue. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for Individual Medicare ... more valuable health insurance solution for Minnesotans. Our Allina Health/Aetna Medicare health plan currently serves approximately 27,000 Medicare … more
- UPMC (Pittsburgh, PA)
- …this fantastic new opportunity! UPMC Health Plan is hiring a full-time Telephonic Care Manager to support the Medicare line of business within the Allegheny Care ... through Friday with occasional evenings and weekends required. The Telephonic Care Manager is responsible for care coordination and health education for identified… more
- CVS Health (Scottsdale, AZ)
- …do it all with heart, each and every day. **Position Summary** As the Medicare Pharmacy Audit Programs Project Manager you will be responsible for administering ... will be expected to familiarize yourself with all the Medicare Audit Programs and become a subject-matter-expert on assigned...be expected to develop solutions to flexibly adapt the Medicare Audit Programs to comply with the new requirements… more
- CVS Health (Springfield, IL)
- …each and every day. **Position Summary** CVS Health/Aetna is hiring a Broker Manager to support our growing Sales Organization. CVS Health/Aetna is working to ... driving down costs. Aetna is hiring a local Broker Manager to support the growth of our industry leading... to support the growth of our industry leading Medicare business. This is a highly collaborative role that… more
- Centene Corporation (Austin, TX)
- …fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing, ... Develop, plan, lead, monitor, and own multiple, concurrent resultant Medicare Supplemental Benefits utilizing cross functional teams to deliver defined… more
- Centene Corporation (Austin, TX)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the planning and delivery ... to ensure the successful completion of complex integration initiatives. The Program Manager IV is also responsible for creating and presenting executive level… more
- Centene Corporation (Providence, RI)
- …support contract negotiations, governance discussions, and strategic planning led by the Medicare VBP Manager . + Advance efforts in health-related social needs ... Payment Initiatives (VBP) will support the expansion and performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage… more
- Molina Healthcare (Cleveland, OH)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support ... for all Medicare lines of business the annual Medicare ...providing coaching, counseling, and performance improvement initiatives when necessary. Manager will review and analyze all official guidance (CMS… more
- Tufts Medicine (Burlington, MA)
- …our Burlington Corporate Headquarters. **Job Overview** This position focuses on the Medicare Shared Savings Program (MSSP) and Medicare Advantage programs, ... strategic planning, clinical performance improvement skills, a deep understanding of Medicare programs, the ability to analyze data and create performance… more
- Aston Carter (Honolulu, HI)
- Description The Senior Enrollment Manager is responsible for the operations of the companies Enrollment Department which includes enrollment/disenrollment ... of enrollment information and demographic changes (including coordination of benefit, Medicare Secondary Payer and Medicare Late Enrollment Penalty information),… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** This role oversees the Medicare Prescription Payment Plan (M3P), working closely with internal matrix partners and external vendors to ensure all ... timely, accurately and in compliance with the Centers for Medicare and Medicaid Services (CMS) requirements. Ensures that future...in related field **Bonus Points:** + Strong knowledge of Medicare Part D regulations and CMS requirements for the… more
- CVS Health (Hartford, CT)
- …in new and exciting ways every day. Aetna is currently seeking a **Senior Manager for the Test Center of Excellence** team. This individual will be responsible for ... at execution and delivery (planning, delivering, and supporting) skills + Knowledge of Medicare lines of business + Ability to work in a hybrid work environment… more
- Centene Corporation (Jefferson City, MO)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Applicants for this job ... have the flexibility to work remote from home anywhere in the Continental United States.** **Position Purpose:** Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic… more
- Centene Corporation (Cheyenne, WY)
- …including a fresh perspective on workplace flexibility. **Position Purpose: This Program Manager II will support AZ Complete Health** as they will plan, organize, ... and strategic objectives. The ideal candidate for this Program Manager II role will have a strong background in...operations (emphasis on claims and configuration), with expertise in Medicare and Marketplace programs. They should be skilled in… more
- Fallon Health (Worcester, MA)
- …integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of ... quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a member's behavioral...with members and forward results to the Nurse Case Manager or PCP as indicated. Documents all activity per… more
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