- U of C NORC (Chicago, IL)
- …and analysis, program evaluation, and policy analysis. NORC seeks a Senior Manager to manage consulting, research, and data analysis projects for health care ... clients' business strategy, policy positioning, and external thought leadership. The Senior Manager will have strong subject matter and technical expertise in 2-3… more
- Cambia Health Solutions, Inc (Portland, OR)
- …Options - Must reside in ID, OR, UT or WAWHO WE NEEDThe Product Implementation Manager (I or II) ensures that new Medicare Advantage products and product ... implemented and delivered to the market timely, in compliance with Centers of Medicare and Medicaid Services (CMS) and First Tier, Downstream, and Related Entities… more
- Insmed Incorporated (Bridgewater, NJ)
- …Rewards to manage the US benefit plan administration. The Benefits Manager administers, implements, maintains and develops benefit programs, policies and procedures. ... compliance requirements, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, Medicare , and Social Security and DOL requirements. Experience in the day-to-day… more
- EY (Chicago, IL)
- …who support new analytics tool development, user-facing application support, and project -based data analytics and visualization.The opportunity Our GCS team is ... as a CISA, CISSP, CISM, CFE, CFC, EnCE, CAP, CCE or IGPExcellent project management skills and the ability to manage multiple projects simultaneously, ensuring… more
- Atrium Health (Charlotte, NC)
- Atrium Health is seeking a Registered Nurse (RN) Manager , Clinic for a nursing job in Charlotte, North Carolina.Job Description & RequirementsSpecialty: ... on priorities for Enterprise Population Health within the Southeast region. The Manager of Clinical Documentation Integrity is responsible for the clinical and… more
- Cambia Health Solutions, Inc (Portland, OR)
- …as benefit expert across internal departments for ongoing benefit administration.Leads the Medicare benefit design bid submission process to CMS for Medicare ... business customer.Recommends improvements to department processes.Acts on behalf of the Manager during his or her absence.Conduct market research, data analysis, and… more
- Healthfirst (New York, NY)
- The Project Manager , Medicare will manage small to large enterprise-level projects that have department or enterprise-level importance, moderate to high risk ... team in support of higher-level project or program managers. The Project Manager , Medicare will work collaboratively with the Sales & Retention and… more
- UCLA Health (Los Angeles, CA)
- …required + Minimum of 5 years' experience with CMS processes in a Medicare or Managed Care environment required + Project Management Professional certification ... at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business...technical teams as well as product owners/managers/directors to achieve project objectives and deliverables that include project … more
- BlueCross BlueShield of North Carolina (NC)
- …Leads and manages the day-to-day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and ... resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business owners and sponsors to develop and successfully… more
- AmeriHealth Caritas (Delaware County, PA)
- ** Manager , Medicare Performance Program Oversight** Location: Remote, United States Primary Job Function: Medicare ID**: 34248 Your career starts now. We are ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Medicare Performance Program Oversight Manager will report to… more
- CTG (CA)
- …and a thorough understanding of customer service best practices in the healthcare Medicare Advantage industry. As the Customer Service Manager , you will be ... protected classes. Submit a referral to this job (https://usjobs-ctg.icims.com/jobs/10669/ medicare -advantage-plan-call-center- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834384795) **ID** _2024-10669_ **Title** _Medicare Advantage… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager II ( Medicare ) Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product Strategy, Sales and Marketing… more
- Humana (Atlanta, GA)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...the community through service, organizations, activities and volunteerism * Project management background or certification a plus * Bilingual… 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 program and ... people + This role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer...+ Ability to manage time and personnel on a project and everyday basis. + Working knowledge of relevant… more
- Healthfirst (New York, NY)
- The Manager , Medicare Markets is passionate and motivated by Healthfirst's mission and wants to make a lasting impact in healthcare. This individual will create ... medical economics, risk adjustment, and population health strategy implement Medicare strategy for profitable performance and ensure seamless partnership and… more
- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. Position SummaryAs a member of the Medicare Stars Member Experience team, the Manager of Business Consultation is ... engagement campaigns, and program development with the goal of improving Medicare Star Ratings. Responsibilities include developing and managing initiatives focused… more
- Centene Corporation (Brooklyn, NY)
- … project management, or business analysis experience within the Medicare field. **Licenses/Certifications:** Current state's driver license. State Accident and ... including a fresh perspective on workplace flexibility. **Position Purpose:** Manage Medicare sales and business for assigned markets. + Prospect, appoint and… more
- Commonwealth Care Alliance (Boston, MA)
- …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 ... includes: Corrective Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance… more
- The Cigna Group (Bloomington, MN)
- …non-standard reporting, submit client access requests, and assist with benefit set-up and project support as requested within the Medicare and/or Exchange lines ... **POSITION SUMMARY:** The Account Management Lead Associate (Account Manager ) will provide support to the Account team for their assigned Line of Business. The… more
- CVS Health (Jackson, MS)
- …to make health 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 responsibility in maintaining and improving risk adjustment… more
