• Novo Nordisk Inc. (Plainsboro, NJ)
    …Public Affairs, Commercial, Marketing, Finance, and Marketing. Relationships Reports to Senior Director , Market Access Channel Strategy. Interacts frequently in ... role is based in Plainsboro, NJ. The Position The Director Market Access Channel Strategy is part of a...understanding of landscape, changes, and trends in the Commercial, Medicare , Medicaid, Health Insurance Exchange (HIX) channels across all… more
    HireLifeScience (02/15/24)
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  • Option Care Health (Bannockburn, IL)
    …developing, and retaining a diverse workforce. Job Description Summary:The Director , Compliance Investigations is responsible for developing and maintaining a ... comprehensive compliance investigation program , including managing the company's confidential ethics and compliance hotline, conducting investigations into potential… more
    JobGet (05/03/24)
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  • Medicare Affordability Director

    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
    The Cigna Group (05/11/24)
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  • Executive Director , Finance Consolidation…

    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... Responsible for providing guidance and direction to influence senior business leadership and cross-functional team members as required… more
    CVS Health (05/01/24)
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  • Chief of Staff - Medicare Marketing…

    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
    CVS Health (04/01/24)
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  • Lead Director , FP&A Medicare

    CVS Health (Hartford, CT)
    …the development of monthly and quarterly reporting packages, budget presentations for senior leadership, and day-to-day ad-hoc analyses + Medicare Experience. ... and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (05/07/24)
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  • Senior Medicare Clinical Compliance…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …workgroups and projects as a subject matter expert (SME) + Collaborate with Director and Senior Program Consultants to identify/ implement workflows ... integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through...+ Accurately plan and scope projects; keep project leads, senior consultants, and Director informed of key… more
    Blue Cross Blue Shield of Massachusetts (03/02/24)
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  • Medicare Provider Performance Enablement…

    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
    The Cigna Group (04/30/24)
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  • Medicare Risk Adjustment Educator,…

    CVS Health (Jackson, MS)
    …solutions 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...working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the… more
    CVS Health (03/29/24)
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  • Medicare Risk Adjustment Educator,…

    CVS Health (Atlanta, GA)
    …solutions 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. 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
    CVS Health (03/20/24)
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  • Lead Sector Consultant Medicare (Hybrid…

    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 ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
    Henry Ford Health System (04/30/24)
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  • Director - Medical Review / Program

    ProMedica Health System (Toledo, OH)
    …of the GMs and RDOs. 4.Responsible for hiring, training, and effectiveness of Senior Care Medicare Ops Specialists. 5.Executes divisional and regional coverage ... the AVP. 1 1. Stays abreast of developments in Program Integrity and Medicare Conditions of Participation,...holding staff accountable, as well as consulting at the senior manager and director levels. Years of… more
    ProMedica Health System (05/11/24)
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  • Senior Medical Director (Tampa, FL)

    VIP Care (Tampa, FL)
    …enable the company to expand the program into new markets. This Senior Medical Director must be effective at influencing community physicians and providers, ... Summary/Objective: The Senior Medical Director is responsible for...performance improvement strategies to ensure success in our existing ( Medicare Advantage) as well as net new LOBs. They… more
    VIP Care (04/20/24)
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  • Senior Director Support Services

    Providence (Irvine, CA)
    **Description** \*This role will be based in Irvine, CA The Senior Director Support Services provides leadership, oversight and support to effectively execute ... are not limited to Facilities Engineering, EVS, Safety, Security, Emergency Management. This Senior Director will manage and coordinate the leaders of these… more
    Providence (04/17/24)
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  • Senior Medical Director , Centers.

    ChenMed (Detroit, MI)
    …is a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical ... Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance +...to increasingly assume the role and responsibilities of a Senior Medical Director , which may include: +… more
    ChenMed (02/28/24)
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  • Medicare D Billing Representative

    BrightSpring Health Services (Arlington, TX)
    …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy… more
    BrightSpring Health Services (05/03/24)
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  • Medicare D Billing Representative

    BrightSpring Health Services (Arlington, TX)
    …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy… more
    BrightSpring Health Services (04/12/24)
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  • Senior Director , US Pricing…

    Arvinas (New Haven, CT)
    …**Position Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function ... responsibilities of this role include, but are not limited to: + Provides senior management and cross functional team members with relevant pricing and reimbursement… more
    Arvinas (05/14/24)
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  • Senior Center Medical Director

    ChenMed (Columbia, SC)
    …+ Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth Essentials ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...work in collaboration with the operational leader, or Center Director , at their centers to ensure company success. Culture… more
    ChenMed (03/20/24)
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  • Senior Director - Rev Cycle-Denials…

    Mayo Clinic (Rochester, MN)
    …and achieving tangible results in healthcare revenue cycle management. As the Senior Director , you will be responsible for orchestrating a comprehensive ... collaboration and knowledge sharing. Serve as a trusted advisor to senior leadership, providing insights and recommendations on denial management strategies and… more
    Mayo Clinic (05/09/24)
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