- 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
- 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
- The Cigna Group (Bloomfield, CT)
- …visits._** **_Must reside in_** _East Tennessee_ **_area - Knoxville/Chattanooga_** The ** Director , Provider Network Contracting** serves as an integral member of ... and Ancillary group contracting and negotiations** + **Experience with Healthcare - Medicare Advantage** + Analytical skills a plus + Experience in developing and… 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
- CareOregon (Portland, OR)
- …leads a governance model that ensures understanding and alignment of the Medicare program across intersecting departments, matrixed relationships, and external ... Administration Manager Title Chief Financial Officer Direct Reports Director , Medicare Requisition # 24180 Pay and...and reporting of performance against metrics. + Ensures the Medicare program meets all CMS, OHA, contractual… more
- CareOregon (Portland, OR)
- …and Medicare Exemption Status Exempt Department Finance Manager Title Director , Actuarial Services Direct Reports Actuarial Staff Requisition # 24102 Pay and ... position is responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a focus on supporting strategic decision… 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
- 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
- The Cigna Group (Bloomfield, CT)
- 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
- 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 and process ... part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as...and scope projects; keep project leads, senior consultants, and Director informed of key issues/ risks and meet deadlines… more
- The Cigna Group (Miramar, FL)
- …& Solutions). Reporting to the Provider Performance Senior Manager/Operations Director /Operations Senior Director (Market President), the Provider Performance ... members contribute to the growth and profitability of the Medicare Advantage business in their market in the following...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… more