- Humana (Atlanta, GA)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of ... train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- The Cigna Group (Philadelphia, PA)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- CVS Health (Jackson, MS)
- …deliver 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 responsibility in maintaining and… more
- CVS Health (Atlanta, GA)
- …deliver 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 Georgia in maintaining and improving risk… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** This is a virtual position, the ideal candidate will live within 50 miles of an ... and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative Contract (MAC) with… more
- The Cigna Group (Bloomfield, CT)
- …can lead Cigna to achieving its goals. Reporting to the Cross Channel Analytics Senior Manager , this position will coordinate with cross functional teams to ... **Remote - Work from home - United States** **Summary** The Business Analytics Senior Advisor position within the Medicare Growth Analytics Team is an… more
- The Cigna Group (Bloomfield, CT)
- …related field with current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote ... assignments of a defined population based on business perspectives. The Case Manager will promote quality cost-effective outcomes managing care needs through… 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
- 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 and ... support of higher-level project or program managers. The Project Manager , Medicare will work collaboratively with the...functional teams ensuring they meet the defined timeline and quality based on project guidelines + Tailors the use… more
- CVS Health (Irving, TX)
- …Process SOP and all current regulatory requirements. This position reports to the Senior Manager - Contract Operations helping to implement and coordinate ... for our clients and helping to make pharmaceuticals more accessible. The Senior Analyst works with multiple internal and external stakeholders to generate, red-line,… more
- The Cigna Group (Baltimore, MD)
- …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial review. + Assisting in initiatives and… more
- 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 ... centers nationwide. If your passion is service excellence and top- quality care come join our team and apply today!...hour, as determined by the Director and Clinical Hub Manager . + Prioritizes work to meet daily and competing… more
- 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 ... centers nationwide. If your passion is service excellence and top- quality care come join our team and apply today!...hour as determined by the Director and Clinical Hub Manager + Provide clinical support to members of the… more
- NORC (Chicago, IL)
- Senior Manager , Health Care Strategy Job no: 502319 Work type: Regular Full-Time Location: Chicago - 55 East Monroe Street, IL Capability Area: Health Care ... analysis, program evaluation, and policy analysis. NORC seeks a Senior Manager to manage consulting, research, and...junior staff and producing work with limited oversight from senior staff. Candidates should produce superior quality … more
- WellSense (Boston, MA)
- Nurse Care Manager ( Senior Care Product) - Field Based WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... clinical team. The SCO program is designed to deliver high- quality , compassionate care to seniors in their home. We're...clinical and assessment skills + Experience with the Medicaid, Medicare , and Senior population + Experience with… more
- CVS Health (Tallahassee, FL)
- …and affordable. Position Summary Experienced/career level position responsible for overseeing quality review audits of medical records coded by internal team (CDQA ... ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...recommends opportunities for process improvements so that productivity and quality goals are met or exceeded and operational efficiency… more
- The Cigna Group (Bloomfield, CT)
- **U.S. Government Technology, Claims & Enrollment - Application Development Senior Manager ** **Position Overview:** The job profile for this position is ... Application Development Senior Manager , which is a Band 4...end-to-end implementation of solutions for the core administration of Medicare Advantage and CareAllies health plans. To ensure future… more
- CVS Health (Springfield, IL)
- …of practice transformation advisors, and collaborate to tailor and implement the Quality and Practice Transformation strategies across the IL provider network, with ... experience and population outcomes. Using innovation, integration, and data, links the quality management activities to business goals. Health Care Quality … more
- The Cigna Group (Nashville, TN)
- …with the other shared service organizations across Cigna's technology landscape. As a Senior Application Development Manager , you will serve as a dynamic ... disciplines, supporting our technology landscape. The position reports directly to the Senior Director of Clinical, Risk Adjustment, Quality and CareAllies.… more
- NORC (Bethesda, MD)
- Senior Manager , Health Care Strategy Job no: 502318 Work type: Regular Full-Time Location: Bethesda, MD Capability Area: Health Care Strategy JOB SUMMARY: NORC ... analysis, program evaluation, and policy analysis. NORC seeks a Senior Manager to manage consulting, research, and...junior staff and producing work with limited oversight from senior staff. Candidates should produce superior quality … more