- 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 ... new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and changes to… more
- The Cigna Group (Pittsburgh, PA)
- …programs and bi-directional data exchange initiatives, and overseeing regional and market program performance . This work includes support in initial provider ... regular updates on market and regional level risk adjustment metrics and prospective program performance , which includes identifying areas to improve RA accuracy… more
- St. Luke's University Health Network (Bethlehem, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Program Manager is responsible for directing the adult neuro occupational therapy ... staff. JOB DUTIES AND RESPONSIBILITIES: + Review overall clinical performance of the staff through chart reviews, direct observation,...Plans, organizes, and provides clinical oversight of the assigned Program + Ensures the program is in… more
- Commonwealth of Pennsylvania (PA)
- Aging Care Manager 2 (LG) - Potter County Area Agency on Aging (Multiple Vacancies) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4510429) ... Apply Aging Care Manager 2 (LG) - Potter County Area Agency on...assisting consumers and the public with questions regarding original Medicare , Medicare Part D, and Medicare… more
- Highmark Health (Pittsburgh, PA)
- …of Health Insurance Industry experience **Preferred** + 1 - 3 years of Medicare or Program Management experience **SKILLS** + Analysis of business problems/needs ... This job assists in the creation, execution, and oversight of the Medicare sales and distribution strategy through partnering with sales leadership and other… more
- Mathematica (Harrisburg, PA)
- …complex client relationships and stakeholder expectations. Primary clients include research, program , or technology offices, up to and including executive leadership ... for a discretionary bonus based on company and individual performance . To apply, please submit a cover letter, resume,...our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other agencies. Most staff working… more
- Lancaster General Health (Lancaster, PA)
- …or weekends required. **POSITION SUMMARY:** Under the direction of the Nurse Manager , the Assistant Nurse Manager assesses, plans, implements and evaluates ... of patients. + Collects objective data with regard to the clinical performance , attitude and self-development of each staff member. **SECONDARY FUNCTIONS:** **The… more
- Commonwealth of Pennsylvania (PA)
- …new or repair equipment; providing training to employees; and implementing a program designed to ensure staff competency through performance standards. + ... Nurse Manager 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4498940) Apply Nurse ...Civil or Forensic Unit, ensuring compliance with Centers for Medicare and Medicaid Services (CMS) Requirements. You will plan,… more
- Lancaster General Health (Lancaster, PA)
- **Company** Penn Medicine Home Health **Summary** **Job Title: Manager , Respiratory Care Services** **Location: Lancaster, PA** **1.0 FTE, Full Time, Monday-Friday. ... including development of new services, improvement of current services, a performance improvement plan, and initiatives related to improving patient and physician… more
- CVS Health (Harrisburg, PA)
- …Associate Manager will assist in the hiring and managing of the Medicare Complaints Team staff. The Associate Manager must possess outstanding people skills, ... customer satisfaction through prompt/accurate handling of customer grievances. + Performance manage staff as needed to hold individuals and...dictates. Required Qualifications + 1 to 3 years of Medicare experience + 1 to 3 years of leadership… more
- CenterWell (Harrisburg, PA)
- …culture and a focus on goal attainment are key skills for this role. ** Manager Responsibilities** + Ensuring program success and goal achievement across teams + ... caring community and help us put health first** The Manager , Sales Support oversees a team of Telesales leaders...Ownership of process improvement + New program / campaign management + Collaboration with Field Sales,… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? CVO Senior Credentials Manager This is a full-time remote position. Job Summary: + Experienced leader responsible ... and privileges of 10,000 providers. As the CVO Senior Manager , you will collaborate with and provide data to...Joint Commission (TJC), Department of Health (DoH), Centers for Medicare & Medicaid Services (CMS), and the National Committee… more
- St. Luke's University Health Network (Allentown, PA)
- …Collaborates with Laboratory Quality team, designs and implements a Quality Management process/ program to document performance and resolve system problems and ... a patient's ability to pay for health care. The Laboratory Site Manager manages the administrative, fiscal, technical, and human resources activities associated with… more
- Humana (Harrisburg, PA)
- …caring community and help us put health first** The Lead Data Product Manager will work within the Enterprise Operations Enablement (EOE) Business Intelligence team. ... administrative cost and improve the customer's experience. The Lead Data Product Manager is responsible for collaborating with stakeholders to identify data needs by… more
- St. Luke's University Health Network (Bethlehem, PA)
- …a patient's ability to pay for health care. The Respiratory Care Manager is responsible for planning, organizing, and supervising programs to provide comprehensive ... Resolving employees issues as appropriate. + Develops, implements and evaluates performance improvement initiatives and assist staff in implementation of these… more
- Geisinger (Danville, PA)
- Job Summary The Acute Care Manager for Geisinger at Home works with physician and multidisciplinary team members to develop plan of care for each assigned patient ... outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Position Details Geisinger at… more
- Takeda Pharmaceuticals (Harrisburg, PA)
- …the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts, you will lead the development and implementation of assigned Payer ... with an emphasis on drafting and editing complex agreements for Commercial and Medicare Part D entities. You will be key business partner with Managed Markets,… more
- Highmark Health (Pittsburgh, PA)
- …processing of claims with unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + ... the support mechanisms available to complete the required delivery of high- performance , efficient, and low-cost production. Responsible for mail services, imaging,… more
- NASCO (Harrisburg, PA)
- …Compliance Office. This role will have oversight responsibility for Medicare Advantage and ACA Exchanges strategy and executive relationship responsibility ... on Compliance, Privacy, government programs and related activities. Communicates with manager on status of projects and initiatives. **Responsibilities** + Provides… more
- CenterWell (Harrisburg, PA)
- …and other stakeholders + Serve as an internal and external champion for the program areas under purview + Support pharmacy performance improvement activities and ... align pharmacy services with improvement quality metrics and Medicare part D performance . + Collaborate with...care practice. + 5-7+ years of progressive clinical pharmacy program leadership experience as a manager , director,… more