- CVS Health (Hartford, CT)
- …personal, convenient and affordable. Position Summary Works closely with the Executive Director , National SNP Sales Strategy, in the creation, refinement and ... internal partners such as: Marketing, Compliance, Regional Sales Directors, National Sales Directors , Medicare VPs, Stars...Regional Sales Directors, National Sales Directors , Medicare VPs, Stars team, Medicaid team and various other… more
- The Cigna Group (Houston, TX)
- The Medicare Affordability Director serves as the strategic leader responsible for designing and activating innovative solutions across the Medicare ... execution of the medical cost management and strategy. The Medicare Affordability Director must be an experienced...Local Markets, Enterprise Affordability and other key domains + Lead the Medicare Affordability team and facilitate… more
- The Cigna Group (Bloomfield, CT)
- …a leader to shape a significant component of the Medicare Growth strategy. The Director of Telesales will lead strategy and execution for the direct sales of ... - United States** **Summary** The Direct to Consumer (DTC) Medicare channel is a significant driver of current and...driving strategy and execution of targeted technology investments. The Director of Telesales will build the necessary strategy and… more
- CVS Health (New York, NY)
- …looking for energetic team member to bring discipline and strategic thinking to our Medicare Marketing Efforts. The Lead Director , Medicare Marketing ... 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 (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 ... all the data for the monthly close, budgeting, and forecasting from the various Medicare product lines. + Lead the financial strategic and self-funded … more
- CVS Health (Hartford, CT)
- …strategic leadership and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial analysts, coordinating budgeting ... budget presentations for senior leadership, and day-to-day ad-hoc analyses + Medicare Experience. EducationBachelor or similar work experience This is a hybrid… 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 ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- Molina Healthcare (Long Beach, CA)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director , and quality improvement staff. + ... medical staff services. Maintains a working knowledge of applicable national , state, and local laws and regulatory requirements affecting...Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews… 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
- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As an important member of our Medicare Advantage team, you will provide strategic oversight and leadership for our Member and ... the delivery of best-in-class service to new and existing members. You will lead , manage, coach, and develop teams to achieve high-performance standards in alignment… more
- The Cigna Group (Bloomfield, CT)
- …work with a team of professionals on setting and executing the vision for how our Medicare Growth team can lead Cigna to achieving its goals. Reporting to the ... **Summary** The Business Analytics Senior Advisor position within the Medicare Growth Analytics Team is an opportunity to provide...Growth Analytics Director , this position will coordinate with cross functional teams… more
- CVS Health (Santa Ana, CA)
- …business. CVS Health/Aetna is working to transform the way California Medicare beneficiaries experience health care - improving quality, emphasizing whole-person ... Manager to support the growth of our industry leading Medicare business. This is a highly collaborative role in...the United States and will report to the Sales Director for Southern California. This is a career position… more
- CVS Health (Jackson, MS)
- …strategically and act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the Gulf States ... care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment ( Medicare ) will be responsible for leading Risk Adjustment for the Georgia &… more
- CVS Health (Atlanta, GA)
- …strategically and act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the Gulf States ... care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment ( Medicare ) will be responsible for leading Risk Adjustment for the Georgia &… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …procedures, and CMS guidance including coverage and benefit conditions included in Medicare laws, National Coverage Decisions (NCDs) and Local Coverage Decisions ... 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
- CVS Health (Sacramento, CA)
- …This is a remote position and may sit anywhere within the US The Lead Director works with VP, CMO Aetna Medicare and the AVP, Deputy CMO, Medicare ... level buy-in, implementing change, and generating demonstrable impact. In addition, Lead Director will facilitate efforts to develop clinical strategies… more
- CVS Health (Washington, DC)
- …make health care more personal, convenient and affordable. Position Summary The Director of Public Policy supports and enhances effective Federal advocacy related to ... Medicare Part D and drug pricing issues, as well...any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression,… more
- CVS Health (Downers Grove, IL)
- …committed to increasing access, lowering costs and improving quality of care. In this Director level role you will have the opportunity to have a significant impact ... the CVS Health family of companies. In this non-supervisory Director level position, you will assume a highly visible...will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value… more
- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. A Brief OverviewThis lead director will lead the Medicaid reserve process. This ... financial reporting materials across the Medicaid business to be consistent with the Medicare and Commercial blocks. Work with your reserve actuary peers in the… more
- Humana (Columbus, OH)
- …by members of the Medicare population and reports to the Lead Medical Director . Other duties: + Identify medical management operational improvements, ... a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing… more