- Centene Corporation (Jefferson City, MO)
- …defined requirements and meet company strategic objectives. + Manage the full project life cycle including requirements gathering, creation of project plans ... and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure. + Utilize corporate and industry… more
- CareOregon (Portland, OR)
- …to primary care medical home improvement and practice transformation or to the Medicare Advantage performance measures such as Stars, CAHPS, HCC coding and ... Primary Care/ Medicare Exemption Status Exempt Department Technical Assistance Manager Title Network Innovation Supervisor Direct Reports n/a Requisition # 24968… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- … management experience demonstrated + Medicare experience a plus + Medicare Advantage and Prescription Drug Plan experience a plus #LI-HYBRID Minimum ... colors to blue. Reports to the Associate Director of Project Portfolio Management. The Program Manager of...relationships throughout the organization including, but not limited to, Medicare Product, Medicare Operations, Medicare … more
- BrightSpring Health Services (Louisville, KY)
- …Overview The Chief Operations Officer (COO) is a pivotal member of the Signature Advantage Medicare Advantage (MA) health plan's Executive Leadership team. ... and efficiency. + Deep understanding of all operational aspects of the Medicare Advantage Special Needs Plan including enrollment, claims administration,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans._** Under limited ... . 5 years progressive experience as a Wellness Program Manager or equivalent experience developing and implementing wellness programs...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Rush University Medical Center (Chicago, IL)
- …third party payers including but not limited to Managed Care Commercial payers, Medicare Advantage payers and Medicaid payers and negotiating managed care ... of contract law highly desirable. + Experience with governmental programs related to Medicare , Medicaid and Medicare Advantage highly desirable. + Experience… more
- Providence (Portland, OR)
- …a related field. + 5 years healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development. + Experience with writing ... **Description** **Senior Manager Actuarial Analytics \*Remote * Candidates residing in...Experience certifying Commercial Rate Filing + Experience certifying the Medicare Advantage Bid + Experience with Commercial,… more
- Aveanna Healthcare (Atlanta, GA)
- Manager , Compensation ApplyRefer a FriendBack Job Details Requisition #: 204449 Location: Atlanta, GA 30339 Category: HR Salary: $90,000.00 - $125,000.00 per year ... meaningful impact in the communities we serve. Position Overview The Compensation Manager will implement and manage projects, policies, and processes related to… more
- UCLA Health (Los Angeles, CA)
- …plan operations, compliance, or delegation oversight, required * In-depth knowledge of Medicare Advantage (MA), NCQA standards, and CMS regulatory requirements, ... Description We're seeking an Account Manager to join our Delegation Oversight Program and...like Kaizen events and A3 problem-solving * Familiarity with project management methodologies and tools UCLA Health welcomes all… more
- Henry Ford Health System (Troy, MI)
- …for all payor relationships including direct to employer relationships and commercial, Medicare Advantage , Medicaid HMO, and other governmental payors. 4. ... of managed care organizations and integrated health systems. * Comprehensive project management abilities. * Excellent oral, written communication and presentation… more
- ChenMed (Miami, FL)
- …will interface with key health plan leaders and have laser focus on Medicare Advantage products, including understanding of CSNP and DSNP plans. Position ... documents and participates in internal sessions to synthesize and project current patient impact during AEP at market and...at Managed Care Insurance Health Plan (ie Humana) + Medicare Advantage Experience required + Value Based… more
- University of Pennsylvania (Philadelphia, PA)
- … Medicare data, and/ or VA data. This person will also work with the Project Manager to manage the data teams and produce the final data reports, tables, ... be shared externally. Research Coordinator will coordinate with the Project Manager to manage IRB protocols, ...care expenses with pre-tax dollars. + Tuition : Take advantage of Penn's exceptional tuition benefits . You, your… more
- New York State Civil Service (Plainview, NY)
- …to skilled, semiskilled, and unskilled employees.* Reviews maintenance requests; visits the project site to confirm the nature and extent of maintenance requested ... the materials, equipment, and labor required to complete the project .* Prepares or directs the preparation of sketches, plans,...Utilities Engineer 1, Plant Utilities Engineer 2, Public Buildings Manager 1, Public Buildings Manager 2, Regional… more
- CenterWell (Port Orange, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- CenterWell (Grand Prairie, TX)
- …of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- CenterWell (Groves, TX)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- WTW (Fort Lee, NJ)
- …a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... and Analytics. **Job Responsibilities** + Help develop DSA team's project and roadmap in line with business objectives and...Strong leadership skills and successful outcomes as a people manager . + Intuitive business and analytical skills with the… more
- CenterWell (Corpus Christi, TX)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- CenterWell (Callahan, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo is primarily focused on providing novel therapies ... disorders. **Summary:** The Associate Director, Oncology Value & Market Dynamics Training Manager is responsible for developing & deploying a strategic training plan… more