- 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 ... lead our client acquisition and retention strategy for our Medicare specific products. The Director will be...be building a new team focused on the successful management of our growing Medicare product business.… 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 ... management experience + Expertise with executive level communication and project management Preferred Qualifications + Healthcare or Medicare experience +… more
- Molina Healthcare (Long Beach, CA)
- …are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards ... development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice, capitation,… 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
- Centers Plan for Healthy Living (Staten Island, NY)
- …all equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members ... CPHL sites located throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare ...for Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan and/or any upcoming… more
- CareOregon (Portland, OR)
- … Medicare Administration Manager Title Chief Financial Officer Direct Reports Director , Medicare Requisition # 24180 Pay and Benefits Estimated hiring ... Portland office at least 2 days a week. Job Summary The Vice President of Medicare is responsible for strategy and execution of the Medicare Advantage line of… more
- CareOregon (Portland, OR)
- …and Medicare Exemption Status Exempt Department Finance Manager Title Director , Actuarial Services Direct Reports Actuarial Staff Requisition # 24102 Pay and ... into strategic plans for the broader organization. Essential Responsibilities Technical/Operational Management + Work with the Director , Actuarial Services to… more
- AdventHealth (Altamonte Springs, FL)
- …Reimbursement Analyst is responsible for preparing and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and appeal ... statement reporting for AdventHealth. Additionally, this position collaborates with management in the reimbursement regulations and regulatory, operational, and… more
- CVS Health (Santa Ana, CA)
- …growing business. CVS Health/Aetna is working to transform the way California Medicare beneficiaries experience health care - improving quality, emphasizing ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...Manager to support the growth of our industry leading Medicare business. This is a highly collaborative role in… more
- CVS Health (Buffalo Grove, IL)
- …and marketplace needs. This role requires a strong knowledge of PBM/managed care and formulary management including development and implementation. The Sr. ... convenient and affordable. Position Summary The Sr. Clinical Pharmacist, Medicare - Medical Affairs leads within the Medical Affairs...good standing Demonstrated experience with: + PBM and Managed Care + Formulary Management + Utilization … more
- The Cigna Group (Birmingham, AL)
- …live in either Alabama or Mississippi._** The **Manager, Provider Contract Network Management ** serves as an integral member of the Provider Contracting Team and ... reports to the Provider Contracting Director . This role assists in developing the strategic direction and management of the day to day contracting and network … more
- CVS Health (Jackson, MS)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (… more
- CVS Health (Atlanta, GA)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment (… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …interpret/ draw conclusions, identify gaps/ issues & analyze information from the utilization management medical management system: Care Prominence (ie MHK), ... As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor… more
- CVS Health (Lansing, MI)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary CVS...Manager to support the growth of our industry leading Medicare business. This is a highly collaborative role that… more
- CVS Health (Wellesley, MA)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. This position follows a hybrid model of… more
- AdventHealth (Riverview, FL)
- … Care Management Facility Director reports directly to the Division Care Management Director with a matrix reporting relationship dotted line to ... department, including but not limited to: Coordination of Care , Centers for Medicare & Medicaid Services...with Providers and keep the CMOs updated. The Facility Care Management Director communicates regularly… more
- AdventHealth (Orlando, FL)
- … Care Management Facility Director reports directly to the Division Care Management Director with a matrix reporting relationship dotted line to ... department, including but not limited to: Coordination of Care , Centers for Medicare & Medicaid Services...with Providers and keep the CMOs updated. The Facility Care Management Director communicates regularly… more
- Gentiva (Harrisburg, PA)
- …Dental, Vision Plans + Wellness Program and Resources including: + A dedicated Accolade Care Coordinator for personalized care management support of all your ... give people the care they need with dignity, grace, and love. The **RN Director of Advanced Illness Management (AIM)** will report directly to the VP of… more
- Universal Health Services (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and commercial ... Requirements: + Master's Degree in Business Administration, Finance, Health Care Administration, Management or related field preferred....field preferred. + At least 5 years of health care experience working with value based Medicare … more