- 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 (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 ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...affordable. Position Summary As a direct of the CFO, Medicare this role will work to ensure that the… 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
- UCLA Health (Los Angeles, CA)
- …Join the dynamic team at the New Century Health Plan (NCHP) as our Director of Pharmacy Benefits Management ! Reporting directly to the Chief Medical Officer ... of Medicare Advantage, you'll spearhead the development and oversight of our pharmacy benefit management (PBM) business unit. In this pivotal role, you'll craft… 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
- Humana (Columbus, OH)
- …skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… 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
- CVS Health (Hartford, CT)
- …Qualification: + 12+ years of relevant financial experience + Knowledge of: Financial Management , Expense Management , Medicare Bids, Stars, Risk Adjustment + ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...Integrity teams for each of the 4-5 regions that Medicare operates under. This organization will help strengthen the… more
- CVS Health (Hartford, CT)
- …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 In...and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial… more
- UCLA Health (Los Angeles, CA)
- …award-winning health system. Help improve patient experiences as part of a world-class health care team. Take your career in an exciting new direction. You can do ... at UCLA Health. As an important member of our Medicare Advantage team, you will provide strategic oversight and...and values. This role will involve the implementation and management of operating systems and processes for driving consistent… 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
- 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
- Health First (Melbourne, FL)
- …team on annual release of CMS guidelines and regular updates. Provide Medicare eligibility expertise and event coordination support to customer service as needed ... Sales or other operational teams at HFHP. Work with Director of Customer Experience to problem solve, develop skills...industry and regulatory changes and implications they pose to Medicare beneficiaries. * Assist with walk-in sales and seminars… 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
- 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
- Henry Ford Health System (Grand Rapids, MI)
- GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- The Cigna Group (Tucson, AZ)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director , and Other ... this position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care … more