- 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
- CVS Health (Sacramento, CA)
- …convenient and affordable. Position Summary The Director of Client Management - Medicare Product will have the opportunity to lead our client acquisition and ... retention strategy for our Medicare specific products. The Director will be...which are best able to drive improvements As the Lead Director you will work closely with… 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
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Medicare Duals Management Director - Ohio** + Job Family: BUS > Strategy, Planning ... 04, 2024 + Reference: JR111940 **Location:** + OH, COLUMBUS **Description** ** Medicare Duals Management Director -Ohio** **Location** : This position will… more
- Elevance Health (Grand Prairie, TX)
- …you a check, or ask you for payment as part of consideration for employment. ** Medicare Duals Management Director -West** + Job Family: BUS > Strategy, Planning & ... **Location:** + TX, GRAND PRAIRIE + CO, DENVER + WA, SEATTLE **Description** ** Medicare Duals Management Director -West** **Grand Prairie, TX, Denver, CO, or… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Director , Group Medicare Sales and Labor Relations sells health insurance and related ... 300+ contracts) and leads the Labor Relations team. The Director , Group Medicare Sales and Labor Relations...up to 3,000 enrolled members. In addition, they will lead our Labor Relations team, ensuring effective alignment and… 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
- CareOregon (Portland, OR)
- …and Medicare Exemption Status Exempt Department Finance Manager Title Director , Actuarial Services Direct Reports Actuarial Staff Requisition # 24102 Pay and ... position is responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a focus on supporting strategic decision… 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
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Medicare Advantage Director , the Application Manager (AM) will be the primary expert in support of the application. As the ... requests * Identify training needs for team members and lead efforts to enhance their application knowledge * Work...EPIC Tapestry and other related software in support of Medicare advantage health plan administration. Salary Range: $105,200 -… 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
- Humana (Columbus, OH)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Columbus, OH)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- Humana (Columbus, OH)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more