- Merck & Co. (North Wales, PA)
- Job DescriptionAssociate Director , Pulmonary Arterial Hypertension (PAH) Payer Marketing & Access Strategy As Associate Director , PAH & Rare Disease Payer ... of US market access strategies and tactics and serve the primary segment lead for US Payers, Pharmacy-Benefit Managers (PBM), and employers.This role will require… more
- Option Care Health (Bannockburn, IL)
- …conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for ... developing, and retaining a diverse workforce. Job Description Summary:The Director , Compliance Investigations is responsible for developing and maintaining a… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …About the Role:Job SummaryUnder the general direction of the Executive Director , Corporate Controller, responsible for the coordination of all CMS reporting ... make recommendations to senior management related to proposed changes. Takes the lead for the organization's Accounts Receivable review and analysis Minimum Job… more
- Option Care Health (Charleston, SC)
- …conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for ... workforce. Job Description Summary:Under the direction of the Regional Sales Director , Health Systems Solutions (RSD, HSS), manages the development and execution… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …visitor and staff safety and effectively manages hazards that lead to injury or harm.Productivity: Meets productivity expectations.Regulatory Compliance: Ensures ... criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized format of the… more
- 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
- 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
- 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
- Elevance Health (Columbus, OH)
- ** Medicare Duals Management Director -Ohio** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 ... miles of our **Columbus, OH** Elevance Health PulsePoint location. The ** Medicare Duals Management Director ** is responsible for developing and ensuring the… more
- Elevance Health (Grand Prairie, TX)
- ** Medicare Duals Management Director -West** **Grand Prairie, TX, Denver, CO, or Seattle, WA** **Location** : This position will work a hybrid model (remote and ... TX, Denver, CO, or Seattle, WA** Elevance Health PulsePoint locations. The ** Medicare Duals Management Director ** is responsible for developing and ensuring… 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
- 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
- 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
