• Novo Nordisk Inc. (Olive Branch, MS)
    …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer more
    HireLifeScience (03/28/24)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    …delivers a deep understanding of landscape, changes, and trends in the Commercial, Medicare , and Medicaid channels across all NNI therapeutic areas. Supports ... Functions Helps inform, and executes on, overarching strategy for Commercial, Medicare , and Medicaid channels, ensuring cross-functional support for strategic… more
    HireLifeScience (03/23/24)
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  • Merck & Co. (North Wales, PA)
    customer segments including payer and provider -(eg, health plans, Medicare , Medicaid , federal, pharmacy, hospital, Group Purchasing Organizations, ... SkillsMinimum of (4-5) years combined experience in Pharmaceutical Marketing, Marketing Customer Management, Managed Care or ContractingMinimum (2.5) years of… more
    HireLifeScience (03/19/24)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    … systems in the US, including managed care organizations, PBMs, health care delivery systems, Medicare , and Medicaid . Record of peer-reviewed scientific ... most diverse and collaborative groups within the organization. From health- care -provider interactions and developing and implementing regulatory strategies with the… more
    HireLifeScience (03/18/24)
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  • Lundbeck (Boise, ID)
    …to join the growing promotion of our CNS portfolio to primary care and specialties including Psychiatrist, Neurologist, and Institutional Accounts such as Skilled ... to deploy approved services necessary to meet the needs of each account/ customer . Our Neuroscience Account Managers are adept at executing against the toughest… more
    HireLifeScience (01/25/24)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    …forecasting and reporting of contract profitability of customer segments (eg, Managed Care , Non-Federal Hospitals, Long-Term Care , Medicare Part D, ... aspects of a contract. Provides such documents to the account executive and/or customer within the required time frame Obtains all appropriate and required internal… more
    HireLifeScience (01/25/24)
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  • Compass Health Network (Columbia, SC)
    …of a multi-disciplinary team* Keep informed of, and communicate any changes to Medicare , Medicaid , and any Private Insurance Carriers regarding covered services ... and partnering with all department lines for efficient and appropriate client care . This is a full-time benefit eligible position working Monday-Friday 8:00 am… more
    JobGet (03/25/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    care from a cost effectiveness perspective and utilizing hospice philosophy of care . Understands hospice Medicare / Medicaid /payor benefits and delivers ... customer service and interpersonal skillsSkill in documenting clinical care in software system via laptop computerAble to work independently and… more
    JobGet (03/28/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    care from a cost effectiveness perspective and utilizing hospice philosophy of care . Understands hospice Medicare / Medicaid /payor benefits and delivers ... customer service and interpersonal skills.Skill in documenting clinical care in software system via laptop computer.Able to work independently and… more
    JobGet (03/05/24)
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  • Manager, Product Lifecycle - Medicare

    CareFirst (Baltimore, MD)
    …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid , and Federal Employee Health Benefits categories. Leads the ... performance, forecast sales and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization of all benefits… more
    CareFirst (03/21/24)
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  • Manager, Business Consultants - Medicare

    CareFirst (Baltimore, MD)
    …benefits/incentives are subject to eligibility requirements). **Department** Leadership - Medicaid & Medicare **Equal Employment Opportunity** CareFirst ... organizational design, systems thinking/engineering, business process reengineering, process improvement, customer experience, strategic planning. **Knowledge, Skills and Abilities (KSAs):**… more
    CareFirst (03/14/24)
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  • Senior Medicare Plan Document & Project…

    Fallon Health (Worcester, MA)
    …integrated care for our members with a special focus on those who qualify for Medicare and Medicaid . We also serve as a provider of care through our ... PACE regulatory and sub-regulatory guidance from the Centers for Medicare & Medicaid Services (CMS) via HPMS...vendors. Manages all aspects of developing and submitting all Medicare Advantage and Senior Care Options Evidence… more
    Fallon Health (02/16/24)
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  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …internal and external teams including but not limited to: Pharmacy IT, Membership, COB, Care Management, Customer Care , and PBM to ensure that ... pharmacy, or PBM operations, which includes exposure to Centers for Medicare & Medicaid Services (CMS) guidelines, preferably Part D. . Certified Pharmacy… more
    Medical Mutual of Ohio (03/12/24)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …+ Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in home care and Long-term care services, ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company...by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process… more
    Centers Plan for Healthy Living (03/05/24)
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  • Medicare Field Sales Representative…

    CVS Health (Harrisburg, PA)
    …existing members with service issues Required Qualifications - Bilingual (Spanish) - Medicare experience/Basic understanding of Medicare / Medicaid - Active ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...Aetna, a CVS Health Company, we are expanding our Medicare Sales team and are looking for candidates who… more
    CVS Health (03/10/24)
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  • Medicare Specialist

    HCA Healthcare (Hendersonville, TN)
    **Description** **Introduction** Do you have the career opportunities as a Medicare Specialist you want with your current employer? We have an exciting opportunity ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...of colleagues. Do you want to work as a Medicare Specialist where your passion for creating positive patient… more
    HCA Healthcare (03/07/24)
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  • Executive Director, Data Science - Medicare

    CVS Health (New York, NY)
    …Consumer Analytics organization. The team partners with Aetna's Government lines of business ( Medicare , Duals, Medicaid , ACA) to consult with business leaders to ... STARS team portfolio, with responsibility for behavior change of clinical gaps in care (focused on HEDIS) and improving customer experience (CAHPS, HOS, NPS),… more
    CVS Health (03/28/24)
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  • Market Network Operations Lead (Behavioral Health/…

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Operations Lead will be the Subject Matter Expert on Virginia Medicaid Behavioral Health. Responsibilities will include maintaining provider relations to support… more
    Humana (03/28/24)
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  • Medicare Market President- Texas & Arizona-…

    The Cigna Group (Houston, TX)
    …individual and government-sponsored health plans and products. Cigna Medicare offers Medicare Advantage, Part D and Medicaid solutions within the Cigna ... by creating personalized, differentiated, and simpler solutions throughout the customer life cycle. We strive to maximize the value...The Medicare Market President is the Cigna Medicare P&L owner for the market and will report… more
    The Cigna Group (03/20/24)
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  • Medicare Risk Adjustment Advanced Analytic…

    Elevance Health (Washington, DC)
    …with Teradata, SQL, or equivalent data base tools strongly preferred. + Medicare Advantage and Medicaid (Dual Members) risk adjustment experience preferred. ... check, or ask you for payment as part of consideration for employment. ** Medicare Risk Adjustment Advanced Analytic Consultant** + Job Family: Analytics + Type: Full… more
    Elevance Health (03/05/24)
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