- UCLA Health (Los Angeles, CA)
- …required * Minimum of 5 years' experience with CMS processes in a Medicare or Managed Care environment required * Project Management Professional certification ... at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business...technical teams as well as product owners/managers/directors to achieve project objectives and deliverables that include project … more
- BlueCross BlueShield of North Carolina (NC)
- …Leads and manages the day-to-day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and ... resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business owners and sponsors to develop and successfully… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …us transform healthcare? Bring your true colors to blue. What We Need The Medicare Advantage Network Performance Manager , as a member of a cross-functional team, ... and coding, and product management and marketing. To accomplish this work, the Medicare Advantage Network Performance Manager will work closely with Provider… more
- Elevance Health (Columbus, OH)
- …check, or ask you for payment as part of consideration for employment. **Marketing Manager - Medicare Strategy Consultant** + Job Family: MKT > Marketing, ... and 1-2 days in office per week. The **Marketing Manager - Medicare Strategy Consultant** is responsible...to convey strategic concepts clearly and persuasively. + Exceptional project management skills and the ability to prioritize and… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and ... people + This role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer...+ Ability to manage time and personnel on a project and everyday basis. + Working knowledge of relevant… more
- Humana (Los Angeles, CA)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual… more
- Healthfirst (New York, NY)
- The Manager , Medicare Markets is passionate and motivated by Healthfirst's mission and wants to make a lasting impact in healthcare. This individual will create ... medical economics, risk adjustment, and population health strategy implement Medicare strategy for profitable performance and ensure seamless partnership and… more
- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. Position SummaryAs a member of the Medicare Stars Member Experience team, the Manager of Business Consultation is ... engagement campaigns, and program development with the goal of improving Medicare Star Ratings. Responsibilities include developing and managing initiatives focused… more
- Centene Corporation (Brooklyn, NY)
- … project management, or business analysis experience within the Medicare field. **Licenses/Certifications:** Current state's driver license. State Accident and ... including a fresh perspective on workplace flexibility. **Position Purpose:** Manage Medicare sales and business for assigned markets. + Prospect, appoint and… 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 ... in all phases of the System Development Life Cycle (SDLC) or relevant project management methodologies * Ensure adherence to test and change control procedures… more
- CVS Health (Jackson, MS)
- …to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment ( Medicare ) will be responsible for leading Risk Adjustment ... for the Georgia & the Gulf States Medicare Market, specifically in Mississippi. This role will have responsibility in maintaining and improving risk adjustment… more
- CVS Health (Atlanta, GA)
- …to make health care more personal, convenient and affordable. As the Senior Manager , Risk Adjustment ( Medicare ) will be responsible for leading Risk Adjustment ... for the Georgia & the Gulf States Medicare Market. This role will have specific responsibility for Georgia in maintaining and improving risk adjustment accuracy by… more
- Elevance Health (Columbus, OH)
- …you for payment as part of consideration for employment. **Audit & Reimbursement III - Medicare Cost Report Audit** + Job Family: AFA > Audit, Comp & Risk + Type: ... + TX, HOUSTON + VA, NORFOLK **Description** **Audit & Reimbursement III - Medicare Cost Report Audit** **Locations:** This is a virtual position; the ideal candidate… more
- Elevance Health (Columbus, OH)
- …ask you for payment as part of consideration for employment. **Audit & Reimbursement II - Medicare Cost Report Audit** + Job Family: AFA > Audit, Comp & Risk + Type: ... W DES MOINES + VA, ROANOKE **Description** **Audit & Reimbursement II - Medicare Cost Report Audit** **Locations:** This is a virtual position, the ideal candidate… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** Reporting to the Manager of Product Development in the Digital Strategy team, this role will lead product development efforts targeting the ... Medicare market, addressing the needs of both direct shoppers...members in their creation. + Collaborate with the product manager to ensure customer needs and business priorities are… more
- CVS Health (Buffalo Grove, IL)
- …more personal, convenient and affordable. Position Summary The Sr. Clinical Pharmacist, Medicare - Medical Affairs leads within the Medical Affairs team and external ... across the organization to support customer needs. The Sr. Clinical Pharmacist, Medicare - Medical Affairs is responsible for supporting the creation and maintenance… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY:** The Account Management Lead Associate (Account Manager ) will provide support to the Account team for their assigned Line of Business. The ... client access requests, and assist with benefit set-up and project support as requested. The primary focus for the...Account Management Lead Associate must collaborate with the Account Manager , Operations Sr. Manager , Account Executive, and… more
- The Cigna Group (Morris Plains, NJ)
- The Manager is responsible for ensuring our Centene client receives superior service. Key member of the core client account team is responsible for overall ... for clients working cross-functionally with all operational. The Account Manager proactively reviews performance metrics to promote client satisfaction,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and help our members achieve their best possible health and quality of life. IT Project Manager I Assists in leading enterprise projects and teams in compliance ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.... status and track and report major issues. IT Project Manager II Leads enterprise projects and… more
- BlueCross BlueShield of North Carolina (NC)
- …**What You'll Do** + Support Pharmacy Quality Team initiatives and work on Medicare Part D Patient Safety measure gap closure + Provide advanced technical knowledge ... large, complex departmental and/or some corporate projects/initiatives. + Facilitates project including intake, scheduling of projects, implementation, post-implementation support,… more