- Healthfirst (New York, NY)
- The Project Manager , Medicare will manage small to large enterprise-level projects that have department or enterprise-level importance, moderate to high risk ... team in support of higher-level project or program managers. The Project Manager , Medicare will work collaboratively with the Sales & Retention and… more
- 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
- CTG (CA)
- …and a thorough understanding of customer service best practices in the healthcare Medicare Advantage industry. As the Customer Service Manager , you will be ... protected classes. Submit a referral to this job (https://usjobs-ctg.icims.com/jobs/10669/ medicare -advantage-plan-call-center- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834384795) **ID** _2024-10669_ **Title** _Medicare Advantage… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager II ( Medicare ) Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product Strategy, Sales and Marketing… more
- Humana (Atlanta, GA)
- …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
- 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
- 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
- Providence (Portland, OR)
- …the best people, we must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics who will:** + Lead the review of Medicaid capitation rate ... capitation rate setting + Provide expertise and consultation to support the Medicare bid process and pricing strategy + Evaluate the financial performance for… more
- Centene Corporation (Philadelphia, PA)
- … 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
- Commonwealth Care Alliance (Boston, MA)
- …This Role is Important to Us:** Under direction of the Director of Medicare Compliance, the primary focus areas of this position include development and oversight ... includes: Corrective Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance… more
- The Cigna Group (Bloomington, MN)
- …non-standard reporting, submit client access requests, and assist with benefit set-up and project support as requested within the Medicare and/or Exchange lines ... **POSITION SUMMARY:** The Account Management Lead Associate (Account Manager ) will provide support to the Account team for their assigned Line of Business. The… 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
- Centene Corporation (Columbus, OH)
- …contact during implementation and an ongoing basis for assigned and new Medicare sales agent accounts. Manage and monitor satisfaction and recommend appropriate ... problem resolution and promote high client satisfaction + Conduct trainings on Medicare market competition and products + Communicate regularly with internal staff… more
- Universal Health Services (Richmond, VA)
- …Rico and the United Kingdom. https://uhs.com/ UHS's Atlantic Region CBO seeks a talented Medicare Billing Manager who is eager to contribute their expertise and ... a rewarding career. The primary responsibility of the Billing Manager is to manage all activities of the billing...billing department, including but not limited to: Billing of Medicare , Medicaid, and Commercial accounts as defined by policy… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III - Medicare Cost Report Audit** **Locations:** This is a virtual position; the ideal candidate will live within 50 miles of an Elevance ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- CenterWell (Columbus, OH)
- …part of our caring community and help us put health first** The Original Medicare ('OM') Growth Strategy Advancement Lead will design and implement the new patient ... growth strategy for the new Original Medicare line-of-business, with a focus on grassroots patient activation....years of experience + 4 or more years of project leadership experience + Growth, sales, or strategy experience… 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