- CVS Health (Sacramento, CA)
- …to make health care more personal, convenient and affordable. Position Summary The Director of Client Management - Medicare Product will have the opportunity ... lead our client acquisition and retention strategy for our Medicare specific products. The Director will be...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (New York, NY)
- …for energetic team member to bring discipline and strategic thinking to our Medicare Marketing Efforts. The Lead Director , Medicare Marketing Strategic ... 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
- 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...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- CVS Health (New York, NY)
- …business impact. Payor-provider healthcare experience, with government programs (eg, Medicare ) highly preferred. Behavior change engagement program experience, ... Analytics organization. The team partners with Aetna's Government lines of business ( Medicare , Duals, Medicaid, ACA) to consult with business leaders to define and… more
- Molina Healthcare (Long Beach, CA)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… 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 ... optimize the programs' clinical benefit, financial accuracy and ensure program compliance with governing bodies' regulations, including the Center for Medicare … more
- CVS Health (Hartford, CT)
- …convenient and affordable. Position Summary Works closely with the Executive Director , National SNP Sales Strategy, in the creation, refinement and delivery ... a well-rounded SNP subject-matter-expert in sales, distribution, marketing and Medicaid/ Medicare processes, contributing holistic support to any recommendation. +… more
- The Cigna Group (Bloomfield, CT)
- …visits._** **_Must reside in_** _East Tennessee_ **_area - Knoxville/Chattanooga_** The ** Director , Provider Network Contracting** serves as an integral member of ... and Ancillary group contracting and negotiations** + **Experience with Healthcare - Medicare Advantage** + Analytical skills a plus + Experience in developing and… more
- CareOregon (Portland, OR)
- …leads a governance model that ensures understanding and alignment of the Medicare program across intersecting departments, matrixed relationships, and external ... Administration Manager Title Chief Financial Officer Direct Reports Director , Medicare Requisition # 24180 Pay and...and reporting of performance against metrics. + Ensures the Medicare program meets all CMS, OHA, contractual… more
- CVS Health (Hartford, CT)
- …Drive Aetna/CVS's ability to achieve its financial and strategic goals for our Medicare Advantage and Duals product lines (>$50 Billion in Revenue) through effective ... of strategic and business initiatives. Through a new Local Market Medicare Finance team partner with market/function heads of Individual General Enrollment… 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
- Centers Plan for Healthy Living (Staten Island, NY)
- …of, Medicare or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements : The physical requirements ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island,...responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with… more
- CVS Health (Hartford, CT)
- …up to 3 days a week Position Summary This position reports to the Director , Medicare Member Materials. This is an individual contributor role. Responsible for ... end-to-end development of annual CMS Medicare member materials. This position will have accountability for...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (St. Louis Park, MN)
- …Support community development, member education, and other activities as directed by the Director of Medicare Operations and as customer service demands allow. ... Innovate to evolve the Allina Health | Aetna's in-person concierge customer service program to meet the changing needs of members.* Define and track program… more
- CVS Health (Jackson, MS)
- …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...working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the… more
- CVS Health (Atlanta, GA)
- …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...working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …workgroups and projects as a subject matter expert (SME) + Collaborate with Director and Senior Program Consultants to identify/ implement workflows and process ... 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
- CVS Health (Wellesley, MA)
- …marketing campaigns for Aetna Marketing to support the growing, fast-paced, Medicare Advantage and Dual Eligible Special Needs Plans (D-SNP) business lines. ... You will report to the Executive Director of Member Marketing and will: - Design and...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- The Cigna Group (Birmingham, AL)
- …member of the Provider Contracting Team and reports to the Provider Contracting Director . This role assists in developing the strategic direction and management of ... contracting and negotiations** + **Experience with Healthcare - Commercial and Medicare Advantage** + Experience in developing and managing key provider… more
- BrightSpring Health Services (Arlington, TX)
- …Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy ... productivity goals with regard to calls/claims per hour, as determined by the Director and Clinical Hub Manager. + Prioritizes work to meet daily and competing… more