- UCLA Health (Los Angeles, CA)
- …relationship-building skills with clinical and non-clinical personnel * Knowledge of the Medicare Advantage STARS program and NCQA technical specifications ... all this and more at UCLA Health. As a key leader within our Medicare Advantage team, you will develop and execute of strategies, programs, and projects while… more
- The Cigna Group (Franklin, TN)
- …market and will work in the Franklin, TN office several days per week** ** Medicare Advantage position** The ** Manager , Provider Network Contracting** serves ... group contracting and negotiations** + **Experience with Healthcare - Commercial and Medicare Advantage ** + Experience in developing and managing key provider… more
- CareOregon (Portland, OR)
- …This position is responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a focus on supporting strategic ... includes analyzing Medicaid capitation rates, overseeing the actuarial components of the Medicare Advantage bid pricing, and analyzing historical and emerging… more
- CVS Health (Hartford, CT)
- …the Manager of Business Consultation is responsible for optimizing Medicare Advantage member journey through process improvement, engagement campaigns, and ... program development with the goal of improving ...is dedicated to achieving best-in-class quality and value to Medicare Advantage beneficiaries. Optimizing business performance and… more
- The Cigna Group (Baltimore, MD)
- Leads the development of customer onboarding and marketing plans for the Medicare Advantage customer journey. Communication plans will be multi-modal to include ... communications. The key responsibilities of this role include: + Development of Medicare Advantage customer communication strategy that accounts for customer… more
- CVS Health (Phoenix, AZ)
- … expertise in stakeholder facilitation, communications and relationship management + Medicare Advantage Products, including a basic understanding of special ... (high level) of provider networks as they pertain to Medicare Advantage products (contracting, adequacy, value-based payment...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Hartford, CT)
- …managing, or reviewing CMS Annual Medicare member materials for a Medicare Advantage health plan. This includes Evidence of Coverage (EOC), Annual ... week Position Summary This position reports to the Director, Medicare Member Materials. This is an individual contributor role....for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- CareOregon (Portland, OR)
- …Skills and Abilities Required Knowledge + Advanced knowledge of Medicare , the Medicare Advantage program and CMS + Strong understanding of managed ... Vice President of Medicare is responsible for strategy and execution of the Medicare Advantage line of business. The majority of time is focused on… more
- Medical Mutual of Ohio (OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans ... opportunity_** . **_Eastern & Central Time Zones preferred._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers… more
- CVS Health (Wellesley, MA)
- …direct-to-consumer marketing campaigns for Aetna Marketing to support the growing, fast-paced, Medicare Advantage and Dual Eligible Special Needs Plans (D-SNP) ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your… more
- The Cigna Group (Dallas, TX)
- …week** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage 's Risk Adjustment & Stars program for assigned populations in an ... the direction of Risk Adjustment & Stars Provider Education Supervisor and/or Manager to reach overall operational market goals in conjunction with market network… more
- Fallon Health (Worcester, MA)
- …more information, visit fallonhealth.org. **Brief Summary of Purpose:** Principle responsibility of the Medicare 5 star Program Manager is to collaborate ... well as prioritize and recommend improvements through data-driven analysis. The Medicare 5 star Program Manager will also be responsible for investigating… more
- Universal Health Services (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... organization, and facilitation of the development of Prominence commercial and Medicare Advantage products, system and infrastructure improvements, and vendor… more
- CareOregon (Portland, OR)
- …execution, and management of the risk adjustment data analytics programs for the Medicare Advantage and Medicaid programs. Assists Director in developing a ... Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager...of the CDPS + Rx model + Understanding of Medicare Advantage and OHP risk adjustment regulations… more
- Universal Health Services (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... State and Federal laws, regulations, policies and practices for the administration of Medicare Advantage , Prescription Drug Plan, and compliance programs in a… more
- Universal Health Services (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... of and management of a comprehensive Care Management and Transitions of Care Program . The Clinical Manager is responsible for the implementation, and management… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... best possible health and quality of life. IT Project Manager I Assists in leading enterprise projects and teams...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Responsible for ... equivalent work experience. . Proven experience as a Portfolio Manager or in a similar role. . 7 years'...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. The Manager , HRIS manages the selection, ... including jeans. Excellent Benefits and Compensation: + Employee bonus program . + 401(k) with company match up to 4%...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more