• Project Manager - National Ancillary…

    The Cigna Group (Bloomfield, CT)
    …The ** Project Manager ** is a key role that supports **Cigna's Medicare Advantage ** line of business, directly addressing customer and client demands for ... and service performance outcomes within their assigned segment(s). The ** Project Manager ** will serve as a liaison...+ Demonstrated ability to influence decisions in support of Medicare Advantage vision & strategy + **Proficient… more
    The Cigna Group (09/10/24)
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  • Medicare Advantage Operations…

    UCLA Health (Los Angeles, CA)
    …can do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well ... of 5 years' experience with CMS processes in a Medicare or Managed Care environment required + Project... Medicare or Managed Care environment required + Project Management Professional certification is a plus + Experience… more
    UCLA Health (08/03/24)
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  • Nurse Researcher - Medicare

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …is responsible for completing the Medical Policy activities outlined in BCBSLA's Medicare Advantage Medical Policy Development Policies & Procedures locating, ... information and working closely with the Medical Directors and Manager of Medical Policy and Medical Appeals to ensure...needed to support the Medical Directors in developing appropriate Medicare Advantage medical policies. + Writes a… more
    Blue Cross and Blue Shield of Louisiana (09/14/24)
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  • Senior Manager , Medicare Markets…

    Healthfirst (NY)
    …skills + Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Self-motivated and driven + Understands and translates ... presentation skills + Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Team player who contributes to creating a… more
    Healthfirst (08/07/24)
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  • Manager , Medicare Markets - STARS…

    Healthfirst (NY)
    …Excel skills + Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Self-motivated and driven + Understand and translate ... communication skills + Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Team player who contributes to creating a… more
    Healthfirst (08/10/24)
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  • Medicare Product Solutions Manager

    LA Care Health Plan (Los Angeles, CA)
    Medicare Product Solutions Manager II Job...partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage , with ... Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position...to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product… more
    LA Care Health Plan (08/30/24)
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  • Medicare Product Solutions Manager

    LA Care Health Plan (Los Angeles, CA)
    …of business. Experience in improving Stars and Quality Measures. Experience in Medicare Advantage , with experience serving duals population. Direct experience in ... Medicare Product Solutions Manager III Job...features of MS Office including Excel, PowerPoint, Word, MS Project , Visio. Ability to manage risk through change control… more
    LA Care Health Plan (09/03/24)
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  • Medicare Program Manager III

    Centene Corporation (Cheyenne, WY)
    Medicare Supplemental benefits including dental, vision and hearing + Support Medicare Advantage bid development to determine product and benefit changes in ... project implementation, product or program management experience. + Medicare Supplement Benefits (Dental, Vision, Hearing) experience strongly preferred. + 5+… more
    Centene Corporation (09/20/24)
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  • IT Project Manager I-IV

    Medical Mutual of Ohio (Dublin, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... their best possible health and quality of life. IT Project Manager I Assists in leading enterprise...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
    Medical Mutual of Ohio (08/23/24)
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  • Project Manager

    Medical Mutual of Ohio (Brooklyn, OH)
    …coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** ** Project Manager II** ... as assigned. . Continuous Education and Staff Development. **Senior Project Manager ** Manages enterprise projects, programs, and...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
    Medical Mutual of Ohio (07/19/24)
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  • Project Manager

    Harvard University (Cambridge, MA)
    …ManagementPre-Employment Screening:Education, IdentityJob Function:General Administration Position Description: The Project Manager will independently perform a ... analysis) and ensure they are performing high-quality work. The Project Manager will also perform other duties...policy research projects, such as the following: A) Comparing Medicare Advantage and Traditional Fee-for-Service Medicare more
    Harvard University (09/05/24)
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  • Provider Network Informatics Project

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... our members achieve their best possible health and quality of life. IT Project Manager I + Assists in leading enterprise projects and teams in compliance with… more
    Medical Mutual of Ohio (09/07/24)
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  • Senior Project Manager (Temporary…

    Medical Mutual of Ohio (OH)
    **Sr. Project Manager (temporary assignment)** **Location: Remote** Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance ... self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and...and individual plans. Depending on level of experience, the Project Manager assists, leads, or manages large… more
    Medical Mutual of Ohio (07/17/24)
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  • Manager Research Project C…

    University of Pennsylvania (Philadelphia, PA)
    …funding. Job Description The Healthcare Transformation Institute is seeking a highly-motivated Project Manager C (PM-C) with strong research, management and ... programs and resources, and much more. Posted Job Title Manager Research Project C (Department of Medical...are diverse in focus, currently encompassing - machine learning, Medicare Data, and geriatric oncology - and include both… more
    University of Pennsylvania (08/14/24)
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  • Health Plan Quality Program Manager

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Facilitates and ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
    Medical Mutual of Ohio (08/20/24)
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  • Business Project Senior Analyst - Northeast…

    The Cigna Group (Bloomfield, CT)
    …termination management process in assigned markets for Commercial, IFP and Medicare Advantage products. Works closely with Contracting, Network Solutions, ... for senior management on project status. **Responsibilities:** + Lead as Project Manager for National Account Recruitment Requests, Middle Market and Local… more
    The Cigna Group (08/14/24)
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  • Manager , Acquisition Marketing - Group…

    Medical Mutual of Ohio (Brooklyn, OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
    Medical Mutual of Ohio (09/13/24)
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  • Manager , Facility Operations and Capital…

    Martin's Point Health Care (Portland, ME)
    …most major insurance plans. Martin's Point also administers two health plans: Generations Advantage ( Medicare Advantage plans available throughout Maine and ... with other facilities professionals including engineering and architectural firms. The manager develops and manages project budgets and operational budgets… more
    Martin's Point Health Care (07/02/24)
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  • Provider Account Manager

    Highmark Health (Camp Hill, PA)
    Medicare services (CMS) laws and regulations, policies and guidelines regarding Medicare Advantage and Medicaid plans; HIPAA privacy and security regulations. ... presenting concepts to varying audiences + 3 years of Project management experience or other relevant experience with high...presenting concepts to varying audiences + 5 years of Project management experience or other relevant experience with high… more
    Highmark Health (09/18/24)
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  • Provider Account Manager - Strategic…

    Highmark Health (Harrisburg, PA)
    Medicare services (CMS) laws and regulations, policies and guidelines regarding Medicare Advantage and Medicaid plans; HIPAA privacy and security regulations. ... presenting concepts to varying audiences + 3 years of Project management experience or other relevant experience with high...presenting concepts to varying audiences + 5 years of Project management experience or other relevant experience with high… more
    Highmark Health (08/16/24)
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