- Humana (Los Angeles, CA)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of ... train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- The Cigna Group (Phoenix, AZ)
- **DTC Marketing Senior Manager - Medicare - Hybrid** The Segment Marketing Senior Manager will oversee direct-to-consumer (DTC) marketing for the ... Cigna Medicare Part D (PDP) business, reporting to the VP...growth across the PDP product portfolio. The Segment Marketing Senior Manager will support sales goals by… more
- The Cigna Group (Philadelphia, PA)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- CVS Health (Jackson, MS)
- …deliver solutions 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… more
- CVS Health (Atlanta, GA)
- …deliver solutions 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… 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, ... product management and marketing. To accomplish this work, the Medicare Advantage Network Performance Manager will work...senior management informed of the performance of the Medicare Advantage network. + Conduct ad hoc analyses of… more
- The Cigna Group (Bloomfield, CT)
- …related field with current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote ... assignments of a defined population based on business perspectives. The Case Manager will promote quality cost-effective outcomes managing care needs through… more
- The Cigna Group (Bloomfield, CT)
- …nursing license required. + **Job Description** + This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the ... a defined population based on business perspectives. The Case Manager will promote quality cost-effective outcomes managing...an active caseload of case management cases for Cigna Medicare . Uses clinical knowledge to assess the treatment plan… more
- CVS Health (Irving, TX)
- …Process SOP and all current regulatory requirements. This position reports to the Senior Manager - Contract Operations helping to implement and coordinate ... for our clients and helping to make pharmaceuticals more accessible. The Senior Analyst works with multiple internal and external stakeholders to generate, red-line,… more
- Medical Mutual of Ohio (OH)
- …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… more
- Elevance Health (Columbus, OH)
- …FL, TAMPA + IA, W DES MOINES + VA, ROANOKE **Description** **Audit & Reimbursement Senior - Medicare Cost Report Audit** _This is a virtual position, the ideal ... and Medicaid Services to transform federal health programs. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the… more
- The Cigna Group (Franklin, TN)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and ... in the Franklin, TN office several days per week** ** Medicare Advantage position** The ** Manager , Provider Network...and manages initiatives that improve total medical cost and quality . + Drives change with external provider partners by… more
- BlueCross BlueShield of North Carolina (NC)
- …Possess project management skills and a deep understanding of revenue strategy and quality programs within Medicare Advantage, Medicare Supplement, DSNP, ... **Job Description** Reporting to the Manager of Product Development in the Digital Strategy...this role will lead product development efforts targeting the Medicare market, addressing the needs of both direct shoppers… more
- The Cigna Group (Houston, TX)
- …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial review. + Assisting in initiatives and… more
- BrightSpring Health Services (Arlington, TX)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... centers nationwide. If your passion is service excellence and top- quality care come join our team and apply today!...hour, as determined by the Director and Clinical Hub Manager . + Prioritizes work to meet daily and competing… more
- Humana (Fort Myers, FL)
- …of how organization capabilities interrelate across department(s). The Senior Manager , MarketPoint Sales will supervise Medicare Sales Representatives who ... caring community and help us put health first** The Senior Manager , MarketPoint Sales leads an internal...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- The Cigna Group (Charlotte, NC)
- The Provider Performance Enablement (PPE) Senior Manager is an integral part of a cross-functional, collaborative organization (which includes Market Provider ... provider network for the assigned to the Carolina's market. The Provider Performance Senior Manager 's responsibilities include: + Leading and managing the PPE… more
- WellSense (Boston, MA)
- Nurse Care Manager ( Senior Care Product) - Field Based WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... clinical team. The SCO program is designed to deliver high- quality , compassionate care to seniors in their home. We're...clinical and assessment skills + Experience with the Medicaid, Medicare , and Senior population + Experience with… more
- The Cigna Group (Bloomfield, CT)
- **U.S. Government Technology, Claims & Enrollment - Application Development Senior Manager ** **Position Overview:** The job profile for this position is ... Application Development Senior Manager , which is a Band 4...end-to-end implementation of solutions for the core administration of Medicare Advantage and CareAllies health plans. To ensure future… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer ... use. The Senior Product Manager work assignments involve moderately...need it. These efforts are leading to a better quality of life for people with Medicare ,… more