- UCLA Health (Los Angeles, CA)
- …accuracy and compliance throughout the member lifecycle. Key Responsibilities: + Lead end-to-end Medicare Advantage product development. + Support and help ... Description We're seeking a strategic Senior Product Manager to lead the design,...+ Eight or more years of progressive experience in Medicare Advantage product management, … more
- CVS Health (Concord, NH)
- …of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group ... every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L...with corporate teams. The Market GM will drive local product strategy and local market intelligence, be responsible for… 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 ... Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare ...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Health Solutions company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution ... drive the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that...product management, with at least 3+ years in Medicare Advantage Risk Adjustment or a related… more
- Highmark Health (Pittsburgh, PA)
- …* Experience managing vendor relationships for health-related services * Experience analyzing Medicare Advantage insurance product financial performance * ... feature set. Highlights of the ideal candidate experience: * Strong knowledge of Medicare Advantage and D-SNP insurance products * Understanding of Medicare… more
- Point32Health (Canton, MA)
- …or related field **Experience** + Required (minimum): 5 years in Medicare Advantage , Medicaid managed care, or healthcare product strategy. + Preferred: 5 ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Performance Manager ( Product Strategy) is responsible for supporting product… more
- Abbott (Austin, TX)
- …(CTR). **What You'll Work On** + Review clinical investigative plan and payer policies ( Medicare , Medicare Advantage , Medicaid and Private Payer) to provide ... developments that affect existing and future clinical trials. + Assist sites with Medicare , Medicare Advantage , Medicaid and Private Payor prior… more
- Molina Healthcare (Las Cruces, NM)
- …human service worker, Sales, Navigator, Assistor, Connecter, Promotora, Marketing, Growth, Manager , Supervisor, Leader, Management, Medicare Advantage Pay ... for all product lines. + Demonstrates thorough understanding of Molina's product lines, Medicaid, CHIP, Medicare SNP, Marketplace, MMP, etc **JOB… more
- Banner Health (AZ)
- …identifying, compiling and disseminating legislative and regulatory trends and initiatives that impact Medicare , Medicare Advantage and Medicare ... disseminates legislative and regulatory trends and initiatives that impact Medicare , Medicare Advantage and ...Medicare Compliance Dashboard. 8. Assists with the annual Medicare Product implementation workgroup. 9. This position… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …filings and financial statements for assigned business segments. + Leads preparation of Medicare Advantage bids and coordinates CMS bid review responses. + ... we encourage you to apply! Job Description: Summary: The Manager of Actuarial Services is responsible for managing a...for complex projects in support of our organization's diverse product portfolio. This role will oversee the development of… more
- Commonwealth Care Alliance (Boston, MA)
- …**Desired Experience (nice to have):** + Experience working in a health plan, with Medicare Advantage and/or dually eligible population + Experience with a care ... Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral… more
- USAA (Tampa, FL)
- …provide brokered products including Final Expense, Universal Life Insurance, Medicare Advantage & Prescription Drug Plans. Coordinates ... us special and impactful. **The Opportunity** USAA is seeking a talented ** Manager , Life Solutions** to lead a team of specialized, licensed professionals dedicated… more
- Capgemini (Cincinnati, OH)
- … Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage / DSNP/ Medicaid or Exchange program/ product build knowledge ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- CVS Health (Columbus, OH)
- …speed to market and to support segment leaders with growing focus on our Specialty Medicare Advantage and Medicaid VBC portfolio. **You will make an impact by:** ... each and every day. **Position Summary** Aetna is recruiting for a Senior Manager , Value Based Contractor who will partner with business development and network… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more
- CenterWell (Frankfort, KY)
- …approval processes, financial reporting and maintaining market level sales materials for Medicare Advantage and ACO offerings + Develop and implement ... business development efforts to create and maintain a competitive product portfolio based off of dynamic competitive intel, to...year experience in Healthcare, with a specific focus on Medicare advantage with a history of effectively… more
- CVS Health (Cincinnati, OH)
- …will sell, cross-sell, up-sell, and retain through the use of the Aetna IVL Medicare product portfolio.This role will deploy an operating model that supports 3 ... not limited to, any questions related to plan benefits, product , and services offerings, as well as resolving any...or 1 to 2 years' experience of selling multiple Medicare products (ie, Medicare Advantage ,… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools ... policies to reduce selection price alternative plan designs and define product strategy, identifying strategies to reduce enterprise costs, reviewing reserves in… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more