- USAA (Phoenix, AZ)
- …productivity and exceed departmental goals. Conducts data analysis to influence strategy to achieve business outcomes. Identifies, develops, and executes detailed ... with Legal, Risk and Compliance on interpretation of CMS (Center for Medicare and Medicaid Services) rules to provide guidance and clarification to executive… more
- UCLA Health (Los Angeles, CA)
- Description We're seeking a strategic Senior Product Manager to lead the design, development, and implementation of our Medicare Advantage products. In this ... role, you'll partner with the Director of Medicare Product Development and Bids to guide the annual...+ Translate regulatory changes and market insights into product strategy . Salary Range: $105,700 - 234,500/annuallyQualifications We're seeking a… more
- CVS Health (Hartford, CT)
- … Medicare Supplement business leadership teams. + Translate enterprise strategy into annual financial plans, linking market positioning, membership growth, and ... and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is...these two major business lines. This leader partners with senior executives to ensure sustainable profitability, regulatory alignment, and… more
- Humana (Miami Lakes, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to… more
- UPMC (Pittsburgh, PA)
- Purpose: Reporting to the CMO of Government Products, the AVP, Medicare Medical Services serves as one of the strategic and tactical leaders who works with providers ... and stakeholders to develop and execute on our population health strategy , clinical and provider operations, and State contract and CMS requirements for the… more
- CVS Health (St. Louis Park, MN)
- …As the ** Senior Manager of Stars** , you will lead the market-wide strategy , performance improvement, and execution of the Medicare Stars quality program for ... Allina Health | Aetna Medicare membership in Minnesota. Your goal is to achieve...of strategic initiatives. + Comfortable presenting to and influencing senior leadership. **Preferred Qualifications** + Health plan experience. +… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- **Job Description** The Senior Director, Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... implementing and evolving contract operations to support the company's market access strategy . Leads an operations team and third-party vendor in executing rebate… more
- Humana (Sacramento, CA)
- …an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional , you will deconstruct issues and challenges, ... company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly...initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy , leading the development… more
- Health Care Service Corporation (Chicago, IL)
- …leading the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider ... fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position will assist in… more
- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in ... of results for the department and begins to influence the department's strategy . **Key Responsibilities:** + Provider Collaboration: Work with providers to define… more
- Humana (Denver, CO)
- …continuous improvement and measurable outcomes. The Senior Learning Design Professional begins to influence departmental strategy , makes decisions on ... caring community and help us put health first** The Senior Learning Design Professional partners with IT...solutions are necessary or relevant. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
- Humana (Boston, MA)
- …profit organization) or has several years' experience with stakeholder management ( strategy /operations at a top-tier consulting/ professional services firm). They ... a key part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. The MarketPoint strategy team was created to help… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in ... to the investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to… more
- Humana (Montpelier, VT)
- …a part of our caring community and help us put health first** The Senior Privacy & Ethics Professional monitors compliance in accordance with government ... relating to the Health Insurance Portability and Accountability Act (HIPAA). The Senior Privacy & Ethics Professional work assignments involve moderately complex… more
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and/or other provider contracts. The Senior Provider Contracting Professional work assignments involve...on network composition and needs. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
- Humana (Olympia, WA)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Senior Insurance Product Compliance Professional performs consultation and research for policy ... of situations or data requires an in-depth evaluation of variable factors. The Senior Insurance Product Compliance Professional negotiates with state and federal… more
- MetroLink (Los Angeles, CA)
- Senior Manager, Planning & Development Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5117190) Apply Senior Manager, Planning & Development ... At Will Full Time Remote Employment Flexible/Hybrid Job Number 23-2400193 Department Strategy Division Strategy Opening Date 10/20/2025 Closing Date 12/5/2025… more
- Humana (Topeka, KS)
- …drive innovation, or wish you could influence what technology builds? As a Senior Technology Implementation Professional , you will work at the intersection ... solutions to improve how financial systems and teams' work. The Senior Technology Implementation Professional , Functional Business Analysis team provided… more
- CenterWell (Frankfort, KY)
- …of our caring community and help us put health first** As the Growth Strategy Principal of our IPA/MSO, you will be responsible for supporting the IPA/MSO business ... partnerships. The Principal will also be responsible for the effective negotiating strategy and execution with local market leadership. This includes the ability to… more
