- Novo Nordisk Inc. (San Mateo, CA)
- …Team leads the US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which includes world class therapies for the treatment of diabetes, ... current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... and LinkedIn. Brief summary of purpose: The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an… more
- Martin's Point Health Care (Portland, ME)
- …and support to the company, including responsibility for the actuarial support of Medicare product bids, US Family Health Plan (USFHP) rate negotiations with ... a matrix management environment. Job Description Key Outcomes: Support the annual Medicare Advantage and Prescription Drug (MA/PD) bid development by working with… more
- MetroPlusHealth (New York, NY)
- …including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, ... of what you do every day. The Regulatory Guidance Manager is responsible for ensuring regulatory compliance by disseminating...coordinate with the Project Management Team (PMO) and the Product Team on workplans to implement new regulatory changes.… more
- Mount Sinai Hospital (New York, NY)
- …and strategic vision for VMSCCC. The position will work collaboratively with senior leadership in VHS and MSHS to further develop multi-disciplinary programs of ... System Participate in and support VHS initiatives in cost containment, product standardization, resources utilization and supply chain management (HIM Queries,… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys ... responsible for overseeing machine learning-driven voice experiences, managing the product roadmap for contact center technology and driving continuous improvements.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the ... opportunities for improvement or variance from expected outcomes. The senior manager will create multiple presentations on... product decisions + Prepare and present monthly product enrollment reports and analysis at Medicare … more
- CSL Behring (King Of Prussia, PA)
- The Sr . Manager , Pricing & Government Reporting will lead the Government price reporting processes including monthly/quarterly calculations of pricing to Veteran ... Administration (VA), Public Health Services (PHS), and Centers for Medicare and Medicaid Services (CMS). Responsible for reconciling, preparing, and analyzing… more
- Gilead Sciences, Inc. (Foster City, CA)
- …help create possible, together. **Job Description** Gilead Sciences Inc. is seeking a Sr . Manager Rebates to help lead in managing Gilead's day-to-day ... administration, project management and processing of all Managed Care Commercial/ Medicare Part D contract payments. This position has primary ownership of… more
- CVS Health (Madison, WI)
- …support the delivery of high quality care to the Medicare population. As a Senior Technical Product Manager , you will be responsible for driving the ... strategic direction of our Stars data. Through partnership with senior business and engineering leaders, you will oversee the planning and execution of initiatives… more
- General Dynamics Information Technology (Fairfax, VA)
- …be a meaningful part of improving how agencies operate. Our work depends on a Sr . Salesforce Developer joining our team to support Centers for Medicare & ... At GDIT, we foster a people-centric environment. As a Sr . Salesforce Developer supporting CMS, you will be trusted...a Lead (Development Lead for their Scrum Team) or Senior Developer, depending on the needs of the program.**… more
- Amazon (Boston, MA)
- …PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid, Medicare Part D, and commercial innovation. - Bachelor's degree in ... teams and stakeholders including Operations, Marketing, Account Services, Tech, Product , Legal, and Compliance. - Demonstrate clear, concise, written and… more
- Convey Health Solutions (Chicago, IL)
- …developing analytic insights which contribute to new features. + Collaborate with the Manager , Data Analytics and Product team to support analytical architecture ... Job Description SUMMARY The Sr . Data Analyst will be responsible for utilizing...analyst will engage with engineers, QA, Data Scientists, and Product teams using agile methodologies, while also working with… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Sr . Solution Adoption Consultant role will act as the primary client contact for Waystar solution-specific set-up and design issues ... independent design work and analysis, in depth RCM and product knowledge. + Design and execute on work/data analysis...Participate in weekly project status meetings with the Project Manager + Serve as a mentor for client adoption… more
- CVS Health (Hartford, CT)
- …do their jobs. Escalates underwriting exceptions and financial variances to senior management balancing membership, revenue growth and profitability targets. Engages ... underwriting decisions with significant benefit implications. Articulates company services, product standards, underwriting policies and new initiatives to sales,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment ... key relationships throughout the organization including, but not limited to, Medicare Product , Provider Contracting, Health and Medical Management, Actuarial,… more
- The Cigna Group (Bloomfield, CT)
- This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This ... Drug or Part D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare /… more
- Humana (Madison, WI)
- …caring community and help us put health first** Humana's Marketing organization is seeking a Senior Product Manager who specializes in Next Best Action (NBA) ... Optimizer (AJO). You will Lead all phases of the product life cycle, from inception to introduction into the...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more
- Healthfirst (NY)
- …(IBNR) analysis and other ad hoc analyses + Research, evaluate and analyze Medicare market landscape + Analyze product and segment performance, incorporating ... basis every quarter.** **Duties and Responsibilities:** + Monitor experience under Healthfirst's Medicare line of business + Provide support for annual Medicare … more
- Fallon Health (Berkshire, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an… more
