- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the ... Vice-President of Medicare Strategy and oversee critical business reporting...opportunities for improvement or variance from expected outcomes. The senior manager will create multiple presentations on… more
- Novo Nordisk Inc. (San Mateo, CA)
- …insights that drive our business forward. You will drive the NNI portfolio strategy in tandem with our marketing team, and balance performance with compassion to ... 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
- RVO Health (Charlotte, NC)
- 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 and ... compliance, data, and design teams to ensure alignment on voice experiences strategy and execution. Ensure that all IVR experiences adhere to healthcare regulatory… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and ... throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who… more
- Elevance Health (Nashville, TN)
- …medical solution to high-risk and high-need members. Presents program results to senior health plan leaders, enabling future growth to new populations and markets. ... Prefer experience in large scale healthcare or state Medicaid and Medicare programs. Experience in management consulting, investment banking, private equity, or… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who… more
- CVS Health (Dallas, TX)
- …of Organizational Strategy Work in tight collaboration with the Practice Manager and Outreach Manager /Director to achieve our organizational objectives: Best ... strategic initiatives. Follow direction from regional leadership (regional medical director or senior medical director) in collaboration with CMDs in the region to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the ... Vice-President of Medicare Strategy and oversee critical business reporting...opportunities for improvement or variance from expected outcomes. The senior manager will create multiple presentations on… more
- CVS Health (Hartford, CT)
- …care landscape in new and exciting ways every day. Aetna is currently seeking a ** Senior Manager for the Test Center of Excellence** team. This individual will ... for overseeing the design and implementation of the test strategy and process governance. Lead programs for test domains,...delivery (planning, delivering, and supporting) skills + Knowledge of Medicare lines of business + Ability to work in… more
- Johns Hopkins University (Washington, DC)
- …Excel skills. + Project Management Professional (PMP) certification is a plus. Classified Title: Sr . Program Manager Job Posting Title (Working Title): Sr . ... the economic effects of health care policies, particularly those impacting the Medicare program. The Center is developing a supply-side microsimulation model of the… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and ... ensure complete and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and facilitate discussion… 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
- Elevance Health (Indianapolis, IN)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... to transform federal health programs. **Audit & Reimbursement Sr ** **Location:** This role enables associates to work virtually full-time, with the exception of… more
- Elevance Health (St. Louis, MO)
- **Legal Counsel Sr .** **_Location:_** _This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law_ . The **Legal Counsel Sr ** . will help support the provider solutions team in California for insured,… more
- Amazon (Boston, MA)
- …This role will spearhead business development solutions for Amazon Pharmacy payer strategy , driving key growth and profitability goals of the business. Within the ... PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid, Medicare Part D, and commercial innovation. - Bachelor's degree in… 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 and ... business, compliance, data, and design teams to ensure alignment on voice experiences strategy and execution. + Ensure that all IVR experiences adhere to healthcare… more
- Travelers Insurance Company (Irvine, CA)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome.… more
- CVS Health (Madison, WI)
- …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 within your… more
- CVS Health (Hartford, CT)
- …each and every day. **Position Summary** Aetna is recruiting for a Senior Manager , Actuarial who will support the Medicare Network. They will work to ... entirely Medicare focused role surrounding delivering on our overarching Medicare network strategy . **You will make an impact by:** + Leveraging key insights… more
- The Cigna Group (Bloomfield, CT)
- …analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial strategy role is designed to ... within Express-Scripts enterprise + Cross-functional collaboration within Express-Scripts enterprise Medicare Part D financial and operational strategy … more
