- Clever Care Health Plan (Arcadia, CA)
- …transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership ... game-changing organization that celebrates diversity and innovation. Job Summary The Medicare Benefit Consultants (Field Sales) is responsible to generate Clever… more
- Kizen (New York, NY)
- …and maintaining a high level of client satisfaction. The ideal candidate understands Medicare Advantage , Medicare Supplement, and prescription drug plans. ... the Role We are looking for a hands-on Account Manager with a history of building strategic relationships in...role within the health insurance industry Solid knowledge of Medicare -related products ( Medicare Advantage , Medigap,… more
- USAA (Plano, TX)
- …provide brokered products including Final Expense, Universal Life Insurance, Medicare Advantage & Prescription Drug Plans. Coordinates ... makes us special and impactful. The Opportunity USAA is seeking a talented Manager , Retirement Income to lead a team of specialized, licensed professionals dedicated… 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
- Elevance Health (Costa Mesa, CA)
- …regulations. The position also provides formulary strategy support across Elevance Health's Medicare Advantage Prescription Drug (MAPD) business. **How you will ... ** Medicare Formulary Strategy Manager ** **Hybrid 1:**...+ Support the development of tailored formularies for each Medicare product offering. **Group Retiree Solutions (GRS)… 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
- CVS Health (Cary, NC)
- …and execution of the market strategies, including the development of market level Medicare Advantage product and network strategies, execution of pricing ... model. This role will assist the Carolinas and Tennessee Medicare Advantage market, in supporting the development...shared accountability for success. Role will report to the Medicare General Manager , NC, SC & TN.… more
- Humana (Albany, NY)
- …the industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is...will be critical in our growth plans. The Lead Product Manager - Growth & Operations will… 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
- Nestle (Bridgewater, NJ)
- …the grocery, drug, and/or mass retail channel(s) is required. + Knowledge of the Medicare Advantage business model preferred. + Experience in consumer goods and ... their collective strength to empower healthier lives. Our broad product portfolio includes renowned brands like Garden of Life(R),...the company and its customers. + Knowledge of the Medicare Advantage business model preferred. **SKILLS:** +… more
- USAA (Plano, TX)
- …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 , Retirement Income** to lead a team of specialized, licensed professionals… 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
- AbbVie (Detroit, MI)
- …comprehensive work with accounts at all levels + Payer/insurance coverage experience with Medicare , Medicare Advantage , Commercial and Medicaid plans + ... changes or barriers in medical policy, Prior Authorization requirements, or product acquisition. Apply compliant methods to exchange critical information + Work… 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
- Centene Corporation (Austin, TX)
- …Opportunity**_** **_The ideal candidate will have:_** + **_Deep knowledge of the Medicare Advantage program, with hands-on experience in Dual Eligible Special ... Needs Plans (D-SNPs) (compliance, product , or operations)._** + **_Research skills to track and...Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities… 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
- Mount Sinai Health System (NJ)
- …+ Participate in and support VHS initiatives in cost containment, product standardization, resources utilization and supply chain management (HIM Queries, Coding ... care within VMG Hematology and Medical Oncology + Collaborate with the Practice Manager to assure excellence in operational issues in the practice. + Work together… more
