- Molina Healthcare (ID)
- …experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… 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. ... Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare / pharmaceutical...secure. That's why you'll enjoy a comprehensive range of benefits , with a focus on supporting your whole health.… more
- Molina Healthcare (San Antonio, TX)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- Centene Corporation (Queens, NY)
- …team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... outcomes, advancing quality and ensuring equity in healthcare delivery today. The Manager , Value-Based Payments Initiatives (VBP) will lead and support the expansion… more
- Humana (Des Plaines, IL)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and train a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...take about 10-15 minutes. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …shaping the future of insurance products? We are looking for a **Associate Product Manager \- Medicare ** to join our dynamic **SeniorCare** team\. In this role ... a fast\-evolving industry\. Preferred candidates will have a strong background in Medicare / Medicare Advantage products, Excel, CMS guidelines & market analysis\.… more
- AmeriHealth Caritas (Philadelphia, PA)
- …services. Discover more about us at www.amerihealthcaritas.com. **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ... strategic broker recruitment, engagement, and performance optimization to support overall Medicare sales objectives. **Work Arrangement:** + Remote - Associate… more
- Centene Corporation (Tallahassee, FL)
- …filing and execution of the Medicare Supplemental dental, vision and hearing benefits . Program Manager will own a complex portfolio of designs, and directly ... the designs annually. Directly responsible for developing CMS filing guides for benefits . Program Manager IV is responsible for development, aspects of… more
- Molina Healthcare (Iowa City, IA)
- …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Centene Corporation (Providence, RI)
- …support contract negotiations, governance discussions, and strategic planning led by the Medicare VBP Manager . + Advance efforts in health-related social needs ... team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:**… more
- Adecco US, Inc. (Birmingham, AL)
- …life insurance, short-term disability, additional voluntary benefits , EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees ... Adecco is assisting a local client recruiting for **Field Reimbursement Manager ** opportunities to support a specialized therapeutic space remotely while residing in… more
- Magellan Health Services (San Diego, CA)
- …operations. Strong written and verbal communication skills. General Job Information Title Care Manager , Health Plan - Licensed/ Remote in CA Grade 25 Work ... This is a remote position in California, candidates must be licensed...for high and moderate stratified members in the Medicaid, Medicare , and Whole Health markets. Possesses clinical knowledge, understands… more
- CVS Health (Lansing, MI)
- …we do it all with heart, each and every day. **Job Summary:** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- Highmark Health (Harrisburg, PA)
- …facilitate proactive and efficient provision of services. + Be knowledgeable of and consider benefit design and cost benefit analysis when planning a course of ... to create a collaborative approach to care management and benefit coordination. + Maintain a working knowledge of available...in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR + Bachelor's degree in Social Work… more
- Centene Corporation (Austin, TX)
- …and meet company strategic objectives. + End-to-end development, filing and execution of the Medicare Supplemental benefits . Program Manager III will own a ... a fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by… more
- Molina Healthcare (Worcester, MA)
- **JOB DESCRIPTION** **Job Summary** **This position will offer remote work flexibility but the hired candidate must reside in the state of Massachusetts.** Molina ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of integrated… more
- Molina Healthcare (Omaha, NE)
- …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or equivalent combination of… more
- Olympus Corporation of the Americas (Denver, CO)
- …to be a part of our team?** Learn more about our benefit and incentives (https://www.olympusamerica.com/careers/ benefits -perks) . The anticipated base pay range ... at Olympus (https://www.olympusamerica.com/careers) . **Job Description** The Field Reimbursement Manager will primarily support iTind, an approved device for BPH.… more
- CVS Health (Lincoln, NE)
- …we do it all with heart, each and every day. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution, and/or settlement ... quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee...to 5 years of experience with VBC, Commercial and Medicare contracting + 3 to 5 years of stakeholder… more