- Molina Healthcare (Cincinnati, OH)
- … Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design. Provides centralized year-round ... **JOB DESCRIPTION** **Job Summary** Responsible for the management of the benefits , operations, communication, reporting, and data exchange of the Medicare /MMP… more
- Centene Corporation (Lincoln, NE)
- …and meet business needs and strategic objectives. The Medicare Program Manager II is fully remote . Candidates will be considered nationally. ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Medicare Program Manager II is responsible for executing, defining outcomes,… more
- Fallon Health (Worcester, MA)
- …Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare benefits , including prescription drug coverage. At Fallon Health, we believe ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Learn more at fallonhealth.org… 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
- Molina Healthcare (Albuquerque, NM)
- …to collaborate internally and externally with members, providers, team members, and manager . + Basic understanding of managed healthcare systems and Medicare . ... in social work, Human Services, or related field. **PREFERRED EXPERIENCE:** + Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP. +… more
- Humana (Austin, TX)
- …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 discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...step in the process. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Centene Corporation (Austin, TX)
- …of team) including Annual Notice of Changes, Evidence of Coverage and Summary of Benefits . + Leads the Duals Medicare Communications Compliance team in the ... As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:**… more
- Elevance Health (Atlanta, GA)
- ** Medicare Star Program Manager ** **Location** : This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The **Program Manager ** is responsible for the development and ongoing management of one or more multi-year quality… more
- Elevance Health (Norfolk, VA)
- **Encounters Submission Manager - Medicaid/ Medicare ** **Location** : This position will work a hybrid model ( remote and office). The Ideal candidate will ... miles of one of our Elevance Health PulsePoint locations. The **Encounters Submission Manager - Medicaid/ Medicare ** is responsible for managing a staff of… 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
- CenterWell (Charleston, WV)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... caring community and help us put health first** The Medicare Risk Adjustment Strategy Lead in the PCO risk...Experience working in a highly matrixed organization **Additional** + Remote role + Occasional travel, 25% to various CenterWell… more
- Intermountain Health (Murray, UT)
- …the strategic direction of marketing and communications campaigns for Select Health's Medicare Advantage (MA) and Medicaid lines of business. This position will ... leads Marketing Manager and team of Specialists who manage and execute...of MA and Medicaid products across multiple states. The Medicare and Medicaid Marketing Director reports to a Market… more
- Elevance Health (Richmond, VA)
- ** Medicare Medical Director** Location: **Hybrid 2:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may… more
- Elevance Health (Mason, OH)
- **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint ... complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk… more
- Elevance Health (Mason, OH)
- …Alternate locations may be considered. This position will work in a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may… more
- Nestle (Bridgewater, NJ)
- …401k with a company match, healthcare coverage and a broad range of other benefits . Incentives and/or benefit packages may vary depending on the position. Learn ... development, opportunities to learn from talented colleagues around the globe, and benefits that support physical, financial, and emotional wellbeing. Join us to… more
- Prime Therapeutics (Baton Rouge, LA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works ... Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop… more
- Providence (NM)
- **Description** **Senior Manager Revenue Cycle \* Remote * Candidates residiing in AK, WA, MT, OR, CA, TX or NM are encouraged to apply.** Senior Manager , ... insurance follow-up, and denials processes across multiple payer types, including Medicare , Medicaid, Commerical and regulatory payers for the Swedish Health System.… more
- Henry Ford Health System (Troy, MI)
- REGISTERED NURSE CLIENT FOCUSED CASE MANAGER ( REMOTE ) - SUPPORTIVE CARE MANAGEMENT - 40 HOURS WEEKLY - DAY SHIFT - POPULANCE Full Time Benefit Eligible ... of the Clinical Success leadership team, the Client Focused Case Manager is responsible for the collaborative practice of assessment, planning, facilitation,… more
- Prime Therapeutics (Carson City, NV)
- …in legal, compliance or operations related roles in the healthcare or Pharmacy Benefit Manager (PBM) industry + 1 year of leadership/people management experience ... and drives every decision we make. **Job Posting Title** Manager , Client Audit Services - Remote **Job...the implementation of process changes + Working knowledge of Medicare Part D, Medicaid, and/or Health Insurance Marketplace guidance… more