- Marion County (Salem, OR)
- …not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND ... support a high-risk and underserved population. In this position, you would provide mental health therapy to individuals diagnosed with serious and persistent mental… more
- The Cigna Group (Baltimore, MD)
- The Provider Performance External Representative is a key member of the market that assists in the growth and development of the provider network. The ... to the providers and the individual that represents Cigna MA. The Provider Performance External Representative's responsibilities include: + Most likely to… more
- CenterWell (Columbus, OH)
- …a part of our caring community and help us put health first** The Original Medicare ('OM') Growth Strategy Advancement Lead will design and implement the new ... help develop and implement effective growth strategies specifically targeting the Original Medicare population. You will provide data driven expertise and… more
- The Cigna Group (Bloomington, MN)
- **POSITION SUMMARY:** The Account Management Lead Associate (Account Manager) will provide support to the Account team for their assigned Line of Business. The ... Account Management Lead Associate will provide client facing support,...of Business. The primary measure of the Account Management Lead Associate's performance is by way of… more
- CVS Health (Hartford, CT)
- …enhancing data accuracy, and improving efficiency. * Guides management for individual performance evaluations aimed to provide critical feedback for skills ... CVS, we are looking for a leader who can provide strategic leadership and oversight for financial planning and...and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial… more
- The Cigna Group (Bloomfield, CT)
- …support sales execution. **_People_** + Build, motivate and lead a high- performance team. Develop direct reports and provide opportunities to stretch skills. ... coupled with consumer purchasing trends via the DTC channel provide significant opportunities for a leader to shape a...Medicare Growth strategy. The Director of Telesales will lead strategy and execution for the direct sales of… more
- USAA (Phoenix, AZ)
- …currently seeking a talented **Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- The Cigna Group (Bloomfield, CT)
- …position within the Medicare Growth Analytics Team is an opportunity to provide leadership on our analytics strategy, to support our broader Medicare Growth ... on setting and executing the vision for how our Medicare Growth team can lead Cigna to...strategy and plan. + Enhances understanding of distribution channel performance and its impact on growth and profitability. +… more
- PruittHealth (Norcross, GA)
- …to learning new processes, concepts, and skills; Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. ... **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting,...a volume of work as established by PruittHealth productivity performance standards, are familiar with the rules and regulations… more
- CVS Health (Hartford, CT)
- …is the senior HR thought-partner to the executive leadership team of the Aetna Medicare business, a business that announced a new leader earlier in 2024. This HR ... the SVP, CPO for Aetna and the President of Medicare to review and refresh the operating model of...in this role hinges upon a leader's ability to lead , influence and execute successfully in a matrix organization… more
- CVS Health (Hartford, CT)
- …strategic thought leader in support of business direction. Monitor and report on performance relative to plan and strategic alignment. Provide financial analysis ... team members as required in support of strategic initiatives. Provide business and financial expertise needed to set planning...the monthly close, budgeting, and forecasting from the various Medicare product lines. + Lead the financial… more
- Somatus (Mclean, VA)
- Overview The Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- Wider Circle (Mcallen, TX)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....predetermined goal of outbound calls each day from the lead list to prospective beneficiaries to educate them about… more
- CVS Health (Hartford, CT)
- …will also play an important part in helping to align and communicate the Medicare Local Market teams around current performance , and the forecasts and Budgets ... Revenue Management, and Performance Management teams to drive local market performance and accountability across the 4-5 Medicare regions. Help set targets… more
- Elevance Health (Columbus, OH)
- …Innovation with deep partnership with Health Care Networks (HCN). Oversee value-based provider performance . + Develop and implement network strategies specific ... implementation of high- performance networks, including facility and provider performance incentives. + Work with growth...leadership presentations + Hire, train, coach, counsel, and evaluate performance of direct reports and lead with… more
- Providence (Portland, OR)
- …to financial/encounter data submission in support of Medicaid capitation rate setting + Provide expertise and consultation to support the Medicare bid process ... is calling a Manager Actuarial Analytics who will:** + Lead the review of Medicaid capitation rate assumptions and...and pricing strategy + Evaluate the financial performance for Medicaid/ Medicare lines of business +… more
- The Cigna Group (Bloomfield, CT)
- …work with a team of professionals on setting and executing the vision for how our Medicare Growth team can lead Cigna to achieving its goals. This role involves ... seasoned professional for the role of Business Analytics Advisor within the Medicare Growth Analytics Team to assist our self-service analytics strategy. Reporting… more
- The Cigna Group (Atlanta, GA)
- … Medicare Advantage growth goals. **Responsibilities** + Partner to provide the strategic direction and management of digital acquisition marketing initiatives ... **Marketing Advisor, DTC Advertising ( Medicare Advantage) - Hybrid** Responsible for day-to-day management...advance the company's goals. + Utilize data analytics and performance tracking tools to monitor campaign performance ,… more
- The Cigna Group (Philadelphia, PA)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and changes to… more
- The Cigna Group (Scottsdale, AZ)
- …for improving Affordability and Total Cost of Care initiatives as part of the Medicare Business Optimization effort. This role will be a key member of the team ... cost trends across affordability levers with in-depth analysis of key performance metrics, and ensure the sustainability of initiatives. **Responsibilities:** +… more
