- Abt Global Inc. (Rockville, MD)
- …for the CMS and HHS market and leading Abt's CMS customer engagement strategy . You will be involved in identifying and cultivating new opportunities and contributing ... to the win strategy for strategic captures. You will partner with Client...that advance Abt's mission and expand our presence across Medicare , Medicaid, and related CMS initiatives. To be successful… more
- Wipfli LLP (Milwaukee, WI)
- …they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Job Summary Under the direction of ... the Partner/ Senior Manager leading the respective service area, region or... Living space. This role includes reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement… more
- Commonwealth Care Alliance (Boston, MA)
- …state audits. - Oversee special projects focused on program development, growth strategy , and new process design and implementation. - Manage operational components ... have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and...tools such as excel - Ability to have a professional presence across internal and external stakeholders and across… more
- Commonwealth Care Alliance (Boston, MA)
- …strong, collaborative relationships with provider partners serving dual-eligible ( Medicare -Medicaid) members. This role ensures providers are well-informed, engaged, ... provider engagement The Manager of Provider Communications will report to the Senior Director of Delegation Partnerships and Performance and will support the ongoing… more
- Somatus (Mclean, VA)
- …of a company transforming kidney care?** Somatus is on the hunt for a visionary ** Senior Vice President of Finance** to lead at the crossroads of strategy , ... timely, reliable financial analysis and performance metrics **to executive and senior ** **leadership** and the Board, including forecasting, budgeting, and resource… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening ... to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account… more
- Commonwealth Care Alliance (Boston, MA)
- …Management - Develop and execute the organization's provider relations strategy , ensuring strong, collaborative partnerships with hospitals, physician groups, LTSS, ... improvements, and enhance provider satisfaction and performance. - Partner with senior leaders to communicate resolution and outcomes and drive cross-functional… more
- Commonwealth Care Alliance (Boston, MA)
- …providers. Ensures integration of utilization management functions with network strategy , vendor relationship management and claims processing. Works closely with ... or behavioral health care delivery Required Knowledge, Skills & Abilities: - Medicare and Medicaid managed care experience - Demonstrated knowledge of federal and… more
- Lundbeck (Deerfield, IL)
- …Management on major processes and communications campaigns. + Leads communications strategy for total rewards for the US; ensures regular, employee-focused education ... + Recommends and presents plan design and annual total rewards budget to senior leadership. Manages the budget approval process with the VP Human Resources. +… more
- BlueCross BlueShield of North Carolina (NC)
- …bid strategy , pricing decisions, and profitability analysis. + Influence and shape Medicare Advantage bid strategy to align with financial goals and broader ... Budgeting, Business Valuations, Client Management, Data Interpretations, Finance, Finance Strategy , Financial Modeling, Health Insurance, Leadership, Medicare … more
- CVS Health (Hartford, CT)
- … Medicare Supplement business leadership teams. + Translate enterprise strategy into annual financial plans, linking market positioning, membership growth, and ... and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is...these two major business lines. This leader partners with senior executives to ensure sustainable profitability, regulatory alignment, and… more
- Humana (Miami Lakes, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to… more
- UPMC (Pittsburgh, PA)
- Purpose: Reporting to the CMO of Government Products, the AVP, Medicare Medical Services serves as one of the strategic and tactical leaders who works with providers ... and stakeholders to develop and execute on our population health strategy , clinical and provider operations, and State contract and CMS requirements for the… more
- CVS Health (St. Louis Park, MN)
- …As the ** Senior Manager of Stars** , you will lead the market-wide strategy , performance improvement, and execution of the Medicare Stars quality program for ... Allina Health | Aetna Medicare membership in Minnesota. Your goal is to achieve...of strategic initiatives. + Comfortable presenting to and influencing senior leadership. **Preferred Qualifications** + Health plan experience. +… more
- Humana (Frankfort, KY)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Manager, you will deconstruct issues ... majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly...leaders. This role will have a particular focus on Medicare enrollment growth strategy and investment optimization.… more
- Humana (Sacramento, CA)
- …an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional , you will deconstruct issues and challenges, ... company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly...initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy , leading the development… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in ... achievement of results for the department and begins to influence the department's strategy . Role responsibilities will include, but not be limited to: + Provider… more
- Humana (Carson City, NV)
- …providers to support network needs. As a Senior Provider Contracting Professional , the professional influences departmental strategy , independently makes ... **Become a part of our caring community and help us put health first** The Senior Provider Contracting Professional serves as a primary point of contact for… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in ... skills to make an impact** **Required Qualifications** + 3+ years' experience with Medicare and/or managed care + Understanding of NCQA HEDIS measures, PQA Measures,… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in ... skills to make an impact** **Required Qualifications** + 3+ years experience with Medicare and/or managed care + Understanding of NCQA HEDIS measures, PQA Measures,… more
