- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the ... Vice-President of Medicare Strategy and oversee critical business reporting...opportunities for improvement or variance from expected outcomes. The senior manager will create multiple presentations on… more
- CVS Health (Hartford, CT)
- …care landscape in new and exciting ways every day. Aetna is currently seeking a ** Senior Manager for the Test Center of Excellence** team. This individual will ... for overseeing the design and implementation of the test strategy and process governance. Lead programs for test domains,...delivery (planning, delivering, and supporting) skills + Knowledge of Medicare lines of business + Ability to work in… more
- CVS Health (New York, NY)
- …exciting new opportunities to drive growth and differentiation in a dynamic industry. As a Senior Manager on the Enterprise Strategy team, you will be ... the way for the future of our company. In Strategy , you will work hand-in-hand with senior ... strategy for our Aetna business, specifically the Medicare and Medicaid businesses. This position has a unique… more
- Point32Health (Canton, MA)
- …often intended for senior leadership and/or strategy teams. The Sr Pharmacy Program Manager supports the Pharmacy department in conducting industry ... and effective presentations. The Sr Pharmacy Program Manager also collaborates with select Point32Health Strategy ...implement strategic projects. The Sr Pharmacy Program Manager functions as a senior project … more
- CVS Health (Austin, TX)
- …to service performance, customer satisfaction, financial performance, and quality. The Sr . Manager will collaborate with upstream and downstream functional ... the PA programs across our book of business for Medicare , Commercial (Health Plan, Employer, Coalition) and Marketplace Exchange...that have delegated PA services to the PBM. The Sr . Manager may have 4-6 direct work… more
- Johns Hopkins University (Washington, DC)
- …Excel skills. + Project Management Professional (PMP) certification is a plus. Classified Title: Sr . Program Manager Job Posting Title (Working Title): Sr . ... the economic effects of health care policies, particularly those impacting the Medicare program. The Center is developing a supply-side microsimulation model of the… more
- CSL Behring (King Of Prussia, PA)
- The Sr . Manager , Pricing & Government Reporting will lead the Government price reporting processes including monthly/quarterly calculations of pricing to Veteran ... Administration (VA), Public Health Services (PHS), and Centers for Medicare and Medicaid Services (CMS). Responsible for reconciling, preparing, and analyzing… more
- Elevance Health (Indianapolis, IN)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... to transform federal health programs. **Audit & Reimbursement Sr ** **Location:** This role enables associates to work virtually full-time, with the exception of… more
- Elevance Health (Columbus, GA)
- Provider Success Consultant Sr . (Georgia Market) **Location:** This role requires associates to be in-office (Atlanta or Columbus) 1 - 2 days per week, fostering ... PEACHTREE ST NW** + **COLUMBUS, 6087 TECHNOLOGY PKWY** **The Care Consultant Sr .** is responsible for fostering long-term partnerships with our providers and driving… more
- CVS Health (Hartford, CT)
- …of work supporting multiple lines of Aetna business, including Commercial, Group Medicare , and Medicaid. Your success will hinge on your ability to collaborate ... Recommend, research and develop facts, quotes, and scenarios to support creative strategy and execution. + Ensure messaging, brand guidelines and directives are… more
- Amazon (Seattle, WA)
- …This role will spearhead business development solutions for Amazon Pharmacy payer strategy , driving key growth and profitability goals of the business. Within the ... PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid, Medicare Part D, and commercial innovation. - Bachelor's degree in… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and ... business, compliance, data, and design teams to ensure alignment on voice experiences strategy and execution. + Ensure that all IVR experiences adhere to healthcare… more
- Point32Health (Canton, MA)
- …service to our members, partners, colleagues and communities. **Job Summary** The Senior Clinical Pharmacist is responsible for the development and maintenance of ... and accreditation requirements and to meet Point32Health's corporate priorities. The Senior Clinical Pharmacist also oversees the structure and activities of the… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome.… more
- Elevance Health (Knoxville, TN)
- …+ Thorough knowledge of Medicaid programs is a must have + Experience with Medicare would be a nice to have + Experience working with multiple large-scale programs ... + Comfortable presenting to varied audiences including community groups senior leadership + Experience in training and developing is...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more
- CVS Health (St. Louis Park, MN)
- …more than $387M in annual revenue. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for Individual Medicare ... levels of organization. + Creating and executing a sustainable, and profitable-growth strategy . + Accountability for working with Medicare segment functional… more
- CVS Health (Hartford, CT)
- …each and every day. **Position Summary** Aetna is recruiting for a Senior Manager , Actuarial who will support the Medicare Network. They will work to ... entirely Medicare focused role surrounding delivering on our overarching Medicare network strategy . **You will make an impact by:** + Leveraging key insights… more
- Elevance Health (Independence, OH)
- …an equivalent background. **Preferred Qualifications:** + Understanding of medical claims in Medicare and Medicaid strongly preferred + Experience in a FIDE or MMP ... creating a culture that is designed to advance our strategy but will also lead to personal and professional.... Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- The Cigna Group (Bloomfield, CT)
- …analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial strategy role is designed to ... within Express-Scripts enterprise + Cross-functional collaboration within Express-Scripts enterprise Medicare Part D financial and operational strategy … more
- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for … more