- Novo Nordisk Inc. (Baltimore, MD)
- …the NNI portfolio strategy in tandem with our marketing team, and balance performance with compassion to ensure that the latest therapies and products reach the ... current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and… more
- Atrium Health (Charlotte, NC)
- Atrium Health is seeking a Registered Nurse (RN) Manager , Clinic for a nursing job in Charlotte, North Carolina.Job Description & RequirementsSpecialty: ... on priorities for Enterprise Population Health within the Southeast region. The Manager of Clinical Documentation Integrity is responsible for the clinical and… more
- 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)
- …and/or physician leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on ... The Provider Performance External Representative is a...group improvement plans autonomously, with expert-level technical support from manager . + Knowledge of quality and affordability metrics and… more
- CTG (CA)
- …and a thorough understanding of customer service best practices in the healthcare Medicare Advantage industry. As the Customer Service Manager , you will be ... protected classes. Submit a referral to this job (https://usjobs-ctg.icims.com/jobs/10669/ medicare -advantage-plan-call-center- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834384795) **ID** _2024-10669_ **Title** _Medicare Advantage… more
- Humana (Atlanta, GA)
- …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...market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS… 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 ... must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics who will:** + Lead the review...and pricing strategy + Evaluate the financial performance for Medicaid/ Medicare lines of business +… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and ... role does not manage people + This role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer + Necessary Contacts: In order… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager III ( Medicare ) Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....to achieve that purpose. Job Summary The Product Solutions Manager III is responsible for assisting the product leadership… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager II ( Medicare ) Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product… more
- UCLA Health (Los Angeles, CA)
- …regulatory and CMS compliance requirements. You will manage the coding consultants who provide audit, coding expertise, and provider education to internal and ... at UCLA Health. As a key leader within our Medicare Advantage team, you will develop and execute of...execute of strategies, programs, and projects while managing key performance indicators to drive operational excellence. You will be… 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, complete non-standard reporting, submit client...benefit set-up and project support as requested within the Medicare and/or Exchange lines of business. The primary focus… more
- The Cigna Group (Austin, TX)
- 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
- Commonwealth Care Alliance (Boston, MA)
- …This Role is Important to Us:** Under direction of the Director of Medicare Compliance, the primary focus areas of this position include development and oversight ... includes: Corrective Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in ... assessing product performance , forecast sales and membership in line with growth...and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization… more
- Centene Corporation (New York, NY)
- …field or equivalent experience. 4+ years of experience in Sales, Healthcare, Medicare , CMS Regulations and/or Management. Experience in working with or managing ... + Implements marketing strategies for specific geographic segment. + Develops provider -specific marketing plans to attain membership growth in designated provider… more
- The Cigna Group (Bloomfield, CT)
- …seasoned professional for the role of Business Analytics Advisor within the Medicare Growth Analytics Team to assist our self-service analytics strategy. Reporting ... to the Growth Analytics Sr. Manager , this role will work with a team of...on setting and executing the vision for how our Medicare Growth team can lead Cigna to achieving its… more
- The Cigna Group (Morris Plains, NJ)
- …delivery for clients working cross-functionally with all operational. The Account Manager proactively reviews performance metrics to promote client satisfaction, ... The Manager is responsible for ensuring our Centene client...expected timelines and quality standards. + Assist in managing performance guarantees for exchange business. + Ensure compliance with… more
- Universal Health Services (Reno, NV)
- …enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Sr. Manager of Provider Network leads and manages provider ... education and support for all network products. The Sr. Manager of Provider Network analyzes specific issues...analysis, addendums and letters of agreement. + Knowledge of provider reimbursement, Medicare reimbursement, coding and HEDIS… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Integrity Provider Remediation (ALD- 24 months) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Manager , Claims Integrity Provider Remediation is responsible… more
