- 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
- Healthfirst (NY)
- + Organizes and leads the project team through the entire project life cycle + Serves as the main point of contact for all the enabling tools and technology ... (software and hardware) that support the Medicare Sales and Retention team + Works with internal... sales business end users and leadership + Conducts project estimate sessions with project stakeholders to… more
- BlueCross BlueShield of North Carolina (NC)
- …Leads and manages the day-to-day operational and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and ... resolves issues that conflict with PBM related deliverables. Collaborates closely with project team members, business owners and sponsors to develop and successfully… 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 ... people + This role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer...+ Ability to manage time and personnel on a project and everyday basis. + Working knowledge of relevant… 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, ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product Strategy, Sales and Marketing… more
- Providence (Portland, OR)
- …the best people, we must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics who will:** + Lead the review of Medicaid capitation rate ... capitation rate setting + Provide expertise and consultation to support the Medicare bid process and pricing strategy + Evaluate the financial performance for… more
- Healthfirst (NY)
- …medical economics, risk adjustment, and population health strategy implement Medicare strategy for profitable performance and ensure seamless partnership and ... + Well versed on all aspects related to all Medicare products + Must be able to perform additional...develop plan of action, communicate effectively, and execute within project timelines + Strong public speaking and oral and… more
- CVS Health (Frankfort, KY)
- …health care more personal, convenient and affordable. Position SummaryThe Product Implementation Sr. Manager role is an integral part of our team that will be ... This role will maintain a focus on benefit submission, program and project management, requirements gathering, quality assurance, issue research and resolution, and… more
- The Cigna Group (Bloomington, MN)
- …non-standard reporting, submit client access requests, and assist with benefit set-up and project support as requested within the Medicare and/or Exchange lines ... **POSITION SUMMARY:** The Account Management Lead Associate (Account Manager ) will provide support to the Account team for their assigned Line of Business. The… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III- Medicare Cost Report Audit** _This is a virtual position, the ideal candidate will live within 50 miles of one of our Elevance Health ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Case Manager (CM) will be responsible for helping members achieve a level of ... members, using available resources to promote quality cost-effective outcomes. The Case Manager will apply the guiding principles for case management practice to… more
- CVS Health (Hartford, CT)
- …and creation of best-in-class products for our customers. GRS is looking for a strategic project manager who will partner with and support the VP of New Business ... Overview: The Sales, Product & Innovation team within Group Medicare (Group Retiree Solutions) is a small, driven and...the organization. The ideal candidate will be equal parts project manager and creative solution & accountability… more
- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. A Brief Overview: The Marketing Communications Project Manager works with the B2B Marketing and other teams ... and content and flow of finalist meeting presentations. The Marketing Communications Project Manager continuously strives to increase their knowledge of Aetna… more
- Humana (Columbus, OH)
- …Innovative Financial Group (IFG) Marketing agency is looking for an experienced Senior Project Manager to join the growing and dynamic Operations team. This ... of Humana. IFG is one of the fastest growing Medicare sales organizations in the country, contracting with all...so that it is completed on time. As the Project Manager , you will play an important… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and help our members achieve their best possible health and quality of life. IT Project Manager I Assists in leading enterprise projects and teams in compliance ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.... status and track and report major issues. IT Project Manager II Leads enterprise projects and… more
- BlueCross BlueShield of North Carolina (NC)
- …savings, and a seamless member experience. As the Cost Avoidance and Recoveries Project /Program Manager , you will focus on two key initiatives: Medicare ... This department collaborates on innovative solutions with its pharmacy benefit manager Prime Therapeutics (Prime) and other strategic partners to deliver significant… more
- Robert Half Technology (Eden Prairie, MN)
- Description Robert Half is excited to announce a Project Manager opportunity with one of our biggest clients in the healthcare industry: Implementation ... Project Manager : This position requires the use...Project Manager : This position requires the use of ...Six Sigma, Lean Training and/or Certification * Experience with Medicare Advantage plans and/or providing services to Medicare… more
- Insight Global (Richardson, TX)
- Job Description Our client, a Fortune 5 healthcare company is seeing a Project Manager to work on regulatory and compliance projects tied to medicare ... /medicaid inititiaves. - Direct and coordinate resources to ensure project progressed on schedule and within budget. - Use...updates to senior leaders Experience on projects related to medicare /medicaid null We are a company committed to creating… more
- LA Care Health Plan (Los Angeles, CA)
- Portfolio Delivery Project Manager III Job Category: Information Technology Department: Enterprise Portfolio Management Office Location: Los Angeles, CA, US, ... projects on the enterprise portfolio developed in support of LACs strategic direction. The Project Manager III, Portfolio Delivery ( Project Manager III)… more
- LA Care Health Plan (Los Angeles, CA)
- Health Equity Project Manager II Job Category: Clinical Department: Health Equity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Health Equity Project Manager II is responsible for providing...Committee for Quality Assurance, Covered California, and Centers for Medicare and Medicaid Services. Works with various stakeholders, and… more
