- 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …true colors to blue. Reporting to the SVP, Sales & Client Management, the Director , Group Medicare Sales, is an integral member of the leadership team-driving ... BCBSMA's purposeful re-entry into the Group Medicare Advantage Market. The role will have responsibility for...Advantage Market. The role will have responsibility for Group Medicare Advantage and Medicare Supplementary new sales,… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Director , Group Medicare Sales and Labor Relations sells health insurance and related ... (generally 300+ contracts) and leads the Labor Relations team. The Director , Group Medicare Sales and Labor Relations requires an in-depth understanding of how… more
- CVS Health (Sacramento, CA)
- …to make health care more personal, convenient and affordable. Position Summary The Director of Client Management - Medicare Product will have the opportunity ... to lead our client acquisition and retention strategy for our Medicare specific products. The Director will be building a new team focused on the successful… more
- CVS Health (New York, NY)
- …for energetic team member to bring discipline and strategic thinking to our Medicare Marketing Efforts. The Lead Director , Medicare Marketing Strategic ... critical role in enabling, optimizing and advancing the Aetna's Medicare Marketing. This role will serve as a key...role will serve as a key member of the Medicare Marketing leadership team, and strategic planner for the… more
- Molina Healthcare (Long Beach, CA)
- …improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare , ... including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge....to practice and free of sanctions from Medicaid or Medicare . **PR** **E** **FE** **R** **RED ED** **U** **C**… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Medicare Duals Management Director - Ohio** + Job Family: BUS > Strategy, Planning ... 22, 2024 + Reference: JR111940 **Location:** + OH, COLUMBUS **Description** ** Medicare Duals Management Director -Ohio** **Location** : This position will… more
- Elevance Health (Seattle, WA)
- …you a check, or ask you for payment as part of consideration for employment. ** Medicare Duals Management Director -West** + Job Family: BUS > Strategy, Planning & ... **Location:** + TX, GRAND PRAIRIE + CO, DENVER + WA, SEATTLE **Description** ** Medicare Duals Management Director -West** **Grand Prairie, TX, Denver, CO, or… more
- CVS Health (Hartford, CT)
- …convenient and affordable. Position Summary Works closely with the Executive Director , National SNP Sales Strategy, in the creation, refinement and delivery ... a well-rounded SNP subject-matter-expert in sales, distribution, marketing and Medicaid/ Medicare processes, contributing holistic support to any recommendation. +… more
- UCLA Health (Los Angeles, CA)
- …of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is instrumental in participating in the planning with the ... director and other functional areas for implementation and execution...and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the manager of… more
- CareOregon (Portland, OR)
- … Medicare Administration Manager Title Chief Financial Officer Direct Reports Director , Medicare Requisition # 24180 Pay and Benefits Estimated hiring ... days a week. Job Summary The Vice President of Medicare is responsible for strategy and execution of the... is responsible for strategy and execution of the Medicare Advantage line of business. The majority of time… more
- CVS Health (Hartford, CT)
- …up to 3 days a week Position Summary This position reports to the Director , Medicare Member Materials. This is an individual contributor role. Responsible for ... end-to-end development of annual CMS Medicare member materials. This position will have accountability for...years work experience developing, managing, or reviewing CMS Annual Medicare member materials for a Medicare Advantage… more
- CVS Health (New York, NY)
- …Analytics organization. The team partners with Aetna's Government lines of business ( Medicare , Duals, Medicaid, ACA) to consult with business leaders to define and ... product solutions. The team is organized by business-aligned verticals - Medicare STARS, Revenue Integrity, Duals, Rewards & Product Engagement, Foundational… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of, Medicare or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements : The physical requirements ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY...they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and … more
- CVS Health (St. Louis Park, MN)
- …Support community development, member education, and other activities as directed by the Director of Medicare Operations and as customer service demands allow. ... Serve as an in-person member advocate for Allina Health | Aetna Medicare enrollees.* Engage with members around complex issues predominantly in person but… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Medicare Advantage Director , the Application Manager (AM) will be the primary expert in support of the application. As the ... Supported: EPIC Tapestry and other related software in support of Medicare advantage health plan administration. Salary Range: $105,200 - $250,600… more
- BAYADA Home Health Care (Denver, CO)
- BAYADA Home Health Care is seeking an **Associate** ** Director ** for our Medicare certified **Denver Visits** home health office in **Denver, CO** . This office ... direct deposit, tuition reimbursement and employee assistance program. **As a Home Health Director your day may look like this!** + Responsible for the management… more
- Centers Plan for Healthy Living (Bronx, NY)
- …of, Medicare or Sales experience. SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing PHYSICAL REQUIREMENTS : The physical requirements ... healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, maintains relationships, services our existing customers and...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- CVS Health (Springfield, IL)
- … Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM ... UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM programs to… more
- Universal Health Services (Amarillo, TX)
- …and sales strategy in coordination with Texas Director of Sales and Director of Medicare Advantage Sales Operations. Benefit Highlights: + Loan Forgiveness ... 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and commercial payer… more