- 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 (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
- 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
- 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)
- ** Medicare Duals Management Director -Ohio** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 ... miles of our **Columbus, OH** Elevance Health PulsePoint location. The ** Medicare Duals Management Director ** is responsible for developing and ensuring the… more
- Elevance Health (Grand Prairie, TX)
- ** Medicare Duals Management Director -West** **Grand Prairie, TX, Denver, CO, or Seattle, WA** **Location** : This position will work a hybrid model (remote and ... TX, Denver, CO, or Seattle, WA** Elevance Health PulsePoint locations. The ** Medicare Duals Management Director ** is responsible for developing and ensuring… 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
- CVS Health (Hartford, CT)
- …Stars, and Revenue Integrity teams for each of the 4-5 regions that Medicare operates under. This organization will help strengthen the teams that currently support ... will also play an important part in helping to align and communicate the Medicare Local Market teams around current performance, and the forecasts and Budgets that… 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
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …+ This role does not manage people + This role reports to this job: Director , Medicare Advantage Compliance & Medicare Compliance Officer + Necessary ... manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and… more
- CVS Health (Hartford, CT)
- …Enterprise Economics, the Strategy team supporting Medicare , as well as the core Medicare Finance team. This Executive Director will also: + Be a strategic ... affordable. Position Summary As a direct of the CFO, Medicare this role will work to ensure that the...to achieve its financial and strategic goals for our Medicare product lines through effective support of financial closing,… 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
- 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
- CareFirst (Baltimore, MD)
- …timely escalation of concerns identified during risk and control assessments to the IRM Director and the Medicare and Medicaid Compliance Officer. + The intent ... for each respective third party relationship inclusive of delegated vendors for Medicare and Medicaid plans. + Provide support to the Medicaid Integrated Compliance… more