- The Cigna Group (Houston, TX)
- **The Provider Performance Lead Analyst is a key member of the market that assists in the growth and development of the provider network. The Lead ... providers and the individual that represents Cigna MA.** The Provider Performance Lead Analyst's responsibilities...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- The Cigna Group (Huntsville, AL)
- …and distribute provider informatics, reports, dashboards + Track and monitor performance guarantees for assigned BOB + Promotes Provider Index score ... systems. + Understanding of medical insurance products and associated provider issues + Ability to lead an..._###@cigna.com_ _for an update on your application or to provide your resume as you will not receive a… more
- CVS Health (Sacramento, CA)
- …personal, convenient and affordable. Position Summary The Director of Client Management - Medicare Product will have the opportunity to lead our client ... which are best able to drive improvements As the Lead Director you will work closely with the Executive...+ Five (5) or more years of experience with Medicare ; possession of industry knowledge which includes performance… 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,...of Business. The primary measure of the Account Management Lead Associate's performance is by way of… more
- Henry Ford Health System (Grand Rapids, MI)
- GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- The Cigna Group (Houston, TX)
- …high-quality, and competitive solutions to the market. This critical role on the Medicare Performance Optimization team will be accountable for financial ... stream strategy, along with plans designed to ensure Cigna's Medicare programs meet key business performance goals....Local Markets, Enterprise Affordability and other key domains + Lead the Medicare Affordability team and facilitate… more
- CVS Health (Hartford, CT)
- …enhancing data accuracy, and improving efficiency. * Guides management for individual performance evaluations aimed to provide critical feedback for skills ... CVS, we are looking for a leader who can provide strategic leadership and oversight for financial planning and...and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial… more
- USAA (Phoenix, AZ)
- …currently seeking a talented **Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- PruittHealth (Norcross, GA)
- …to learning new processes, concepts, and skills; Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. ... **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting,...a volume of work as established by PruittHealth productivity performance standards, are familiar with the rules and regulations… more
- CVS Health (Hartford, CT)
- …is the senior HR thought-partner to the executive leadership team of the Aetna Medicare business, a business that announced a new leader earlier in 2024. This HR ... the SVP, CPO for Aetna and the President of Medicare to review and refresh the operating model of...in this role hinges upon a leader's ability to lead , influence and execute successfully in a matrix organization… more
- CVS Health (Hartford, CT)
- …strategic thought leader in support of business direction. Monitor and report on performance relative to plan and strategic alignment. Provide financial analysis ... team members as required in support of strategic initiatives. Provide business and financial expertise needed to set planning...the monthly close, budgeting, and forecasting from the various Medicare product lines. + Lead the financial… more
- BlueCross BlueShield of North Carolina (NC)
- …the deployment of actuarial concepts. As a Consulting Actuary you will also provide Medicare thought leadership and assist in the development of go-to-market ... a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting,...about making health care better for all. Help us lead the charge for better health care by joining… more
- 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
- CVS Health (Hartford, CT)
- …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 ... Revenue Management, and Performance Management teams to drive local market performance and accountability across the 4-5 Medicare regions. Help set targets… more
- Providence (NV)
- …empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics, Medicaid / Medicare who will:** + Lead the review of Medicaid capitation rate ... submission in support of Medicaid capitation rate setting + Provide expertise and consultation to support the Medicare...bid process and pricing strategy + Evaluate the financial performance for Medicaid/ Medicare lines of business +… more
- State of Indiana (Indianapolis, IN)
- …opportunities to continue professional development. + Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees. ... Medicare Claims Analyst Date Posted: May 8, 2024...and promoting employees based on individual ability and job performance . Our policy is to provide equal… more
- Healthfirst (New York, NY)
- …clinical, medical economics, risk adjustment, and population health strategy implement Medicare strategy for profitable performance and ensure seamless ... The Manager, Medicare Markets is passionate and motivated by Healthfirst's...Drive innovation and develop solutions to continually improve product performance . + Lead presentations for on-going management… more
- Healthfirst (New York, NY)
- The Medicare Outside Sales Representative is a top performing membership growth agent responsible for identifying, educating, and enrolling prospective Medicare ... benefits in a manner that is compliant with the Center for Medicaid and Medicare Services (CMS) and company policies and regulations. This role will come with… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Director, Group Medicare Sales and Labor Relations sells health insurance and related products to new ... and leads the Labor Relations team. The Director, Group Medicare Sales and Labor Relations requires an in-depth understanding...up to 3,000 enrolled members. In addition, they will lead our Labor Relations team, ensuring effective alignment and… 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 implementation… more