- Humana (Harrisburg, PA)
- … compliance on this complex and expanding areas. In addition, this role supports compliance of Medicare bid filings and allows you to see the overall end ... us put health first** The Lead Actuary, Risk and Compliance is responsible for the overall management and oversight...to end bid process at a leading Medicare Advantage organization. This is a great role for… more
- Humana (Harrisburg, PA)
- …Professional 2 working remote anywhere in the US. This team focuses on Medicare compliance and operational communications. As the Production Professional 2, you ... Communications Professional who is experienced in print communications and Medicare to join the Retail Communications Team as a...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- AmeriHealth Caritas (Philadelphia, PA)
- …managing relationships with independent brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, ... services. Discover more about us at www.amerihealthcaritas.com. **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures… more
- The Cigna Group (Philadelphia, PA)
- …team. The leadership and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give their members' access to ... role, you will serve as the primary contact for Medicare strategic initiatives and market development. You will become...in a manner that allows for consultation, idea generation, compliance consulting, and strategic support. This person needs to… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages the ... coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership skills that ensure successful Part D pharmacy… more
- CVS Health (Harrisburg, PA)
- …We are seeking a strategic and technically proficient leader to oversee Medicare data science initiatives supporting actuarial analytics and pricing. The ideal ... deep expertise in CMS Part C and D programs, Medicare Advantage bid cycle management, and pricing strategies. This...end-to-end bid cycle process, including pricing, forecasting, and regulatory compliance . + Serve as a subject matter expert on… more
- Humana (Harrisburg, PA)
- …service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include national clinical ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Harrisburg, PA)
- …looking for a DOD SkillBridge Internship opportunity? Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... and certification to allow you the ability to sell Medicare plans. Our training program will provide you with...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Chester, PA)
- …our caring community and help us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability to ... as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health plan products...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CVS Health (Blue Bell, PA)
- …exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP and PDP Products. ... This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure business strategy achieve… more