- Amazon (San Francisco, CA)
- Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical. Reporting directly to the National Leader for ... quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in healthcare… more
- CVS Health (Sacramento, CA)
- …of high quality care to the Medicare population. As a Senior Technical Product Manager , you will be responsible for driving the strategic direction of our ... planning, execution and on time delivery of multiple individual product initiatives within a single agile team. + Partner...with cross-functional team members to collect and document detailed product requirements. + Ensure the quality of each … more
- Humana (Sacramento, CA)
- …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of...organizations in the enterprise, on approaches to best-practices in Product Management. Be a leader in how Product… more
- Humana (Sacramento, CA)
- …help us put health first** We're looking for a strategic and forward-thinking Lead Product Manager to shape and deliver impactful clinical solutions for our ... and strategy to execution and optimization. As a Lead Product Manager , you will work across multidisciplinary...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Datavant (Sacramento, CA)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... measure product impact, and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep… more
- Humana (Sacramento, CA)
- …and help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to ... simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- LA Care Health Plan (Los Angeles, CA)
- …indicator (KPI) metrics and reports for all three lines of business (Commercial, Medicare and Medi-Cal). The Program Manager II standardizes technical meetings ... meetings related to encounters and claims data for risk adjustment for all product lines (Commercial, Medicare , and Medi-Cal), capture notes and action plans.… more
- LA Care Health Plan (Los Angeles, CA)
- … Manager oversees the resolution of member appeals and grievances for all product lines (Medi-Cal, Medi-Cal Direct, Medicare , PASC-SEIU and LA Care Covered) ... Manager , Customer Solution Center Appeals and Grievances Job...Health Care, Department of Health Care Services, Centers for Medicare & Medicaid Services, as well as requirements from… more
- Aston Carter (Valencia, CA)
- Job Title: Market Access Manager Job Description We are seeking a proven and strategic Market Access Manager to spearhead efforts in securing coverage, ... demands extensive expertise in navigating the intricacies of private insurance carriers, Medicare , and Medicaid, along with a robust ability to drive evidence-based… more
- Adecco US, Inc. (Long Beach, CA)
- **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:** Remote - Must reside within Long Beach, CA area **Travel:** Up to 80% ... automobile or air **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for a specialty… more