- CVS Health (CT)
- …implementation and milestone tracking for business plans as Part of the Medicare benefit and product cycle. Directs the strategic development and implementation of ... product initiatives, including new products and product enhancements for Medicare pharmacy business strategic plans, product implementation, regulatory oversight … more
- US Tech Solutions (May, OK)
- …role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal notes or fax requests for pertinent ... details for case decisions. It requires adherence to work instructions and Medicare guidelines to ensure proper case processing. The position also demands compliance… more
- Molina Healthcare (Kearney, NE)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement ... initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of subject matter… more
- Molina Healthcare (Davenport, IA)
- …for assigned markets, including D-SNP market performance management. + Function as Medicare subject matter expert and point of contact for assigned market. + ... Government Contracts on regulatory items + Under the leadership of the VP Medicare Segment Lead, this role will facilitate transparent and compliant execution of … more
- CVS Health (PA)
- …day. **Position Summary** The primary responsibility of the Business Consultant - Medicare Conversions and Strategic Growth is to deliver business analytics and ... for the team, providing valuable insights into the performance of the Medicare Cross-Sell program and recommending actionable enhancements to Medicare Conversion… more
- CVS Health (FL)
- …talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team ... who will focus on educating existing Medicare members on available plan offerings to help meet...Work defined campaigns that are designed to assist Aetna Medicare members holistically find the appropriate Aetna Medicare… more
- Health Care Service Corporation (Nashville, TN)
- …complaints; submission of member and marketing materials to CMS for HCSC's Medicare Advantage and Prescription Drug Plans; applying CMS regulations pertaining to ... Medicare Advantage and Prescription Drug Plans to the review...to submission to CMS; providing assistance and guidance regarding Medicare Advantage and Prescription Drug Plan regulations to HISC… more
- Molina Healthcare (Dayton, OH)
- …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. + Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- CVS Health (DE)
- …all with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a critical role in shaping and executing the ... organization's Medicare Part D formulary and product strategy. Leveraging your...Description Summary** + Support the development and implementing of Medicare Part D strategy through the execution of operational,… more