- CareFirst (Baltimore, MD)
- …of underwriting principles; group health/life insurance financial/funding mechanisms; stop loss, medicare advantage , wellness, clinical, managed care and point ... will be working with Public Sector accounts with various funding arrangements and plan sponsors within state, municipal and school boards ranging in girth from 100… more
- NTT DATA North America (Boston, MA)
- …for payer organizations + **Multi-Line of Business Exposure:** Experience across **Commercial, Medicare Advantage , Medicaid, or specialty lines of business** + ... accountable for **value creation and business outcomes** , innovation, health plan transformation, and executive-level partnerships. This leader serves as a… more
- CenterWell (Asheville, NC)
- … targets. + Strong understanding of the senior healthcare industry, particularly Medicare Advantage and value-based care. + Excellent communication, negotiation, ... related experience. + 3+ years of experience in field sales , with at least 1 year in a leadership...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
- Capgemini (Cincinnati, OH)
- …of **Program Manager / Sr Project Manager** - Markets and Growth portfolio Medicare Advantage / DSNP/ Medicaid or Exchange program/ product build knowledge ... or many functions) E2E set of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member… more
- Bristol Myers Squibb (Princeton, NJ)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in ... industry related to Managed Care + Experience with governmental pricing, bundled sales arrangements, financial processes, SAP and GTN systems and methodologies is… more
- CareFirst (Baltimore, MD)
- …Qualifications:** + Significant experience with Government programs including Maryland Medicaid, Medicare Advantage and DSNP. **Knowledge, Skills and Abilities ... business. The incumbent will ensure alignment with the overall Corporate Strategic Plan through direction and oversight of the Clinical Medical Claims Reviews,… more
- Bristol Myers Squibb (Princeton, NJ)
- …policies. It includes providing analytical support for strategies related to Medicare and Medicaid reforms, Pharmacy Benefit Manager (PBM) reforms, Inflation ... Assistance Programs (EAP). + **Financial Well-being and Protection:** 401(k) plan , short- and long-term disability, life insurance, accident insurance, supplemental… more