• Quality Program Manager - Medicare

    Providence (WA)
    **Description** **Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with ... result in improved Star ratings.** **The Stars Quality Program Manager will:** + Develop and implement strategies to improve... will:** + Develop and implement strategies to improve Medicare Advantage Star Ratings, driving clinical quality… more
    Providence (07/19/25)
    - Related Jobs
  • Sr. Manager , Medicare Strategy…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …create monthly business review report that displays the key metrics of BCBSMA's Medicare Advantage business + Design and develop metrics, reports, and dashboards ... healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning...We're Looking for : + Experience in Government Programs, Medicare Advantage Preferred + Ability to develop… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
    - Related Jobs
  • Medicare Risk Adjustment Strategy Program…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …key relationships throughout the organization including, but not limited to, Medicare Product , Provider Contracting, Health and Medical Management, Actuarial, ... transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will...recommendations We're Looking for : + Excellent knowledge of Medicare Advantage risk adjustment programs and industry… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
    - Related Jobs
  • Manager , Senior Health Clinical Quality…

    Amazon (San Francisco, CA)
    …clinical quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in ... Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One...care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and other… more
    Amazon (08/02/25)
    - Related Jobs
  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare ...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
    Centers Plan for Healthy Living (07/15/25)
    - Related Jobs
  • Lead Digital Product Manager

    Humana (Juneau, AK)
    …the 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 ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is...organizations in the enterprise, on approaches to best-practices in Product Management. Be a leader in how Product more
    Humana (08/08/25)
    - Related Jobs
  • Product Manager , Risk Adjustment…

    Datavant (Lincoln, NE)
    …outcomes, measure product impact, and support value-based client delivery across Medicare Advantage , ACA, and Medicaid programs. The ideal candidate combines ... to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and… more
    Datavant (06/06/25)
    - Related Jobs
  • PMO Project Manager

    Medical Mutual of Ohio (Brooklyn, OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** ... of project communications and work with project sponsors or product owners to resolve issues, address changes and identify...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
    Medical Mutual of Ohio (07/09/25)
    - Related Jobs
  • Hybrid Field Sales Manager

    CVS Health (Austin, TX)
    …available for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager . This position will be a part of a specialized team who ... achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the... & DSNP products within the assigned market. The manager will support their team with a proven ability… more
    CVS Health (07/24/25)
    - Related Jobs
  • Pharmacy Operations Clinical Pharmacist…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …activities to ensure that all Commercial (Pharmacy and Medical benefits) and Medicare Advantage Part D coverage determination requests are processed ... to internal partners including but not limited to Member Service, Medicare Operations, Compliance, Legal, Medical Directors, Sales/Marketing/ Product and external… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
    - Related Jobs