• Manager of Actuarial Services

    Excellus BlueCross BlueShield (Rochester, NY)
    …filings and financial statements for assigned business segments. + Leads preparation of Medicare Advantage bids and coordinates CMS bid review responses. + ... current and proposed health plan Underwriting guidelines for commercial and Medicare eligible subgroups. + Consistently demonstrates high standards of integrity by… more
    Excellus BlueCross BlueShield (12/04/25)
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  • Business Intelligence Analyst

    Waystar (Lehi, UT)
    …Business Intelligence Analyst to help us identify insights and trends in sales data that maximize business performance and help healthcare providers financially ... insight narratives, and will be influential in driving improvements in sales process, product and channel development, marketing, growth enablement and other… more
    Waystar (12/24/25)
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  • Account Consultant III - Public Sector (Remote)

    CareFirst (Washington, DC)
    …of underwriting principles; group health/life insurance financial/funding mechanisms; stop loss, medicare advantage , wellness, clinical, managed care and point ... current and prospective relationships to ensure success with products. Leads sales initiatives and strategies within their assigned territory. Achieves sales more
    CareFirst (11/21/25)
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  • Account Consultant IV - Public Sector (Remote)

    CareFirst (Baltimore, MD)
    …of underwriting principles; group health/life insurance financial/funding mechanisms; stop loss, medicare advantage , wellness, clinical, managed care and point ... current and prospective relationships to ensure success with products. Leads sales initiatives and strategies within their assigned territory. Achieves sales more
    CareFirst (01/06/26)
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  • Community Engagement Manager

    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...at least 100,000/300,000/100,000 limits. + This is a field sales position, not work from home, and may require… more
    CenterWell (12/19/25)
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  • Medical Review & Appeals Director (Hybrid)

    CareFirst (Baltimore, MD)
    …Qualifications:** + Significant experience with Government programs including Maryland Medicaid, Medicare Advantage and DSNP. **Knowledge, Skills and Abilities ... Corporate Compliance, including acting as a consultant to the Legal/ Sales /Government Affairs/Compliance/Executive Inquiry Teams. Directs professional, clinical, and management… more
    CareFirst (01/06/26)
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  • Manager, Health Systems Analytics

    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 ... end of the calendar year are eligible to take advantage of the Global Shutdown. Eligibility Disclosure:** T he...work. Summer hours are generally not available for field sales and manufacturing operations and may also be limited… more
    Bristol Myers Squibb (01/06/26)
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  • Center Clinical Director

    ChenMed (Houston, TX)
    …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth The CMD will adhere to strict departmental goals/objectives,… more
    ChenMed (01/01/26)
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  • Actuary - Pharmacy (Remote)

    CareFirst (Baltimore, MD)
    …for directing the efforts of Actuarial staff (Pricing, Actuarial Finance, Actuarial Medicare Advantage , Actuarial Innovation and Research) to accomplish near and ... goals Provides actuarial leadership support to Medical, Pricing, Underwriting, Sales , Finance and other applicable Business Units. Responsible for actuarial… more
    CareFirst (12/20/25)
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  • Sr PM / Program Manager ( HealthCare Payer)

    Capgemini (Cincinnati, OH)
    …of **Program Manager / Sr Project Manager** - Markets and Growth portfolio Medicare Advantage / DSNP/ Medicaid or Exchange program/ product build knowledge ... location, relevant education, qualifications, certifications, experience, skills, seniority, performance, sales or revenue-based metrics, and business or organizational needs.… more
    Capgemini (11/28/25)
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