• Director, Network Contracting

    Point32Health (NH)
    …and experience working collaboratively with providers. + Preferred: 10-15 years of Medicare Advantage experience. Skill Requirements + Energetic, goal driven ... functions including risk adjustment, population health, finance, operations, actuarial, and sales . **Job Description** Key Responsibilities/Duties - what you will be… more
    Point32Health (08/07/25)
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  • Senior, Analyst, Underwriting-Hybrid

    CVS Health (Chicago, IL)
    …+ Performs accurate analysis and risk assessment for new business group Medicare Advantage opportunities. + Produces timely and accurate customer specific ... documents for RFP responses. + Work closely with the sales team to provide strategic solutions which are affordable...skills. + Must be able to communicate effectively with sales partners and underwriting management. + Ability to use… more
    CVS Health (09/05/25)
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  • Bilingual Enrollment Specialist

    MVP Health Care (Fishkill, NY)
    …Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans ... **Qualifications you'll bring:** + Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital,… more
    MVP Health Care (09/13/25)
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  • Bilingual Health Care Enrollment Specialist

    MVP Health Care (Albany, NY)
    …plans including Medicaid, Child Health Plus, Essential Plan, QHPs, HARP, Off-Exchange, Medicare Advantage , and D-SNP. **Qualifications you'll bring:** + Two plus ... years of customer service or sales experience, ideally in health care (hospital, medical office, or insurance). + Associate's degree or equivalent combination of… more
    MVP Health Care (09/11/25)
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  • Senior Product Manager

    BlueCross BlueShield of North Carolina (NC)
    …of experience in related field **Bonus Points** + Strong understanding of Medicare Advantage regulatory environment. + Demonstrated experience supporting Dual ... to assure that product launches effectively, including the appropriate training, sales support, communications, and product positioning. + Responsible for SSBCI… more
    BlueCross BlueShield of North Carolina (09/10/25)
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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 (08/30/25)
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  • RN Medical Policy Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …areas within BCBSMA. + Responsible for reviewing Local Coverage Determinations (LCD) for Medicare Advantage and identifying any code changes that impact edits. ... education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs… more
    Blue Cross Blue Shield of Massachusetts (08/19/25)
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  • Chief of Network Strategy & Management

    Providence (Portland, OR)
    …support the organization's objectives related to market expansion, particularly in Medicare Advantage , Commercial insured, and self-insured markets. + ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 5018 SALES MANAGEMENT OR REGION **Address:** OR Portland 4400 NE Halsey St… more
    Providence (07/25/25)
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