- Molina Healthcare (Layton, UT)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the Vice-President ... for improvement or variance from expected outcomes. The senior manager will create multiple presentations on the status of... product decisions + Prepare and present monthly product enrollment reports and analysis at Medicare … more
- 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, ... Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director… more
- Providence (WA)
- **Description** **Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with serving as ... strategies that result in improved Star ratings.** **The Stars Quality Program Manager will:** + Develop and implement strategies to improve Medicare … more
- Centene Corporation (Austin, TX)
- …of the Medicare Supplemental dental, vision and hearing benefits. Program Manager will own a complex portfolio of designs, and directly responsible for ... including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the development, planning and… more
- The Cigna Group (Bloomfield, CT)
- This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This ... Drug or Part D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare /… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …current members. MAP Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- Elevance Health (Louisville, KY)
- ** Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... unless an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Consultant** is responsible for employing advanced… more
- CVS Health (Madison, WI)
- …of high quality care to the Medicare population. As a Senior Technical Product Manager , you will be responsible for driving the strategic direction of our ... planning, execution and on time delivery of multiple individual product initiatives within a single agile team. + Partner...with cross-functional team members to collect and document detailed product requirements. + Ensure the quality of each … more
- CVS Health (Olympia, WA)
- …is a remote position- candidate may reside anywhere in US** **Position Summary** The Manager (109), Product Owner (PO) is responsible for leading the Medicare ... & Appeals (G&A) Department. This role contributes to the product vision and translates it for the product...Roadmaps (10%) + Develop a deep understanding of the Medicare innovation strategy and initiatives + Provides clarity of… more