- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... leadership. Will direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services (HHS), Arizona's Medicaid… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …impacts using the risk adjustment and quality analytics models across ACA Commercial, Medicare , and Medicaid. * Develop, lead, and provide strategic direction for a ... for the execution and day-to-day management of data submissions for ACA Commercial, Medicare , and Medicaid risk adjustment and quality programs. * Design and execute… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon Health… more
- BrightSpring Health Services (Tempe, AZ)
- …in the hospice industry. Specializing in providinghospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint Patient Carehas grown to become ... terms pertaining to such interventions + Perform and document Medicare Condition of Participation (CoP)-compliant medicationreviews for new hospice patient… more
- CenterWell (Lansing, MI)
- …Quality Professional will be responsible for auditing, training and monitoring the Tele Sales Agents who are responsible for converting Medicare eligible callers ... calls + Provide coaching and feedback to Telesales Agents + Partner with PCO Sales , Retention, Patient Experience and Sales Operations leadership + Review and… more
- Dignity Health (Santa Maria, CA)
- …Business Development; Regional Vice President, Market Development; or Vice President, Sales and branch Director, Operations to develop and execute specific ... from home care or hospice services and/or 2) explain Medicare and Medicaid guidelines, insurance plan benefits, financing options,...Experience** CRE I Minimum of one year of related sales experience, preferably in a health care/medical field or… more
- Edwards Lifesciences (Raleigh, NC)
- …payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran ... serve as a supporting role to our aligned business partners including sales , marketing, government affairs, and medical/clinical affairs. + Assist our Regional and… more
- USAA (Tampa, FL)
- …product, and financial goals through team's performance. Effectively coaches employees on sales processes and opportunities to improve overall sales results. + ... provide brokered products including Final Expense, Universal Life Insurance, Medicare Advantage & Prescription Drug Plans. Coordinates training/onboarding/development of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …evaluation of HCP channel dynamics and IRA / Government-related market conditions ( Medicare Part D redesign, Price negotiations) with a focus on identifying ... opportunities and mitigating risks associated with the Medicare Drug Price Negotiation Program (MFP). The Associate Director will translate insights into actionable… more
- Danaher Corporation (Portland, OR)
- …Cepheid on market diagnostics. This role will cross functionally collaborate with sales , marketing and the value and access team to effectively coordinate and ... + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and… more