- 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
- Humana (Annapolis, MD)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products ... for customer use. The Senior Product Manager work assignments...(3) or more years of combined professional experience in Medicare and Medicaid, with at least two (2) of… more
- Providence (Portland, OR)
- **Description** ** Senior Manager Actuarial Analytics \*Remote * Candidates residing in Washington, Oregon or California are invited to apply. Relocation to one ... to inspire and retain the best people, we must empower them.** **The Senior Manager Actuarial Analytics is responsible for producing pricing, forecasting, and… 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)- ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an… more
- Prime Therapeutics (Helena, MT)
- …our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- Deloitte (Tempe, AZ)
- …knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare Supplement products ... including disability, long term care, etc. + Experience with product design and/or product strategy + Experience with reimbursement models - including value… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a critical role in testing, ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more
- Banner Health (AZ)
- …to employment settings by including remote and hybrid opportunities. As a Program Senior Program Manager Provider Incentives, you will call upon your experience ... Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs… more
- Cardinal Health (Lansing, MI)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. + Process enrollments via inbound fax, phone,… more
- CVS Health (Washington, DC)
- …in demonstrated decrease in unit cost, inventory reporting, inventory allocation for Medicare , Medicaid and Commercial (fully insured and ASO) work product , ... waste, and abuse. + Experience with Aetna or other MCO Commercial/Medicaid/ Medicare plans + Certified Professional Coder Education: + Bachelor's degree preferred… more