- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- CVS Health (Phoenix, AZ)
- …and implementation of all aspects of the Health Services management program . + Applies critical thinking and knowledge in clinically appropriate treatment, ... years management experience + 2+ years working with either Medicare or Medicaid + Advanced knowledge of problem solving...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and ... + Holiday Pay + 401(k) with match + Employee Assistance Program + Paid Parental Bonding Benefit Program + Pharmacy Benefits + Income Protection Plans + Pet… more
- Travelers Insurance Company (Diamond Bar, CA)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage… more
- CVS Health (Frankfort, KY)
- …has an exciting new opportunity! We are seeking a detail-oriented and collaborative Senior Manager to lead the business-side of the design, implementation, and ... technical solutions by defining requirements, working closely with internal stakeholders, program owners, IT teams, and external vendors to ensure eligibility… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and ... complete and accurate medical record documentation and coding. The Program Manager will contribute to the development...operations, financing and revenue generating programs + Knowledge of Medicare Part D program , operations and industry… more
- CVS Health (Madison, WI)
- …the delivery 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 Stars data. Through partnership with senior business and engineering leaders, you will oversee the...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Hartford, CT)
- …with extensive insurance industry knowledge. Solid knowledge of other benefit program (s) (Medical, Dental, Vision, Pharmacy, Stop Loss, Medicare , Voluntary ... do their jobs. Escalates underwriting exceptions and financial variances to senior management balancing membership, revenue growth and profitability targets. Engages… more
- Molina Healthcare (Cleveland, OH)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
- Medtronic (Lafayette, CO)
- …experience + Must have prior medical device industry experience + Experienced with Medicare and Medicaid reimbursement + 25% travel **Nice to have:** + **HEPR ... interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements… more
Recent Jobs
-
Transport Driver - Regional/Dedicated PNW
- Admiral Beverage Corporation (Nampa, ID)
-
Supervisor, Assistant Clinical Manager RN - Operating Room - Full Time
- Guthrie (Sayre, PA)
-
Business Operations Associate
- Aerotek (Jacksonville, FL)
-
Deputy Chief of ITS Engineering Unit
- City of New York (New York, NY)