• Regulatory Compliance Specialist - Full Time…

    Henry Ford Health System (Rochester Hills, MI)
    …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... Join Henry Ford Health Pharmacy Advantage team as a...+ Excellent computer skills including Microsoft Office and database management . + Excellent written/verbal communication, networking, and interpersonal skills.… more
    Henry Ford Health System (07/24/25)
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  • Sr Manager, CSNP Product Mgt & Development…

    CVS Health (Columbus, OH)
    …life cycle management of Aetna Medicare products that serve Medicare Advantage populations, including Chronic Care Special Needs Plans (C-SNP). This role is ... At CVS Health , we're building a world of health...enhancements **Required Qualifications** 7+ years of experience with Medicare Advantage plans, including C- SNP plans. **Preferred Qualifications** Strategic… more
    CVS Health (09/06/25)
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  • Pharmacy Benefits Specialist - Pharmacy…

    Henry Ford Health System (Rochester Hills, MI)
    …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... Join the growingHenry Ford Health Pharmacy Advantageteam as aFull-Time Pharmacy Benefits Specialist!Make a meaningful impact on patient care while enjoying aflexible… more
    Henry Ford Health System (08/08/25)
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  • Medicare Compliance Manager (Medicare…

    Molina Healthcare (ID)
    …Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager) **Preferred ... and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing,… more
    Molina Healthcare (07/25/25)
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  • REMOTE - Associate Medical Director, Health

    Martin's Point Health Care (Portland, ME)
    …improvement tools + Experience in Health Plan utilization management + Experience in Medicare Advantage and/or TriCare preferred Required License(s) ... other plan functions that interface with Medical Management such as Health Management ,...management and strategic deployment. + Provides support to Health Plan risk adjustment activities as needed.… more
    Martin's Point Health Care (08/23/25)
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  • Lead Sector Consultant Medicare Sales (Hybrid…

    Henry Ford Health System (Troy, MI)
    …three (3) years of leadership and/or management experience. + Familiarity with health plan operations and federal and state regulations. + Familiarity with a ... marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both...broad range of health plan options (HMO, PPO, CDHP). CERTIFICATIONS/LICENSURES… more
    Henry Ford Health System (08/27/25)
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  • Director, Sales and Retention, Health

    Sanford Health (WI)
    …clients, internal and external colleagues within the organization to continue to push the Health Plan forward. Coaches colleagues to solve problems, grow and set ... high year-over-year. Acts as a positive representative of the Health Plan to the community and stakeholders....years of proven experience in sales, service or account management experience in health insurance industry, with… more
    Sanford Health (06/21/25)
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  • Sr Analyst, Plan Sponsor

    CVS Health (Hartford, CT)
    …manage, and resolve escalated and complex global issues for Claims/Calls, PSS, and health plan back-office operations. The PSL dedicated role has responsibility ... Medicare Advantage servicing to our CT Teachers' Retirement Board Plan Sponsor benefit administration personnel while supporting Group Center of Excellence Call… more
    CVS Health (08/30/25)
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  • Medicare Sales Account Representative

    BrightSpring Health Services (Knoxville, TN)
    Advantage , an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) ... Overview Seeking a Sales Account Representative/Executive for our Signature Advantage Plan who will work with senior...With a dedicated nurse practitioner leading a personalized care plan , we strive to improve the health more
    BrightSpring Health Services (08/14/25)
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  • Health Solutions Assistant Vice President…

    AON (New York, NY)
    …producers and account executives to secure new client relationships as well as the management of ongoing US health and benefits client relationships and delivery ... sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-LR1 #LI-HYBRID 2561227 Health...to secure new client relationships as well as the management of ongoing US health and benefits… more
    AON (08/20/25)
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