• Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …: The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business , maintains relationships, services our existing customers and secures ... LHCSA's + Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. +… more
    Centers Plan for Healthy Living (07/15/25)
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  • Regulatory Analyst, Medicare

    Healthfirst (NY)
    …saved. + Reviews the Disclaimer Bank and communicates disclaimer updates to the business owner . + Works collaboratively with Regulatory Affairs Managers and ... approvals of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process , including working with internal stakeholders on… more
    Healthfirst (06/27/25)
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  • Director, Operational Oversight ( Medicare

    Molina Healthcare (Albany, NY)
    …* Demonstrated skill in root-cause triage that routes each complaint to the correct business owner on first touch. 2. Resolution Quality & Compliance Mastery * ... CTM work * Demonstrated success leading joint roadmaps for process upgrades and new CMS requirements-e.g., CTM file-exchange or...best practices and embed them across multiple lines of business * Comfortable building business cases and… more
    Molina Healthcare (07/29/25)
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  • Senior Technical Product Owner

    Humana (Louisville, KY)
    …impact the business / members + Deliver meaningful analysis that drives the business forward + Provide input to process improvement + Provide support to ... caring community and help us put health first** The Senior Technical Product Owner is responsible for defining and delivering on the roadmap for the optimization,… more
    Humana (08/02/25)
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  • Product Owner , Office of Interoperability

    CVS Health (Hartford, CT)
    …+ 7-10 years or more of healthcare experience + At least 3 years of Product Owner , Scrum Master, and/or Business Analyst experience + At least 3 years of ... with Aetna, a CVS Health company. As a Product Owner for Interoperability, you will be responsible for leading...Knowledge of federal regulations and compliance requirements for government business + Process mapping and discovery experience… more
    CVS Health (08/08/25)
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  • Licensed Benefits Advisor (Field Based)

    Centers Plan for Healthy Living (Bronx, NY)
    …+ Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. + ... all equipment issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members… more
    Centers Plan for Healthy Living (07/15/25)
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  • Delaware Valley ACO Fellowship

    Humana (Columbus, OH)
    …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...is a joint venture among three stakeholders: Humana (majority owner ), Main Line Health System, and Jefferson Health System.… more
    Humana (07/30/25)
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  • IT Business Systems Analyst - ScriptMed…

    Prime Therapeutics (Indianapolis, IN)
    …fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business ... Development Life Cycle (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define, and document the… more
    Prime Therapeutics (07/11/25)
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  • AVP Client Engagement - National Accounts - REMOTE

    Prime Therapeutics (Atlanta, GA)
    …of business (Employer Markets, Health Insurance Marketplace (HIM), Commercial, Medicare , and Medicaid). This individual is the primary relationship and contract ... owner for their assigned account/s and oversees a cross-functional...account management team, including representation across all lines of business , and key departments such as clinical, trade, and… more
    Prime Therapeutics (08/09/25)
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  • Product Management Senior Advisor - Express…

    The Cigna Group (St. Louis, MO)
    …the capabilities they own. **Position Details:** + Serve as the Regulated Markets business owner for specific capabilities + Lead large initiatives for Regulated ... **Product Management Senior Advisor - Medicare Solutions, Express Scripts** **Description of Position:** + The Product Management Senior Advisor provides leadership… more
    The Cigna Group (07/23/25)
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