- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …create monthly business review report that displays the key metrics of BCBSMA's Medicare Advantage business + Design and develop metrics, reports, and dashboards ... healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning...We're Looking for : + Experience in Government Programs, Medicare Advantage Preferred + Ability to develop… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …key relationships throughout the organization including, but not limited to, Medicare Product , Provider Contracting, Health and Medical Management, Actuarial, ... transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will...recommendations We're Looking for : + Excellent knowledge of Medicare Advantage risk adjustment programs and industry… more
- CVS Health (Trenton, NJ)
- …and execution of the market strategies, including the development of market level Medicare Advantage product and network strategies, execution of pricing ... process and operating model. This role will assist the Medicare Advantage market facing General Manager...prioritize for performance improvement. + Establish targets and brings segment/ product priorities to the market for local execution. +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare ...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- Datavant (Lincoln, NE)
- …outcomes, measure product impact, and support value-based client delivery across Medicare Advantage , ACA, and Medicaid programs. The ideal candidate combines ... to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** ... of project communications and work with project sponsors or product owners to resolve issues, address changes and identify...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …activities to ensure that all Commercial (Pharmacy and Medical benefits) and Medicare Advantage Part D coverage determination requests are processed ... to internal partners including but not limited to Member Service, Medicare Operations, Compliance, Legal, Medical Directors, Sales/Marketing/ Product and external… more
- ChenMed (Warren, MI)
- …+ Direct-to-patient sales and marketing experience preferred. + Experience within the Medicare Advantage population strongly preferred. Experience working for a ... Sales leaders to develop sales strategies that improve market share in all product lines. Assists sales personnel in establishing personal contact and rapport with… more
- Deloitte (Tempe, AZ)
- …working knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare ... including disability, long term care, etc. + Experience with product design and/or product strategy + Experience with reimbursement models - including value… more
- Commonwealth Care Alliance (Boston, MA)
- …**Desired Experience (nice to have):** + Experience working in a health plan, with Medicare Advantage and/or dually eligible population + Experience with a care ... Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral… more
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