- Humana (Oklahoma City, OK)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... motivate, train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid understanding of the market they serve,… 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 ... enhancing customer service for millions of healthcare consumers. In this role you`ll be responsible for overseeing machine learning-driven voice experiences, managing the product roadmap for contact center technology and driving continuous improvements. We are… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the Vice-President ... of Medicare Strategy and oversee critical business reporting and data...for improvement or variance from expected outcomes. The senior manager will create multiple presentations on the status of… more
- Centene Corporation (Cheyenne, WY)
- …related to the successful and financially sounds operations of the company's ** Medicare ** businesses. **In this Manager , Actuarial Services role, you will:** ... perspective on workplace flexibility. **Eligibility Requirement:** To qualify for the Manager , Actuarial Services role, applicants must hold a bachelor's degree,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director ... ensure complete and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and facilitate discussion… more
- Centene Corporation (Providence, RI)
- …support contract negotiations, governance discussions, and strategic planning led by the Medicare VBP Manager . + Advance efforts in health-related social needs ... Payment Initiatives (VBP) will support the expansion and performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage… more
- CVS Health (Hartford, CT)
- …in new and exciting ways every day. Aetna is currently seeking a **Senior Manager for the Test Center of Excellence** team. This individual will be responsible for ... at execution and delivery (planning, delivering, and supporting) skills + Knowledge of Medicare lines of business + Ability to work in a hybrid work environment… more
- Fallon Health (Worcester, MA)
- …integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of ... quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a member's behavioral...with members and forward results to the Nurse Case Manager or PCP as indicated. Documents all activity per… more
- Good Samaritan (Kissimmee, FL)
- …Full time **Weekly Hours:** 40.00 **Department Details** **MUST HAVE 1year Medicare & Medicaid billing experience. **Job Summary** Manage the day-to-day business ... office related tasks to ensure high quality service delivery, operational efficiency, the meeting of financial goals and that operations run smoothly. Supervise the implementation of policies and procedures within the business office to ensure compliance with… more
- 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
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