- Molina Healthcare (Cedar Rapids, IA)
- …of business for upcoming contract year business readiness. Reviews all member -facing materials from all functional areas of Medicare for compliance per the ... the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support… more
- Centene Corporation (Austin, TX)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Manage development of Medicare marketing and member materials in compliance with ... the development, CMS submission, and downstream delivery of compliant member materials , (depending on scope of team)...5+ years of combined health plan member materials development and compliance experience in a Medicare… more
- Centene Corporation (Lincoln, NE)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Medicare Program Manager II is responsible for executing, defining ... of the Iowa Medicare program. By utilizing cross functional teams, the Medicare Program Manager II will deliver defined requirements and meet business needs… more
- UCLA Health (Los Angeles, CA)
- Description As the Program Manager of Medicare Advantage Marketing, you will provide tactical support for implementing innovative marketing strategies and plans ... for New Century Health Plan's Medicare Advantage Growth Office. This position will play a...Oversee the review and approval process for all prospect, member , and provider-facing communication materials . Salary Range:… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for leading Medicare and duals internal business projects and programs involving department or cross-functional teams ... regulatory agencies. + Knowledge related to CMS regulations, reporting requirements, and member material requirements is required. + Experience with 834 EDI files +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- Fallon Health (Worcester, MA)
- …care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- VNS Health (Manhattan, NY)
- OverviewAssesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care ... manager generated requests for medical services and renders clinical...clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care… more
- VNS Health (Manhattan, NY)
- OverviewAssesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care ... manager generated requests for medical services and renders clinical...clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager Title ... must reside in Oregon or Washington. Job Summary The Risk Adjustment Coding Manager is responsible for the development, execution and management of the risk… more