- Molina Healthcare (Layton, UT)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …about shaping the future of insurance products? We are looking for a **Associate Product Manager \- Medicare ** to join our dynamic **SeniorCare** team\. ... a 100\-mile radius of Chattanooga, TN\. **Job Responsibilities** + Assist in the development of the business case, business plan, product definition and… 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 ... responsible for overseeing machine learning-driven voice experiences, managing the product roadmap for contact center technology and driving continuous improvements.… 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 ... for improvement or variance from expected outcomes. The senior manager will create multiple presentations on the status of... product decisions + Prepare and present monthly product enrollment reports and analysis at Medicare … 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, ... risk adjustment programs and industry trends + Knowledge of provider contracting, product development , operations, financing and revenue generating programs +… more
- Providence (WA)
- **Description** **Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with serving as ... strategies that result in improved Star ratings.** **The Stars Quality Program Manager will:** + Develop and implement strategies to improve Medicare … more
- Centene Corporation (Tallahassee, FL)
- …managed care experience preferred. Dental Vendor Management or Dental Product Development experience highly desired. **License/Certification:** Project ... program updates and facilitate cross functional executive level discussion. + End-to-end development , filing and execution of the Medicare Supplemental dental,… more
- The Cigna Group (Bloomfield, CT)
- …or Part D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare / ... This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …current members. MAP Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- Elevance Health (Louisville, KY)
- …but are not limited to: + Provides analytical insights to support business solution development for Medicare and ACA risk adjustment initiatives. + Analyzes and ... ** Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement:...or customer segmentation based on analytical insights, clinical inputs, product design and operations considerations. + Develops predictive models… more
Recent Jobs
-
ED Tech PRN Nights
- Trinity Health (Baker City, OR)
-
New Graduate Respiratory Care Practitioner
- HCA Healthcare (Manchester, NH)