- CVS Health (Frankfort, KY)
- …day. **Position Summary** This individual contributor position reports to the Lead Director, Medicare Member Materials. This is an exciting opportunity to join ... to see the value in project **Required Qualifications** + 3+ years of Medicare member materials experience at a regional or national health plan + 3+ years… more
- CVS Health (Boise, ID)
- …with Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize ... lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** This role oversees the Medicare Prescription Payment Plan (M3P), working closely with internal matrix partners and external vendors to ensure all ... administered timely, accurately and in compliance with the Centers for Medicare and Medicaid Services (CMS) requirements. Ensures that future program enhancements… more
- Elevance Health (Richmond, VA)
- …research and analysis to identify trends, areas for improvement, and opportunities within Medicare markets ad provider networks. + Gather and analyze data to develop ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Point32Health (Canton, MA)
- …are often intended for senior leadership and/or strategy teams. The Sr Pharmacy Program Manager supports the Pharmacy department in conducting industry ... and vendors to develop and implement strategic projects. The Sr Pharmacy Program Manager functions as a senior project manager /advisor on strategic… more
- CVS Health (Austin, TX)
- …to service performance, customer satisfaction, financial performance, and quality. The Sr . Manager will collaborate with upstream and downstream functional ... the PA programs across our book of business for Medicare , Commercial (Health Plan, Employer, Coalition) and Marketplace Exchange...that have delegated PA services to the PBM. The Sr . Manager may have 4-6 direct work… more
- Molina Healthcare (Tucson, AZ)
- **Job Description** **Job Summary** The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member ... lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs in accordance with… more
- Humana (Jacksonville, FL)
- **Become a part of our caring community and help us put health first** Our Senior Manager , Medicare Sales - CarePlus motivates and drives a team of ... Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager , Medicare Sales -...Information** + Any Humana associate who speaks with a member in a language other than English must take… more
- CVS Health (Hartford, CT)
- …compassionate. We do it all with heart, every single day. We are seeking a ** Senior Manager of Provider Contract & Pricing Testing** to join our expanding ... assurance of Provider Contracts and Pricing, ensuring that both Provider and Member Experiences meet or exceed expectations through the use of test automation… more
- Aston Carter (Honolulu, HI)
- …interdepartmental activities, and the reference materials supporting these Ensuring that all Medicare member records are in compliance with CMS requirements and ... Description The Senior Enrollment Manager is responsible for...for handling plan enrollment and disenrollment transactions, tracking/monitoring of Medicare ESRD members, generation of member notices,… more
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