- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as ... of 5 years' experience with CMS processes in a Medicare or Managed Care environment required + Project... Medicare or Managed Care environment required + Project Management Professional certification is a plus + Experience… more
- The Cigna Group (Bloomfield, CT)
- …REMOTE** The ** Project Manager** is a key role that supports **Cigna's Medicare Advantage ** line of business, directly addressing customer and client demands ... & customer issues + Demonstrated ability to influence decisions in support of Medicare Advantage vision & strategy + **Proficient with MS Office Suite… more
- The Cigna Group (Bloomfield, CT)
- …national ancillary account management environment. + Experience with Medicare Advantage - Supplemental Benefits, CMS guidelines, FDR Operations , Clinical ... This is a ** Medicare Advantage position** WORK LOCATION: REMOTE...effective implementation + Collaborates with National Contracting Service & Operations team to create Corrective Action Plan (CAPs) and… more
- Banner Health (AZ)
- …and hybrid opportunities. In the role of Health Plan Program Manager Call Center Sales Medicare Advantage , you will supervise a Medicare Advantage Call ... **Department Name:** Sales **Work Shift:** Day **Job Category:** General Operations A rewarding career that fits your life. As...is strongly preferred. Please note this role does require Medicare Advantage sales and coaching experience.** This… more
- Healthfirst (NY)
- … Medicare Advantage performance areas: + Risk Score Accuracy + Medicare Clinical Programming and Operations + Provider performance + Medical and Pharmacy ... skills + Strong understanding of the healthcare industry marketplace, specific to Medicare Advantage + Self-motivated and driven + Understands and translates… more
- LA Care Health Plan (Los Angeles, CA)
- …well as strategic partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage , with experience serving duals ... Medicare Product Solutions Manager II Job Category: Administrative,...implementation efforts for the product line. Identifies potential risks, project charge, and scope. Recommends in design of appropriate… more
- LA Care Health Plan (Los Angeles, CA)
- …of business. Experience in improving Stars and Quality Measures. Experience in Medicare Advantage , with experience serving duals population. Direct experience in ... Medicare Product Solutions Manager III Job Category: Administrative,...The Product Solutions Manager III leads in supporting ongoing operations of the assigned product lines in bridging the… more
- Centene Corporation (Cheyenne, WY)
- … Medicare Supplemental benefits including dental, vision and hearing + Support Medicare Advantage bid development to determine product and benefit changes in ... project implementation, product or program management experience. + Medicare Supplement Benefits (Dental, Vision, Hearing) experience strongly preferred. + 5+… more
- The Cigna Group (Bloomfield, CT)
- …termination management process in assigned markets for Commercial, IFP and Medicare Advantage products. Works closely with Contracting, Network Solutions, ... REMOTE position aligned to the Northeast and Central USA market._** The **Business Project Senior Analyst** serves as an integral member of the Network Development… more
- Harvard University (Cambridge, MA)
- …include, but are not limited to, the following: + Oversee research project operations -- including managing grant requirements, developing timelines and ... care management and policy research projects, such as the following: A) Comparing Medicare Advantage and Traditional Fee-for-Service Medicare B) Variations… more