- Atrium Health (Charlotte, NC)
- …and understanding of severity based DRG systems; All-Patient Refined and Medicare Severity (APR-DRG), Medical Severity Diagnostic Related Group System (MS-DRG) and ... Hierarchical Condition Categories (HCC). Interacts with the physician advisor , attending physicians, and/or other designated members of the healthcare team when… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ... 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,… more
- The Cigna Group (Bloomfield, CT)
- …We are seeking a seasoned professional for the role of Business Analytics Advisor within the Medicare Growth Analytics Team to assist our self-service ... on setting and executing the vision for how our Medicare Growth team can lead Cigna to achieving its...strong preference will be given to candidates near our Medicare Hubs (Nashville, TN; Bloomfield, CT; Philadelphia, PA; Phoenix,… more
- The Cigna Group (Bloomfield, CT)
- **Remote, work from home - United States** **Summary** The Business Analytics Senior Advisor position within the Medicare Growth Analytics Team is an opportunity ... to provide leadership on our analytics strategy, to support our broader Medicare Growth team and provide actionable insights and analytics. This role will work with… more
- Alight (TX)
- …Learn more at careers.alight.com. **Would you like to help senior consumers navigate Medicare healthcare insurance options? This role is available in all US states ... **Join our Retiree Health Solutions Team** Our team provides Medicare health insurance services to the retiree community. We...solutions. **About the role** As a Temporary Virtual Benefit Advisor , you will sell and enroll retirees into appropriate… more
- The Cigna Group (Bloomfield, CT)
- **Remote, work from home - United States** **Summary:** The Commission Project Advisor is responsible for leading small, mid-sized and large projects supporting ... Medicare commissions. Understands and evaluates business specific objectives and...for project and reporting requests + Assist Business Project Advisor in working with multiple teams across the organization… more
- The Cigna Group (Atlanta, GA)
- **Marketing Advisor , DTC Advertising ( Medicare Advantage) - Hybrid** Responsible for day-to-day management of direct-to-consumer advertising. Play a pivotal role ... with other channels, meet brand standards and can positively impact Cigna's Medicare Advantage growth goals. **Responsibilities** + Partner to provide the strategic… more
- The Cigna Group (Franklin, TN)
- …or (4) as otherwise requested. + Other responsibilities as assigned by the Medicare Contracting Senior Advisor (M POSITION REQUIREMENTS: + **Bachelor's degree ... and will work in the Franklin, TN office several days per week** ** Medicare Advantage position** The **Provider Contracting Lead Analyst** serves as an integral… more
- The Cigna Group (Morris Plains, NJ)
- **POSITION SUMMARY:** The Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene Lines of Business. Responsible for the ... planning, internal coordination, maintenance, and communication of client Network activities and performance for Line of Business initiatives while maintaining key client relationships. Utilizes technology, tools, processes and resources to anticipate and… more
- The Cigna Group (Morris Plains, NJ)
- …Key member of the core client account team is responsible for overall satisfaction and retention of assigned Line of business. Manages the day-to-day client ... relationship. Accountable for core service delivery for clients working cross-functionally with all operational. The Account Manager proactively reviews performance metrics to promote client satisfaction, profitability, and retention. Utilizes technology,… more
- Centers Plan for Healthy Living (Bronx, NY)
- …plans they need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor - Medicare Sales, Maintains relationships, services our existing customers and ... Licensed Benefits Advisor (Field Based) Bronx, NY, USA * Brooklyn,...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- The Cigna Group (Scottsdale, AZ)
- …for improving Affordability and Total Cost of Care initiatives as part of the Medicare Business Optimization effort. This role will be a key member of the team ... preferred + 3+ years' experience within Claims operations strongly preferred + Medicare experience preferred + Strong project and program management experience +… more
- The Cigna Group (Philadelphia, PA)
- The Program Management Senior Advisor position is part of the Part D Stars Team within the larger Stars Center of Excellence department at Cigna Medicare . This ... for developing and executing enterprise strategies to improve Cigna's Medicare Part D Star measures and related quality measures....will work closely with matrix partners within the Cigna Medicare Stars and Risk Adjustment organization as well as… more
- Humana (Tallahassee, FL)
- …the 'Face of CenterWell Pharmacy' through an account management/service function. They support Medicare Regions as pharmacy advisor on a wide variety of topics ... Pharmacy Lead is a key stakeholder to Pharmacy and Medicare Retail organization leadership in the management of Value...etc.) **Use your skills to make an impact** + ** Medicare Region + Provider Account Management (50%)** + CPLs… more
- CVS Health (Hartford, CT)
- …is the senior HR thought-partner to the executive leadership team of the Aetna Medicare business, a business that announced a new leader earlier in 2024. This HR ... the SVP, CPO for Aetna and the President of Medicare to review and refresh the operating model of...and centers of excellence + Seen as trusted business advisor + Travel up to 20% + Hybrid Role… more
- Randstad US (Houston, TX)
- virtual benefit advisor - 50 state license. + houston , texas (remote) + posted 2 days ago **job details** summary + $30 - $33 per hour + temp to perm + high school ... the Job for you! As a Licensed Virtual Benefits Advisor , individuals will be able to handle all responsibilities...health, prescription drug, vision and dental plans, and advising Pre- Medicare eligible recipients of their options. This is done… more
- Randstad US (Charlotte, NC)
- virtual licensed benefit advisor . + charlotte , north carolina (remote) + posted 4 days ago **job details** summary + $21 - $23 per hour + temp to perm + high school ... sales and related occupations + referenceAB_4542978 job details As a Virtual Benefits Advisor that has a valid Health License, individuals will be able to handle… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in ... and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization...Market regulations, policies, and nuances, and serve as an advisor on related implementations and task forces. + Manage… more
- LA Care Health Plan (Los Angeles, CA)
- Compliance Advisor III-Privacy Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Compliance Advisor III ensures that the Plan's processes and operations are compliant with all… more
- LA Care Health Plan (Los Angeles, CA)
- Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... support the safety net required to achieve that purpose. Job Summary The Compliance Advisor II ensures LA Care business units are compliant with all Product Lines'… more
