Senior Product Manager, Medicare Operations Jobs | Glassdoor
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Senior Product Manager, Medicare Operations Jobs

  • 3.2
    Molina Healthcare – Long Beach, CA
    Est. Salary $73k-$93k
    7 days ago 7d
    management of the benefits, operations, communication, reporting, and data exchange of the Medicareproduct in support of strategic… identify and implement operational process improvements Support Medicare-Medicaid plans on Medicare and MMP member retention…
  • 3.6
    Commonwealth Care Alliance – Boston, MA
    Est. Salary $47k-$73k
    6 days ago 6d
    pertaining to product benefits. Responsible for regularly reviewing Medicare transmittals, updates to the MedicareManaged Care Manual… interpretation. The position reports to Medicare/Medicare Program Director to effectively manage the benefits offered to CCA membership…
  • 3.8
    Boston Medical Center HealthNet Plan – Charlestown, MA
    Est. Salary $58k-$111k
    5 days ago 5d
    experience with MedicareManaged Care programs is preferred. Preferred/Desirable: Knowledge of CMS and Medicare Advantage… Office of Health and Human Services Senior Care Options product. Works with operational areas to implement compliance processes…
  • 3.5
    Blue Cross and Blue Shield of Minnesota – Eagan, MN
    Est. Salary $72k-$113k
    19 days ago 19d
    minimum of 4 years Medicareproduct development, sales, or marketing experience or 8 years Medicareproduct development, sales,… experience in lieu of a degree. Strong understandng of Medicare Excellent product line management skills and supporting project management…
  • 3.5
    Blue Cross and Blue Shield of Massachusetts – Boston, MA
    Est. Salary $139k-$201k
    12 days ago 12d
    Accountabilities: Develop, manage and execute contracting strategy for our Medicare Advantage products Develop, manage and execute contracting… innovation? Your search is over - it happens here. The Senior Director of Medicare & Ancillary Contracting will lead the development…
  • 3.2
    Molina Healthcare – Long Beach, CA
    20 days ago 20d
    management of the benefits, operations, communication, reporting, and data exchange of the Medicareproduct in support of strategic… identify and implement operational process improvements • Support Medicare-Medicaid plans on Medicare and MMP member retention…
  • 3.6
    IAT Insurance Group – Rolling Meadows, IL
    Est. Salary $50k-$73k
    11 days ago 11d
    Conduct required Medicare related investigation, address Medicare liens, and complete mandatory Medicare Section 111 reports… casualty insurance products meeting the needs of individuals and businesses. IAT consists of four operating divisions, each sharing…
  • 4.4
    AF Group – Southfield, MI
    8 days ago 8d
    BCBSM/ BCN group to individual Medicare, individual to individual Medicare as well as ancillary products. Work with internal areas… insurance agencies that generate their own senior business leads and sells seniorproducts. Also responsible for account management…
  • 2.7
    Healthfirst (New York) – New York, NY
    Est. Salary $89k-$136k
    19 days ago 19d
    responsible for overseeing and managing the Medicare Care Management program and operations. This position will also have direct responsibility… appropriate health care experience Experience as a mid-seniormanager in the field of medical care management or other healthcare…
  • 3.5
    Florida Blue – Jacksonville, FL
    Est. Salary $68k-$96k
    11 days ago 11d
    development of Medicareproduct objectives, goals and strategies to ensure a competitive and profitable product offering. • Manage the development… for multiple Medicareproducts, understanding how each area within Florida Blue is impacted. • Lead the product application process…
  • 2.8
    CVS Health – Woonsocket, RI
    4 days ago 4d
    all levels of leadership, including Operational business owners, Account Managers, Product Management, and key client organizations… impactful Star Rating program. As the Stars Performance SeniorManager, you will have full management responsibility for developing…
  • 3.4
    L.A. Care Health Plan – Los Angeles, CA
    7 days ago 7d
    requirements from the Department of Managed Health Care, Department of Health Care Services, Centers for Medicare and Medicaid Services and… -Cal Direct, Healthy Kids, Medicare, PASC-SEIU and L.A. Care Covered) including State Fair Hearings (SFH) in a manner consistent…
  • 3.3
    Gilead Sciences – Foster City, CA
    Est. Salary $118k-$178k
    4 days ago 4d
    exciting opportunity in our Foster City, CA location: SeniorManager, Government Pricing Position Description: Lead and… knowledge of government pricing regulations and operations for a broad product portfolio. Exceptional command of discount reallocation…
  • 3.5
    Blue Cross and Blue Shield of North Carolina – Greensboro, NC
    Est. Salary $33k-$53k
    18 days ago 18d
    including Medicare Advantage pricing and bid submissions Strong leadership skills, including the ability to successfully manage a high… of contact for all aspects of our Medicare lines of business (Medicare Advantage, Medicare Supplement, and Standalone Part D coverage…
  • 4.4
    AF Group – Southfield, MI
    8 days ago 8d
    activities for individual Medicare Advantage and Medicare supplement products for both BCBSM and BCN products in large accounts that… client objectives to the Medicare subject matter experts and senior leadership in identifying the best Medicare solution for large groups…
  • 3.1
    AmeriHealth Caritas – Philadelphia, PA
    Est. Salary $44k-$69k
    20 days ago 20d
    Summary: The SeniorMedicare Program Specialist serves as a subject matter expert within the company regarding Medicare rules and… interpret, summarize, and assess the impact on business operations of Medicare and or accrediting body regulations, guidance, and communications…
  • 4.4
    AF Group – Southfield, MI
    12 days ago 12d
    Description: COBX Senior Health Services SBD Business Seg Peformance SUMMARY: The Director, Medicare Advantage Key Accounts… development, financial management/performance and execution of Medicare Advantage (MA) results for the Key Accounts. This position…
  • 3.6
    Clover Health – Jersey City, NJ
    Est. Salary $67k-$98k
    5 days ago 5d
    visits). We're looking for a senioroperationsmanager who can transform and rapidly scale our operations to meet the growing clinical… logistics-dependent operations (i.e. ride-sharing, delivery services, home care). You have prior experience in health insurance; Medicare Advantage…
  • 3.2
    Molina Healthcare – Bothell, WA
    Est. Salary $164k-$319k
    14 days ago 14d
    Contracting, Product/Bid development, Operations, MOC, Provider Relations, Risk Adjustment. Experience with Medicaremanaged care plans… President on Medicare matters. Aggregator of Medicare performance plans to execute strategy for all Medicareproducts (except LTSS…
  • 3.5
    Blue Cross Blue Shield of Florida – Jacksonville, FL
    4 days ago 4d
    of Medicareproduct portfolio Develops annual operating plan and three-year strategy Develops, prioritizes and manages product… expert on CMS requirements related to Medicare Advantage products and operationsManages the creation, publication and distribution…
  • 2.9
    Centene – Sunrise, FL
    7 days ago 7d
    determine eligibility for participation in the Advantage Medicareproduct Understand and apply all policies and procedures pertaining… pertaining to: Disclosures and provisions of the Advantage Medicareproduct Enrollment and disenrollment Develop a presence in…
  • Dr Access Group – Tempe, AZ
    EASY APPLY
    4 days ago 4d
    10+ years senior management experience with extensive Medicareoperational accountability Broad knowledge of managed care and… simply authority Ability to drive major components of Medicareoperations
  • 3.2
    MHN – Huntington Beach, CA
    7 days ago 7d
    provide Medicare subject matter expertise to senior leadership Collaborate with product, sales and operationsmanagers on cost… collaborate with operations and underwriting to improve market share by creating competitive Medicareproducts Develop best practices…
  • 2.9
    Centene – Huntington Beach, CA
    7 days ago 7d
    provide Medicare subject matter expertise to senior leadership Collaborate with product, sales and operationsmanagers on cost… collaborate with operations and underwriting to improve market share by creating competitive Medicareproducts Develop best practices…
  • 2.8
    LiveHealthier – Huntington Beach, CA
    7 days ago 7d
    provide Medicare subject matter expertise to senior leadership Collaborate with product, sales and operationsmanagers on cost… collaborate with operations and underwriting to improve market share by creating competitive Medicareproducts Develop best practices…
  • 5.0
    JobJuncture – Columbus, OH
    Est. Salary $64k-$96k
    7 days ago 7d
    administration experience, preferably in a managed care environment.Experience with Medicare and Medicaid claims… implementation, and claims operations Proactively interact with external stakeholders as it relates to new product implementations Serve…
  • 3.4
    Humana – Overland Park, KS
    4 days ago 4d
    Experience within a Medicaremanaged care environment supporting the Five Star Quality Rating Program for Medicare Advantage plans… The STARS Leader reports to the Market President, SeniorProducts and leads a team of 2. Key Role Objectives/Responsibilities…
  • 3.9
    KAISER – Rockville, MD
    Est. Salary $91k-$133k
    13 days ago 13d
    communicates project and program status to the Medicare LOB Team, Medicare Leadership Team and Senior Management on program/project status… The Medicare Program Manager is responsible for designing and leading programs associated with Medicare strategic business objectives…
  • 3.2
    Banner Health – Phoenix, AZ
    Est. Salary $161k-$256k
    12 days ago 12d
    traditional healthcare challenges. Senior Medical Director Ambulatory, Medicare Advantage - Desired Experience Leads… and presents reports and recommendations to senior leadership regarding operations, programs, services, and/or other applicable…
  • 2.5
    Conduent – Somerset, NJ
    13 days ago 13d
    experience is required ·3-5 years in pharmacy, managed care, Medicaid and/or Medicare organizations, pharmaceutical and/or biotech… Events (AE) and Product Quality Complaints (PQC), as required and as per policy ·Strictly adheres to Standard Operating Procedures…
  • 3.9
    Kaiser Permanente – San Diego, CA
    Est. Salary $71k-$117k
    NEW
    business operating models, innovative approaches to solutions support, market research of emerging or available product functionality… decisions. • Accountable for tracking and/or monitor and report for senior mgmt the results of actualization of benefits. • Plans, coordinates…
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