Medicare Bid Product Lead — Strategy, CMS, Data Excellence
UnitedHealthcare
UnitedHealthcare is seeking a seasoned Medicare Product specialist to manage timely bid submissions and CMS data dissemination across teams. This role provides SME guidance on product definitions, risk identification, and standard benefit models with high regulatory impact. You will collaborate with Underwriting, Actuarial, and Pharmacy to drive plan updates, manage CMS materials (ANOC, EOC, SB), and ensure quality controls. #J-18808-Ljbffr UnitedHealthcare
- UnitedHealth Group is seeking a Senior Medicare Product Specialist to lead timely, accurate Medicare bid submissions and CMS data dissemination across teams. You will provide SME in product definition, risk identification, and standard benefit models with significant financial...CmsData
$112.7k - $193.2k
...Summary:Timely and accurate annual Medicare bid submission and dissemination of accurate product data across multiple teams and... ...Medicare and Medicaid Services (CMS) as well as internal business partners... ...CMSSupport overall scope and strategy for bid submission, including...CmsDataMinimum wageFull timeWork experience placementWork at officeLocal area- Optum is seeking a Senior Product Manager to define and execute the product strategy for its Payment Integrity Professional Claim Review products. You will own the... .... You will collaborate with AI/ML, analytics, and data science teams to turn complex reimbursement...DataRemote job
$113.4k - $194.4k
...Pharmacy Manager, Formulary Strategy Medica is a... ...accountability, makes data-driven decisions, embraces... ...Strategy is responsible for leading the development,... ...Individual, Commercial, Medicare, and Medicaid). This role... ...regulatory frameworks (e.g., CMS, NCQA) Leadership...CmsDataWork experience placementWork at office3 days per week$113.5k - $218.1k
...is what you get. Leading edge technology in... ...making health care data available wherever... ...primarily focused on Medicare Advantage Risk... ...knowledge of the CMS Medicare Advantage... ...Family Plans and other product linesCollaborate... ...needs, develop strategies to address those needs...CmsDataWork experience placementLocal areaRemote workFlexible hours$112.7k - $193.2k
...Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the... ...Medicare Advantage bids submitted to CMS annuallyConduct data analysis...CmsDataMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...thinking and technical excellence. Whether you're modernizing... ...job, it's a chance to lead change, drive progress,... ...solutions to manage data and information that the... ...traditional design bid build (DBB), design-build... ...client relationship and win strategy for medium to large EPC...CmsDataContract workTemporary work
$112.7k - $193.2k
...pharmacy benefits, data and resources... ...for the strategy, performance, and... ...Implementation, Product, and client stakeholders... ..., operational excellence, cost avoidance... ...oversight of CMS-related and... ...requirements, including Medicare Part D and... ...leading annual PBM client...CmsDataMinimum wageFull timeWork experience placementSeasonal workLocal areaRemote work$85k - $95k
...financial integrity and operational excellence. Base pay range $85,000.00/yr... ...standards. Analyze financial data to identify trends, risks, and... .... Support long-term financial strategy development. Manage sales tax... .... Ensure compliance with CMS/Sunshine Act reporting requirements...CmsDataFull time- Abbott seeks a Senior Product Manager for Global Upstream Marketing in the TAVI portfolio. You will lead global strategy, shape the product roadmap, and own positioning across geographies... ...role demands strong strategic thinking, excellent communication, and experience in medical...
- ...Surgery Centers , nurses lead the way in cutting-edge... ...celebrates your dedication to excellence. Elevate your nursing... ...to develop goals, analyze data, manage grievances, and implement strategies that enhance the patient... ...grievances in alignment with CMS and TJC requirements...CmsDataFull timeLocal areaShift work
$120.21k - $210.91k
...enterprise SEO and AEO strategy end-to-end and is... ...The role will also lead, develop, and scale... ...as the Center of Excellence evolves. This leader... ...with Engineering, Product, IT and Web teams to... ...Guide structured data, schema strategy, semantic... ...platform and CMS decisions to ensure...CmsDataWork at officeFlexible hours$112.7k - $193.2k
...Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the... ...Medicare Advantage bids submitted to CMS annually Conduct data...CmsDataRemote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...the ACA Marketplace, Medicare, and Medicaid.... ...Medicaid Services' (CMS) and CMMI's portfolio... ...based care program strategy and operations and... ...readiness evaluations. Lead development of... ...tools including Excel, PowerPoint, and Word... ...working with large data sets Team-player...CmsDataRemote work
- ...seeking a strategic, data-driven Marketing Manager to lead growth... ...initiatives for our Medicare Advantage... ...maintaining strict CMS compliance.... ...quarterly marketing strategies supporting... ...Partner with Sales, Product, Clinical,... ...capabilities ~ Excellent executive communication...CmsDataRemote jobFull time
- ...driven Program Director - Medicare Compliance to lead our Medicare... ...ensure full adherence to CMS and regulatory requirements... ..., guides compliance strategy and structure,... ...clearly. Candidates should excel in interpersonal... ...analytical ability, data interpretation skills...CmsDataFull timeWork at office2 days per week1 day per week
$80.34k - $145.08k
...The Senior Manager, Experience Strategy & Web Performance is the... ...across key user journeys. Lead UX and CRO functions, setting... ...through a mix of research, design, data and experimentation. Own and... ...site user behavior Enterprise CMS platforms (e.g., Sitecore, AEM...CmsDataFull timeWork at officeFlexible hours- ...DETAILSDepartment: IS&T Data & AnalyticsFTE: 1.... ...Manager leads the informatics team... ...when applicable, product or technical product... ...implementation plans, adoption strategies, and measurable... ..., operational excellence, and fiscal... ...Joint Commission, CMS, HIPAA, and other...CmsData
$79.7k - $142.6k
...outcomes to generate data driven... ...organizations' operations, products and applications, strategies, processes, and/or business... ...from standardsMay lead functional or segment... ...+ years of HEDIS or CMS stars experience 2+... ...energy, your passion for excellence, your near-obsession...CmsDataFor contractorsWork experience placementRemote workWork from home$238k - $357.5k
...teamProvide clinical insight into market data and implementing tailored... ...implementation, where CMOs lead targeted clinical inventions to... ...improvement efforts as measured by CMS Star Ratings, NCQA Star Ratings... ...applications (Outlook, Word, Excel, PowerPoint)Capable to quickly...CmsDataMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workRelocation$128k - $252.5k
...Our Deloitte Strategy & Transactions team helps... ...and quality of work product.Ability to build and... ...relationships.Ability to lead projects or workstreams... ...Management Specialist (CMS)5+ years of... ...PowerPoint and performing data analysis in Microsoft Excel, Tableau, or Structured...CmsDataWork experience placementLocal areaVisa sponsorship$129k - $190k
...supporting evidence strategies and for executing... ...business at Coloplast has products to help patients... ...and clinical data, patient reported outcomes... ...priorities and lead evidence strategy development... ..., such as FDA, CMS, etc. and... ...market Microsoft Word, Excel, PowerPoint proficiency...CmsDataImmediate startRemote workFlexible hoursShift work$100.3k - $172k
...Manager Of Product Medica is a nonprofit health plan... ...accountability, makes data-driven decisions, embraces... ..., timely and accurate CMS and state submissions (... ...internal leadership on strategies to improve product... ...Project Leadership: Leads product strategy and project...CmsDataWork experience placementWork at office3 days per week$87.05k - $130.57k
...px; padding-top: 15px; } We are seeking a Product Owner to support the ongoing development... ...Experience Marketing and Digital Solutions strategies.Continuous Improvement: Prioritize... ..., using feedback, usability testing, and data to inform decisions.Communication & Alignment...CmsDataImmediate startFlexible hours$72.8k - $130k
...care, pharmacy benefits, data and resources they need... ...Economics Network Strategy & Analytics Department... ...their own quality work product but also supports the design... ...in Microsoft Excel, including pivot tables... ...platformsKnowledge of CMS reimbursement methodologies...CmsDataMinimum wageFull timeContract workWork experience placementWork at officeLocal areaRemote work$200.4k - $343.5k
...everyone. From advanced data analytics and AI... ...the nation's leading health plans, including... ...vision, strategy, architecture and... ...TransformationPartner closely with product and business... ...Excellence & TalentSet development... ...prior authorization; CMS regulatory landscape...CmsDataMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$102.2k - $153.3k
...} As the leader of our Data and Analytics team, you... ...business. While you will lead with strategic... ...a culture of analytics excellence and establish team standards... ...technical teams to communicate strategy, gather requirements,... ...(Scrum Master, Product Owner, etc.)At Coloplast...CmsDataImmediate startFlexible hours- Milliman MedInsight in the United States is seeking a Senior Product Strategy Manager to lead payer product strategy and commercialization. You will translate market insights into differentiated roadmaps and collaborate with TPMs, GMs, and cross-functional leaders to drive...Remote job
$129k - $190k
...support innovative products and market access... ...US reimbursement strategies to fight commoditization... ...and policy data analyses, and advocacy... ...response to the CMS annual calendar of... ...payors (Medicaid/Medicare) in policy, access... ...insurance industry. Excellent written and verbal...CmsDataLocal areaImmediate startRemote workFlexible hours- Huntington National Bank seeks a Business Security Product Group Manager to define and execute the strategic direction of Enterprise Fraud... ..., API initiatives, and marketing programs, while translating data into strategic plans. #J-18808-Ljbffr Huntington National BankData
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