CareersElite.com
US - Montana - New Year
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This role oversees the operational and regulatory execution of the Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) program and ensures compliance with CMS and state requirements. It is responsible for leading sales strategies, overseeing sales teams, and optimizing distribution channels to achieve enrollment targets.
Requirements: Candidates must have an active health insurance license and AHIP certification, along with 5+ years of experience in Medicare Advantage or managed care operations. Strong leadership and regulatory compliance experience are essential, as well as the ability to analyze data and manage performance metrics.
Key Skills: Medicare Advantage, Medicaid, Managed Care Operations, Sales Strategies, Compliance, Leadership, Data Analysis, Performance Management, Market Development, Community Development, Enrollment Processing, Care Coordination, Customer Experience, Sales Team Management, Regulatory Requirements, Training
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