- Molina Healthcare (ID)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design. Provides centralized… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Implements and manages ... the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the Company's Medicare Advantage… more
- AdventHealth (Altamonte Springs, FL)
- …with the preparation of work papers for the filing of the annual Medicare , Medicaid, and Champus/Tricare cost reports, audit preparation and other cost report ... of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for...System's hospitals . Assist with the coordination of the Medicare , Medicaid and other State or Federal agency cost… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Facilitates and supports ... the option to work remote; Ohio residents preferred._** **Responsibilities** ** Medicare Advantage Customer Experience Strategist** + **Facilitates projects to… more
- AmeriHealth Caritas (Newtown Square, PA)
- ** Medicare Vendor Program Manager** Location: Newtown Square, PA Primary Job Function: Medicare ID**: 37979 Your career starts now. We are looking for the next ... other administrative services. Discover more about us at www.amerihealthcaritas.com. AmeriHealth's Medicare Product Team oversees the Medicare product portfolio.… more
- Highmark Health (Harrisburg, PA)
- …models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office ... based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- Medicare Biller The CommuniCare Family of Companies currently owns/manages over 130 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and ... of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH. PURPOSE/BELIEF… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare ... an integral role in the product development of the Medicare Advantage. This role supports Medicare product...of the Medicare Advantage. This role supports Medicare product management by evaluating data trend experience, creating… more
- Robert Half Accountemps (Sacramento, CA)
- Description We are offering a contract to hire employment opportunity for a Medicare Biller in Sacramento, California. The role is within the non-profit industry and ... involves working with healthcare reimbursement and Medicare billing. The primary responsibilities include processing and reviewing Medicare claims, maintaining… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY...they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and ... Medicare Line of Business, maintains relationships, services our existing...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- The Cigna Group (Morris Plains, NJ)
- **POSITION SUMMARY** The Medicare Client Strategy Senior Manager is accountable for and provides leadership to a team of Medicare Strategists and is responsible ... adoption and sales support in collaboration with account teams to support our Medicare clients. This client-facing position will take a lead role in supporting… more
- USAA (Tampa, FL)
- …currently seeking a dedicated **Business Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 Hourly ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … more
- Medical Mutual of Ohio (OH)
- …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs. Configures, implements,… more
- Centene Corporation (Austin, TX)
- …million members. **Position Purpose:** This position will be a member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, ... the organization with a commitment to service leadership. + Leading the Medicare Compliance team with a collaborative mindset and demonstrated commitment to… more
- Wider Circle (Los Angeles, CA)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare and identify the best benefits for their individual...communities nationwide. To learn more, visit widercircle.com. Responsibilities for Medicare Sales Representative * Primarily be responsible for the… more
- Providence (WA)
- …empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible for developing and maintaining actuarial ... to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of... Advantage plans + Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong… more
- Humana (Leesburg, FL)
- …exceed $113K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... the community through service, organizations, activities and volunteerism + Experience selling Medicare products + Bilingual with the ability to speak, read and… more
- Sedgwick (Naperville, IL)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr Medicare Associate **PRIMARY PURPOSE** **:** To gather documentation required to complete ... Medicare Compliance referrals and process Medicare mail electronically in a timely manner; **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reviews JURIS and the … more
- Elevance Health (Columbus, OH)
- …member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked ... preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and… more