• Health Insurance Associate, HUB…

    HUB International (Cincinnati, OH)
    …of this position is to provide a training ground and an understanding of the Medicare and Individual Health insurance industry: you will be supporting our ... financial services firm providing risk management, insurance , employee benefits, Medicare & individual health , retirement and wealth management products and… more
    HUB International (10/22/24)
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  • Regional Marketing Manager (Senior Advisor),…

    The Cigna Group (Columbus, OH)
    …written communication skills and executive presence + Excellent attention to detail + Health care/ Health insurance / Medicare experience preferred. -or ... **Regional Marketing Manager (Senior Advisor), Medicare (TX/OK/AZ) - Remote** Reporting into the Senior...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
    The Cigna Group (11/05/24)
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  • Account Rep, Medicare -Iron County , Utah

    Molina Healthcare (St. George, UT)
    …2+ years Medicare , Medicaid, managed care or other health / insurance related sales experience **Required License, Certification, Association** Active, ... increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients...unrestricted Life & Health (Disability) Agent license **Preferred Education** AA degree **Preferred… more
    Molina Healthcare (10/05/24)
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  • Medical Director - National Medicare Team

    Humana (Columbus, OH)
    …review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as NCD/LCD, ... or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
    Humana (11/08/24)
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  • Account Manager-Individual Market

    Medical Mutual of Ohio (OH)
    …sales and territory management experience. + Experience with Individual and Medicare health insurance products preferred. Professional Certification(s): ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.… more
    Medical Mutual of Ohio (11/12/24)
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  • Sr Appeals Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …and education. . 5 years as an Appeals Specialist or equivalent experience in Medicare health insurance claims, customer service, billing or related ... to appeal requests. Completes cases within the Center for Medicare & Medicaid Services (CMS) timeframes. . Utilizes the...million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're… more
    Medical Mutual of Ohio (11/14/24)
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  • Senior Decision Scientist - Healthcare Actuary

    CVS Health (Wellesley, MA)
    …(AWS, GCP, MS Azure) **Required Qualifications** + 5+ years Commercial and/or Medicare Health Insurance pricing experience, including proven ability ... Bring your heart to CVS Health . Every one of us at CVS ...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
    CVS Health (11/02/24)
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  • Medicare Sales Field Agent

    Humana (Asheville, NC)
    …with prospective members in the field is required for this position** + Active Health Insurance license and Medicare Supplement license or ability to ... as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health ...state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. We will also… more
    Humana (11/05/24)
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  • Lead Director, CFO Florida Medicaid Market

    CVS Health (Tallahassee, FL)
    Health Plan Operations. + Provider contracting and reimbursement methodologies. + Medicaid, Medicare or Commercial health insurance products and financial ... Bring your heart to CVS Health . Every one of us at CVS ...P&L, reporting or accounting. + Experience in healthcare or insurance . + Experience in P&L management and leadership with… more
    CVS Health (10/29/24)
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  • RN-Case Manager, Post Acute

    Ascension Health (Baltimore, MD)
    …professional licensure at time ofhire. **Additional Preferences** + **Basic understanding of Medicare and Health Insurance ** + **Experience working with ... associates in similar roles. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match… more
    Ascension Health (11/05/24)
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  • Senior Research Associate - Program on Medicines…

    University of Southern California (Los Angeles, CA)
    …pharmacy and healthcare (medical, pharmacy, plan benefit/enrollment, etc.) claims from Medicare , Medicaid, or commercial health insurance plans, ... Program on Medicines and Public HealthApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Health -Sciences-Campus/Senior-Research-Associate Program-on-Medicines-and-Public- Health \_REQ20156432-1/apply) Alfred E. Mann… more
    University of Southern California (10/31/24)
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  • Departmental Analyst 9-12 - TPL Analyst

    State of Michigan (Lansing, MI)
    …changing environment. 06 How many years of experience do you have working with Medicaid, Medicare or Commercial Health Insurance carriers? + 5 years or more ... and training activities related to TPL Cost Avoidance functions and other Health Insurance Liability operational activities. This position will be responsible… more
    State of Michigan (11/14/24)
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  • Medicare Advantage Quality Consultant…

    Highmark Health (Harrisburg, PA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and...of user interfaces, predicative analytic tools, and other population health management tools endorsed by Highmark. + Independently and… more
    Highmark Health (11/14/24)
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  • Audit & Reimbursement III- Medicare Cost…

    Elevance Health (Columbus, OH)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a...is a proud member of Elevance Health 's family of brands. We administer… more
    Elevance Health (11/15/24)
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  • Medicare Part B Operations Coordinator,…

    CVS Health (Boston, MA)
    Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose… more
    CVS Health (10/26/24)
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  • Medicare Biller / Accounts Receivable

    CommuniCare Health Services Corporate (Indianapolis, IN)
    …management services for the development and management of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our ... Medicare & Secondary Billing Guidelines + Previous experience billing various Medicare and Co- insurance companies and understanding the requirements for each… more
    CommuniCare Health Services Corporate (11/13/24)
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  • Medicare Sales Specialist (Remote…

    CVS Health (Nashville, TN)
    …of MAPD/DSNP product offerings Ability to pass, on an annual basis: + American Health Insurance Plans (AHIP) + Continued Education (CE's) + Product Certification ... an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part...1 to 2 years demonstrated sales experience + Active Health insurance license or must obtain within… more
    CVS Health (10/08/24)
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  • Pharmacy Account Director, Medicare

    Elevance Health (Columbus, OH)
    …of developing, preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around ... A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages...pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account… more
    Elevance Health (10/30/24)
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  • Corporate Compliance ( Medicare Duals)…

    CVS Health (Southfield, MI)
    Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...analytical and communication skills to support, manage and develop Medicare and Medicaid compliance programs and processes that promote… more
    CVS Health (10/16/24)
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  • Internal Sales Specialist

    Baylor Scott & White Health (Columbus, OH)
    …and plan design. **KEY SUCCESS FACTORS** Sales experience in HMO or PPO individual health insurance , Medicare Advantage insurance , group health ... FUNCTIONS OF THE ROLE** Coordinates and conducts sales activities for Individual and Medicare Advantage plans to enroll prospective members into the health plan… more
    Baylor Scott & White Health (10/01/24)
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