- AAOS (Des Plaines, IL)
- …subject matter expertise. If this sounds like you, please read on The Senior Registry Analyst supports the Registry Department as part of the Combined Analytics ... extraction, quality assessment and analysis of the Registry Program data. The Senior Registry Analyst will develop formal policy and procedures for data retrieval… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Senior Contact Center Representative, you will be addressing and resolving complex member inquiries, providing detailed ... working in a Contact Center environment + Two or more years in a Medicare Advantage role, highly desired + Exceptional customer service and communication skills +… more
- Humana (Columbus, OH)
- …with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Consultant, you will deconstruct issues and challenges, perform ... the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Senior Medicare ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165873/ senior - medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
- The Cigna Group (Bloomfield, CT)
- This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an integral member of the Network Development and ... Solutions Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor to… more
- Humana (Chicago, IL)
- …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales motivates and drives a team of ... educate, motivate, train, and discipline a team of sales individuals. The Senior Manager, Medicare Sales must have a solid understanding of the market they… more
- Providence (WA)
- …the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible for ... and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of Medicare Advantage… more
- Centene Corporation (Austin, TX)
- …that Medicare Compliance reports are provided regularly to the CRECO, the Medicare Compliance Committee, the Medicare Senior Leadership team and the ... **Position Purpose:** This position will be a member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, attends… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...financial analysis & participate in market financial review with senior management. + Trouble shoot claims issues for providers… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …for this position is full remote with occasional time onsite.** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies...are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and designates medical… more
- Medical Mutual of Ohio (OH)
- …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the annual ... Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening...submit accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for… more
- Healthfirst (NY)
- …Responsibilities:** + Well-versed on all aspects related to one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical ... Provider Performance, Medical and Pharmacy Part D cost savings, and Medicare Star Ratings/member experience. + Active analysis of complex financial reports… more
- The Cigna Group (Birmingham, AL)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- Somatus (Mclean, VA)
- …well-being + Community engagement opportunities + And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- CVS Health (Indianapolis, IN)
- …make health care more personal, convenient and affordable. **Position Summary** The Medicare Grievance Senior Coordinator will fully research and resolve ... focused solutions in both written and oral format. Ideal candidates will have Medicare knowledge, customer service experience, attention to detail and the ability to… more
- The Cigna Group (Bloomfield, CT)
- …Medicare Advantage position** WORK LOCATION: REMOTE position The **National Ancillary Medicare Advantage (MA) Provider Contracting Senior Advisor** is a ... position on the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment. Experience with Medicare Advantage and /or… more
- Humana (Columbus, OH)
- … Business Intelligence Engineer position will be supporting BI work for our Medicare organizations. The ** Senior Business Intelligence Engineer** : + Develops ... Access, and/or PowerPoint + Proficiency in verbal and written communication to senior and executive leadership + Proven experience with consulting with and building… more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding ... The incumbent will have primary responsibility for issues related to Medicare / Medicare Advantage, prescription drugs, utilization management, and behavioral… more
- The Cigna Group (Bloomfield, CT)
- …in Case Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager preferred ... + Experience with community resource organizations + Experience handling confidential health care information, with care management software applications + Experience managing customers with complex medical and behavioral health concerns preferred **Knowledge,… more
