• Healthcare Recruitment Counselors (Vancouver, WA)
    …knowledgeable group of medical doctors, NP's, and PAs in our family and urgent care practice. We offer an excellent work life balance with less burnout, with our ... We have full support staff and a nurse case manager . Our clinic provides full scale family practice. No...have us here! About us: We offer comprehensive family care and urgent care services. We are… more
    JobGet (10/02/24)
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  • Care Manager Medicare

    Carle (Urbana, IL)
    Care Manager Medicare + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Nursing + Employment Type: Full - Time + Job ID: 45482 + ... a Friend Save Save Apply Now Position Summary: The Care Coordinator acts as the lead facilitator of the...Strong advocacy skills necessary. Essential Functions: + Manages both Medicare Advantage and Commercial members. + Coordinates and manages… more
    Carle (10/02/24)
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  • Medicare Product Solutions Manager

    LA Care Health Plan (Los Angeles, CA)
    Medicare Product Solutions Manager III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Product Solutions Manager III is responsible for assisting the product leadership… more
    LA Care Health Plan (09/03/24)
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  • Medicare Product Solutions Manager

    LA Care Health Plan (Los Angeles, CA)
    Medicare Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product… more
    LA Care Health Plan (08/30/24)
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  • Senior Manager , Medicare Sales…

    Humana (Chicago, IL)
    …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...serve to achieve their best health - delivering the care and service they need, when they need it.… more
    Humana (08/20/24)
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  • Medicare Broker Sales Manager

    The Cigna Group (Austin, TX)
    …- Houston, Texas (must be located in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible strive to help ... well-being and sense of security. But we don't just care about your well-being, we care about...role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted… more
    The Cigna Group (08/13/24)
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  • Manager , Medicare Content…

    CVS Health (Wellesley, MA)
    care more personal, convenient and affordable. **Position Summary** : The Medicare Product Content Manager position is an individual contributor role and ... 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… more
    CVS Health (10/02/24)
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  • Medicare Regional Provider Contracting…

    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 the… more
    The Cigna Group (09/04/24)
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  • Project Manager - National Ancillary…

    The Cigna Group (Bloomfield, CT)
    …The **Project Manager ** is a key role that supports **Cigna's Medicare Advantage** line of business, directly addressing customer and client demands for higher ... quality of care and greater affordability for the senior population. The...service performance outcomes within their assigned segment(s). The **Project Manager ** will serve as a liaison between the National… more
    The Cigna Group (09/10/24)
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  • Medicare Program Manager II

    Centene Corporation (Tallahassee, FL)
    … business department initiatives that promote, quality, network safety and cost of care opportunity. + Develop Medicare strategies to improve quality of ... solution development and implementations necessary to ensure the performance of the Medicare line of business. + Identifies key performance metrics and ensures the… more
    Centene Corporation (09/21/24)
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  • Project Manager , Medicare

    Healthfirst (NY)
    …the enabling tools and technology (software and hardware) that support the Medicare Sales Operations team Works with internal and external constituents as applicable ... of the business Identify business requirements (eg, tech, infrastructure) working with Medicare Sales Management, Brokers and Agents in the field to understand and… more
    Healthfirst (08/07/24)
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  • Medicare Broker Manager - Southern…

    CVS Health (Carson City, NV)
    …Summary** **Qualified Candidates will sit in Southern Nevada** Aetna is looking for a Medicare Sales Broker Manager to join the southern Nevada sales team that ... 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… more
    CVS Health (09/26/24)
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  • Medicare Broker Manager - Salt Lake…

    CVS Health (Salt Lake City, UT)
    care more personal, convenient and affordable. **Position Summary** Aetna is looking for a Medicare Sales Broker Manager to join the Utah sales team who will ... 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… more
    CVS Health (08/23/24)
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  • Utilization Management Manager

    UCLA Health (Los Angeles, CA)
    …next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team ... of UM coordinators and nurses. You'll work closely with Medicare Advantage leadership to plan, execute, and manage various initiatives related to UM administrative,… more
    UCLA Health (08/23/24)
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  • Actuarial Senior Manager - Medicare

    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 ... new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and changes to… more
    The Cigna Group (09/14/24)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …all equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...for Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan and/or any upcoming… more
    Centers Plan for Healthy Living (09/09/24)
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  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …. **_Eastern & Central Time Zones preferred._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members… more
    Medical Mutual of Ohio (09/20/24)
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  • Finance Medicare Reimbursement Analyst

    AdventHealth (Altamonte Springs, FL)
    …role you'll contribute:** The Reimbursement Analyst is responsible for assisting the Reimbursement Manager with the preparation of work papers for the filing of the ... annual Medicare , Medicaid, and Champus/Tricare cost reports, audit preparation and...assigned are performed under the oversight of the Reimbursement Manager . **The value that you bring to the team:**… more
    AdventHealth (08/21/24)
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  • Medicare Provider Performance…

    The Cigna Group (Maitland, FL)
    …travel between Tampa, Orlando, Jacksonville.** **Role Summary** The Provider Performance Manager is a key member of a cross-functional, collaborative organization ... & Solutions). Reporting to the Provider Performance Director, the Provider Performance Manager ensures the effective management of the performance outcomes of the… more
    The Cigna Group (08/15/24)
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  • RN Case Manager - Medicare Wavier…

    Molina Healthcare (Cincinnati, OH)
    …enter accurate contact notes. This is a fast-paced position working with our Medicare Waiver Population. This role will require telephonic and face to face ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
    Molina Healthcare (09/25/24)
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