- HUB International (Cincinnati, OH)
- …services firm providing risk management , insurance , employee benefits, Medicare & individual health , retirement and wealth management products ... provide a training ground and an understanding of the Medicare and Individual Health insurance ...+ Minimum of 1-2 years of sales or account management experience + Active Health and Life… more
- Highmark Health (Harrisburg, PA)
- …in the use of user interfaces, predicative analytic tools, and other population health management tools endorsed by Highmark. + Independently and autonomously ... STARS, Medicaid HEDIS, risk revenue value streams, and population health management **Preferred** + 7 years in...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- 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
- CommuniCare Health Services Corporate (Indianapolis, IN)
- …for the development and management of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central ... Pennsylvania, Indiana, West Virginia, Virginia, and Maryland. Since 1984, CommuniCare Health Services has provided superior, comprehensive management services… more
- 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
- 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… more
- 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 (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
- Medical Mutual of Ohio (OH)
- …experience in Medicare sales compliance or equivalent experience with government health insurance programs which includes exposure to Medicare Advantage, ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...month). Technical Skills and Knowledge: + Comprehensive knowledge of Medicare health care products and services, sales… more
- UCLA Health (Los Angeles, CA)
- …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...experience in an HMO environment + Thorough knowledge of health care industry, utilization review, utilization management ,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... of mind to more than 1.2 million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in… more
- Medical Mutual of Ohio (Brooklyn, OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... of the Medicare Advantage. This role supports Medicare product management by evaluating data trend...million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're… more
- Walworth County (Elkhorn, WI)
- …PAYMENT: Hourly. VACATION: Not eligible. SICK LEAVE: Not eligible. HOLIDAYS: Not eligible. INSURANCE : Health Insurance : Not eligible. Dental Insurance : ... Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply ...Elkhorn, WI Job Type Casual Job Number 2021-00139 Department Health & Human Services Division Aging & Disability Resource… more
- USAA (Tampa, FL)
- …Centers for Medicare & Medicare Services (CMS) + Extensive experience working health claims and/or health insurance products with an insurance ... implementation of business processes. This role will involve execution of any Issue Management matters for Medicare Supplement claim issues. As business process… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Ohio._** Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're… more
- Medical Mutual of Ohio (OH)
- …of mind to more than 1.2 million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in ... remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare… more
- CVS Health (Salem, OR)
- …in ABMS Recognized Specialty **Preferred Qualifications** Medical Management - Medicare Complaints, Grievance & Appeals experience. * Health Plan Experience ... Bring your heart to CVS Health . Every one of us at CVS ...Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on part C… more
- AmeriHealth Caritas (Newtown Square, PA)
- …options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, ... need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, ... (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...of product and enterprise goals. The position works with management , business owners and other key stakeholders to develop… more
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