• Hope Services (San Jose, CA)
    …licensure, are required to be Medicare credentialed by submitting a Medicare enrollment application. Mental Health Clinician - Required Knowledge, Skills and ... Mental Health Clinician Licensed, Vietnamese-Speaking Are you a person...benefits package, including Medical, Dental, Vision, 401(k) Retirement, Life Insurance , Tuition Reimbursement and a comprehensive Scholarship Program, Generous… more
    job goal (12/23/25)
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  • AVP, General Manager - Medicare

    CVS Health (Concord, NH)
    … in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health 's unrivaled ... every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L...the management and organization of plan activities at the health plan as it relates to the Medicare more
    CVS Health (12/04/25)
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  • Manager , Medicare Compliance

    Medical Mutual of Ohio (OH)
    …of 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 than ... 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 (12/23/25)
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  • Medicare Part D Formulary Manager

    Excellus BlueCross BlueShield (Rochester, NY)
    …we encourage you to apply! Job Description: This pharmacist clinician is a program manager , who is responsible for all Medicare Part D formulary creation and ... Other components of the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time… more
    Excellus BlueCross BlueShield (12/09/25)
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  • Priority Health Medicare Quality…

    Corewell Health (Grand Rapids, MI)
    …the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare members to improve medication adherence to cholesterol, diabetic, ... understanding and improve member experience + Coordinate with other health plan staff to improve health outcomes....and providers + Perform other duties assigned by the Manager of Medicare Quality or preceptor Qualifications… more
    Corewell Health (10/09/25)
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  • Health Plan Product Manager

    Sanford Health (Dickinson, ND)
    …full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance , dental insurance , vision insurance , life ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing...**Salary Range:** $37.50 - $62.00 **Job Summary** The Product Manager will lead the ongoing analysis, planning, and management… more
    Sanford Health (12/23/25)
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  • Medicare Broker Relations Manager

    AmeriHealth Caritas (Philadelphia, PA)
    **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures sales success. This position is responsible for cultivating and ... + Strong proficiency in Microsoft Office and business applications. **Licensure:** + Active Insurance Producer License ( Health & Life) or ability to obtain… more
    AmeriHealth Caritas (10/02/25)
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  • Project Manager - Medicare /DSNP

    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 ... within a framework highly regulated by the Centers for Medicare & Medicaid Services (CMS). Experience in quality improvement...role and/or in a project leadership role **Preferred** + Health Care Insurance industry business and operational… more
    Highmark Health (12/13/25)
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  • System Manager Revenue Cycle…

    Houston Methodist (Katy, TX)
    At Houston Methodist, the Manager Revenue Cycle position is responsible for the daily management of the staff and operations for one or more of the following areas ... Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, cash… more
    Houston Methodist (11/12/25)
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  • Program Manager II, Clinical Programs,…

    Amazon (FL)
    …experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life ... Description Application deadline: Jan 8, 2026 As a Program Manager II on the One Medical At -Risk team,...new and existing capabilities and programs aimed at improving health outcomes for our at-risk patient populations. Working within… more
    Amazon (11/21/25)
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  • Medicare Sales Field Agent - CarePlus…

    Humana (Sanford, FL)
    …more!** **Use your skills to make an impact** **Required Qualifications** + **Active Health Insurance License** required. + **Must reside in** **Orange or ... on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . + Prior experience **selling Medicare products**… more
    Humana (12/10/25)
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  • Medicare Outside Sales - Spanish Required

    Fallon Health (Springfield, MA)
    …and inspiring hope_ , we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the ... Medicare benefits, including prescription drug coverage. At Fallon Health , we believe our individual differences, life experiences, knowledge, self-expression… more
    Fallon Health (11/17/25)
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  • Eligibility & Revenue Operations Representative-…

    Fallon Health (Worcester, MA)
    …and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of ... accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon Health Weinberg and any… more
    Fallon Health (11/18/25)
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  • Lead Business Consultant - Medicare Part D…

    Health Care Service Corporation (Nashville, TN)
    …personalization maturity curve and connecting them to key enterprise outcomes. + Health insurance or healthcare industry experience. + Proven strategic thinking ... on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager , Medicare experience + Advanced analytical skills, databases… more
    Health Care Service Corporation (12/19/25)
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  • Medicare Sales & Customer Service

    Erickson Living (Tinton Falls, NJ)
    …Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The HIRM is the professional insurance ... 5 out of 5 stars from the Centers for Medicare and Medicaid Services, for 6 consecutive years. This...+ Proficiency in using all Microsoft Office applications + Health insurance license in NJ will be… more
    Erickson Living (10/22/25)
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  • Appeals Medical Director - Medicare

    Elevance Health (FL)
    **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... **Appeals Medical Director** is responsible for the appeal reviews for physical health medical services, to ensure the appropriate and most cost-effective medical… more
    Elevance Health (12/18/25)
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  • Pharmacist - Clinical Pharmacist Advisor…

    US Tech Solutions (May, OK)
    …based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians ... conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon… more
    US Tech Solutions (10/30/25)
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  • Accts Receivable Team Lead / PA Non…

    Hartford HealthCare (Farmington, CT)
    …monitoring timely and accurate collection of third-party payers, resolving outstanding insurance claims across all Hartford HealthCare hospitals, medical group and ... on decisions that affect workflows effecting timely resolution of insurance claims. 4. Provides support for other ad hoc...process of interviewing applicants and provides feedback to hiring manager . Assists in the onboarding and training of new… more
    Hartford HealthCare (12/23/25)
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  • Client Services Manager , Home…

    BAYADA Home Health Care (Forest Hill, MD)
    …opening for a **Client Services Manager ** to join our **Forest Hills, MD** Medicare certified Home Health team. If you are looking for an exciting career ... opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes...holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k… more
    BAYADA Home Health Care (11/30/25)
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  • Client Services Manager , Home…

    BAYADA Home Health Care (Denver, CO)
    BAYADA Home Health Care has an immediate opening for a **Client Services Manager ** in our ** Medicare -certified Denver Visits Office** . If you are looking ... career opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes...holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k… more
    BAYADA Home Health Care (12/27/25)
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