- CVS Health (Boston, MA)
- …convenient and affordable. **Job Description Summary** The primary responsibility of the Medicare Part B Operations Coordinator is to support activities related to ... Medicare Part B end-to-end claims processing. The Coordinator will...will assist in ensuring CVS compliance to Centers for Medicare and Medicaid (CMS) requirements, resulting in successful claim… more
- The Cigna Group (Morris Plains, NJ)
- **POSITION SUMMARY** The Medicare Client Strategy Senior Manager is accountable for and provides leadership to a team of Medicare Strategists and is responsible ... adoption and sales support in collaboration with account teams to support our Medicare clients. This client-facing position will take a lead role in supporting… more
- Highmark Health (Harrisburg, PA)
- …models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office ... based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value… more
- USAA (Tampa, FL)
- …currently seeking a dedicated **Business Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- Carle (Urbana, IL)
- Medicare Compliance Analyst - HYBRID + Department: HA - Compliance & Risk Mgmt + Entity: Health Alliance + Job Category: Professional + Employment Type: Full - Time ... Email a Friend Save Save Apply Now Position Summary: The Medicare Compliance Analyst is responsible for understanding, researching, interpreting, communicating and… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- Medicare Biller The CommuniCare Family of Companies currently owns/manages over 130 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and ... of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH. PURPOSE/BELIEF… more
- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 Hourly ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY...they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and ... Medicare Line of Business, maintains relationships, services our existing...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- Medical Mutual of Ohio (OH)
- …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs. Configures, implements,… more
- Centene Corporation (Austin, TX)
- …million members. **Position Purpose:** This position will be a member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, ... the organization with a commitment to service leadership. + Leading the Medicare Compliance team with a collaborative mindset and demonstrated commitment to… more
- AdventHealth (Altamonte Springs, FL)
- …with the preparation of work papers for the filing of the annual Medicare , Medicaid, and Champus/Tricare cost reports, audit preparation and other cost report ... of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for...System's hospitals . Assist with the coordination of the Medicare , Medicaid and other State or Federal agency cost… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare ... an integral role in the product development of the Medicare Advantage. This role supports Medicare product...of the Medicare Advantage. This role supports Medicare product management by evaluating data trend experience, creating… more
- Molina Healthcare (Bowling Green, KY)
- …in managing and optimizing call center operations, with a focus on supporting Medicare -related services. As an AVP, you'll lead a team responsible for delivering ... exceptional customer service to Medicare beneficiaries **Responsibilities:** **Strategic Leadership** + Develop and execute strategies to enhance call center… more
- AdventHealth (Altamonte Springs, FL)
- …Reimbursement Analyst is responsible for preparing and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and appeal ... submit accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for...or Federal agencies for AdventHealth's hospitals + Coordinate the Medicare , Medicaid and other State or Federal agency cost… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Medicare Quality Specialist, Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and CAHPS by ... collaboration with internal and external partners, assisting with the administration of Medicare programs, and other projects assigned to support the Medicare … more
- Wider Circle (CA)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their individual needs. Responsibilities for Medicare Sales Representative * Primarily be responsible for the entire… more
- Providence (WA)
- …empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible for developing and maintaining actuarial ... to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of... Advantage plans + Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong… more
- Humana (Leesburg, FL)
- …exceed $113K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... the community through service, organizations, activities and volunteerism + Experience selling Medicare products + Bilingual with the ability to speak, read and… more
- The Cigna Group (Bloomfield, CT)
- …representing over 40% of Cigna's total medical cost savings. The **NANPM Medicare Senior Advisor** is responsible for negotiating Medicare Supplemental ... facing and will directly oversee relationships between the Commercial and Medicare Advantage Segment encompassing Supplemental vendor relationships including but not… more
- Sedgwick (Naperville, IL)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr Medicare Associate **PRIMARY PURPOSE** **:** To gather documentation required to complete ... Medicare Compliance referrals and process Medicare mail electronically in a timely manner; **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reviews JURIS and the … more
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