• Chestnut Health Systems (Carlock, IL)
    …ICD~9/10, HCPC), and insurance reimbursement; electronic medical record systems; Medicare , private insurance, and Medicaid billing requirements. Are you intrigued ... by this job but don't meet every single requirement? Research shows that women and people of color are less likely to apply for jobs when that's the case. Chestnut is committed to building a diverse, inclusive, and authentic workplace. If you're excited about… more
    JobGet (11/25/24)
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  • Audit & Reimbursement III- Medicare Cost…

    Elevance Health (Columbus, OH)
    **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a virtual United States based position._ **National Government Services** is a ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.… more
    Elevance Health (11/15/24)
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  • Finance Medicare Reimbursement Analyst

    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
    AdventHealth (11/20/24)
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  • Medicare Advantage Customer Experience…

    Medical Mutual of Ohio (Brooklyn, OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Facilitates and supports ... the option to work remote; Ohio residents preferred._** **Responsibilities** ** Medicare Advantage Customer Experience Strategist** + **Facilitates projects to… more
    Medical Mutual of Ohio (11/15/24)
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  • Medicare Vendor Program Manager

    AmeriHealth Caritas (Newtown Square, PA)
    ** Medicare Vendor Program Manager** Location: Newtown Square, PA Primary Job Function: Medicare ID**: 37979 Your career starts now. We are looking for the next ... other administrative services. Discover more about us at www.amerihealthcaritas.com. AmeriHealth's Medicare Product Team oversees the Medicare product portfolio.… more
    AmeriHealth Caritas (11/15/24)
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  • Medicare Advantage Quality Consultant…

    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
    Highmark Health (11/14/24)
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  • Medicare Biller / Accounts Receivable

    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
    CommuniCare Health Services Corporate (11/13/24)
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  • Medicare Products Analyst

    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
    Medical Mutual of Ohio (11/12/24)
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  • Medicare Compliance Officer

    Dignity Health (Phoenix, AZ)
    …**Responsibilities** Develops operates and administers the regulatory compliance program for both Medicare Advantage (Part C) and Medicare Part-D plan activities ... of SCHN. + Develops and monitors the implementation of and compliance with Medicare policies and procedures through the creation and implementation of a work plan.… more
    Dignity Health (11/08/24)
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  • Medicare Biller

    Robert Half Accountemps (Sacramento, CA)
    Description We are offering a contract to hire employment opportunity for a Medicare Biller in Sacramento, California. The role is within the non-profit industry and ... involves working with healthcare reimbursement and Medicare billing. The primary responsibilities include processing and reviewing Medicare claims, maintaining… more
    Robert Half Accountemps (11/07/24)
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  • Medicare MAP Advisor

    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
    Centers Plan for Healthy Living (11/06/24)
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  • Regulated Markets Senior Manager - Medicare

    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
    The Cigna Group (10/25/24)
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  • Business Process Owner Senior - Medicare

    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
    USAA (10/23/24)
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  • Medicare Specialist (HHS)

    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
    Walworth County (10/12/24)
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  • Medicare Pharmacy Coordinator

    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
    Medical Mutual of Ohio (09/20/24)
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  • Medicare Compliance Officer

    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
    Centene Corporation (09/20/24)
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  • Pharmacist Medicare

    Corewell Health (Grand Rapids, MI)
    Job Summary The Medicare Clinical Pharmacist will work with the Medicare Quality team to support Priority Health's Medicare Stars initiatives. The candidate ... for this role will telephonically engage Medicare members to complete comprehensive medication reviews for Medication...identify and address barriers to adherence + Directly support Medicare Quality initiatives that improve Star ratings for, but… more
    Corewell Health (11/22/24)
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  • Medicare Clinical Auditor

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Working under general ... RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Medicare Clinical Auditor** + **Audits outpatient, inpatient and professional… more
    Medical Mutual of Ohio (11/15/24)
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  • Bilingual Medicare Sales Agent

    Wider Circle (Los Angeles, 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 and identify the best benefits for their individual...embracing boundless personal and collective growth opportunities. Responsibilities for Medicare Sales Representative * Primarily be responsible for the… more
    Wider Circle (11/19/24)
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  • Senior Actuarial Analyst, Medicare Bid…

    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
    Providence (10/31/24)
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