- Daiichi Sankyo, Inc. (Seattle, WA)
- …Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo is primarily focused on providing novel therapies ... and appeals Partner with DSI oncology field staff to ensure aligned customer approach. Proactively communicate contract and formulary status relevant to each… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …the option to work hybrid; Greater Cleveland, Ohio residents preferred._** **Responsibilities** ** Medicare Advantage Customer Experience Strategist** + ... culture of continuous improvement.** + **Performs other duties as assigned.** **Senior Medicare Advantage Customer Experience Strategist** + **Plans and… more
- Highmark Health (Harrisburg, PA)
- …are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with ... STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess the needs… more
- UCLA Health (Los Angeles, CA)
- … experience , required + Two or more years working contact center environment or experience with Medicare Advantage health plan, highly desired + Working ... Description As the Medicare Advantage Senior Contact Center Representative,...members, fostering positive relationships and contributing to an outstanding customer experience + Enhance member satisfaction through… more
- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running ... combination of education and experience required * Five or more years of experience with CMS processes in a Medicare or managed care environment * Must… more
- The Cigna Group (Denver, CO)
- …team seeks to provide operational and analytical support to our partners to improve customer care and affordability for Cigna Medicare . This role will help us ... reporting and analysis within the Clinical & Data Science Analytics team for Medicare Strategic Analytics. Reporting to the Manager of Care Management Analytics, the… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and enroll prospects based on the customer 's needs + Provide a positive customer experience with excellent customer satisfaction + Ensure prospects to be ... (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community...as a primary language + 3 plus years of, Medicare or Sales experience . + Valid Driver's… more
- Medical Mutual of Ohio (OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans ... opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought...not limited to: Pharmacy IT, Membership, COB, Care Management, Customer Care, and PBM to ensure that proposed/implemented drug… more
- R1 RCM (Salt Lake City, UT)
- …patient revenue and cash flows while reducing operating costs and enhancing the patient experience . As a Medicare Advantage Associate on our Revenue Recovery ... leverage your experience and expertise in complex Medicare Advantage payor methodology, payment screenings and... experience working in healthcare + 1+ years' experience in customer service + Excel knowledge… more
- The Cigna Group (Sunrise, FL)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage . The Provider Performance Enablement Lead Analyst's responsibilities ... executing with provider group on initiatives that benefit the customer , provider, and health plan. + Educating providers on...members contribute to the growth and profitability of the Medicare Advantage business in their market in… more
- Point32Health (Canton, MA)
- …in a team environment. + Strong understanding of the managed care industry, preferably Medicare Advantage plans. + Experience in Product Development. + ... :** 8-10 years of related business experience with three to five years of experience with Medicare insurance products required. At least two years of CMS bid… more
- The Cigna Group (Seattle, WA)
- …Components:** All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: + ... executing with provider group on initiatives that benefit the customer , provider, and health plan. + Educating providers on...HEDIS, Risk Adjustment and medical expense reduction, specific to Medicare Advantage required + Ability to apply… more
- Trinity Health (Farmington Hills, MI)
- …PowerPoint, and Excel. ** Experience performing hospital medical claims follow-up with the Medicare and Medicare Advantage plans needed** ** Experience ... related field, and a minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems working within a hospital… more
- The Cigna Group (Mesa, AZ)
- …would be responsible for direct management of day-to-day operations of the Medicare Advantage Fulfillment Operation team. This requires strong leadership ... responsible for ensuring the accurate and timely delivery of customer communications, including business requirements, testing, daily production activities, quality… more
- The Cigna Group (Atlanta, GA)
- …All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing ... + **Education:** Bachelor's degree required; Master's degree preferred + ** Experience :** Previous provider relationship field experience ; preferred at… more
- TEKsystems (Virginia Beach, VA)
- Remote AEP Medicare Insurance Agent Contract period 11/18-1/25 ( possibility for extension ) You'll enjoy Assisting prospective members with obtaining health ... sales driven environment, the focus is on providing excellent customer service! A day in the role . Answering...work atleast one weekend day during AEP ) Core Experience : . Must have an active Health Insurance License… more
- Centers Plan for Healthy Living (Bronx, NY)
- …working weekends and requires frequent travel to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located throughout the five (5) ... Territory Management + Maintain Centers Plans for Healthy Living Advantage Care Medicare HMO Plan visibility in...as a primary language + 3 plus years of, Medicare or Sales experience . + Valid Driver's… more
- Banner Health (AZ)
- …identifying, compiling and disseminating legislative and regulatory trends and initiatives that impact Medicare , Medicare Advantage and Medicare ... and Medicaid Services are required for this role. Work experience with the Medicare Annual Bid Process...disseminates legislative and regulatory trends and initiatives that impact Medicare , Medicare Advantage and … 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. Medical Mutual' ... highest level of team performance and ensure an optimal customer experience . Ensures adherence to goals (eg...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Adecco US, Inc. (Kansas City, MO)
- …As a Customer Onboarding Specialist, you will be pivotal in enhancing our Medicare Advantage clients' experience through outbound and inbound calls. Your ... Duties:** + Conduct outbound calls to assist clients with recently submitted Medicare Advantage applications. + Verify and correct client information on… more
