- Fidelity TalentSource LLC (Westlake, TX)
- Job Description:Squad Leader, Fidelity Medicare ServicesThe\u00A0RoleFidelity s Healthcare Group has launched a new Medicare business that helps individuals ... select and enroll in quality Medicare coverage. As an early member of this new...enable Squad members to grow and thrivePartner with our Senior Leadership team to build and grow a new… more
- Senior Living Communities (Myrtle Beach, SC)
- …residents and their families. Assists in verification of insurance for all admissions, including Medicare Part A and Medicare Advantage (if needed), ... ongoing stay in SNF (ie, notes to insurance providers for continued stay) including Medicare Advantage updates timely. Noting the chart each time a new… more
- Cambia Health Solutions, Inc (Portland, OR)
- …Cambia: Qualifications: Bachelor's degree in a related fieldMinimum 5 years of Medicare Advantage or Commercial risk adjustment experience includingMinimum 4 ... adjustment education initiatives with network providers and acts as primary point of contact for assigned key provider engagements across Commercial and Medicare … more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Senior Contact Center Representative, you will be addressing and resolving complex member inquiries, providing ... clear and empathetic communication + Manage escalated calls from Contact Center Agents related procedural inquiries + Assist members,...Center environment + Two or more years in a Medicare Advantage role, highly desired + Exceptional… more
- The Cigna Group (St. Louis, MO)
- …and other day of choosing)** **Summary:** The Stars and Risk Adjustment Operations Senior Advisor will report to the Stars and Risk Adjustment Managing Director and ... actions into a synthesized set of business updates and strategies for a senior executive-level audience. Ideally this high-potential candidate uses this role as a… more
- The Cigna Group (Bloomfield, CT)
- …is REMOTE** The **Project Manager** is a key role that supports **Cigna's Medicare Advantage ** line of business, directly addressing customer and client demands ... higher quality of care and greater affordability for the senior population. The primary focus for this role includes...+ Demonstrated ability to influence decisions in support of Medicare Advantage vision & strategy + **Proficient… more
- CVS Health (Lansing, MI)
- …+ 10+ years' of FP&A experience within the healthcare industry + Strong knowledge of Medicare . Knowledge of Group Medicare Advantage will be highly valued. + ... leadership + Serve as the primary point of contact for the Medicare COE and other...Education (IME) Payment and their financial impacts to the Medicare Advantage program + Strong financial acumen… more
- Martin's Point Health Care (Portland, ME)
- …programs. + Strong project management experience required. + Experience in Medicare Advantage and TRICARE preferred. Required License(s) and/or Certification(s): ... (Behaviors): + Broad knowledge of managed care and health plan functions; Medicare Advantage required; USFHP and/or TRICARE knowledge is a plus… more
- Martin's Point Health Care (Portland, ME)
- …most major insurance plans. Martin's Point also administers two health plans: Generations Advantage ( Medicare Advantage plans available throughout Maine and ... as a "Great Place to Work" since 2015. Position Summary The position of Senior Director, Member and Provider Services is responsible for the success and oversight of… more
- The Cigna Group (Bloomfield, CT)
- …termination management process in assigned markets for Commercial, IFP and Medicare Advantage products. Works closely with Contracting, Network Solutions, ... position aligned to the Northeast and Central USA market._** The **Business Project Senior Analyst** serves as an integral member of the Network Development and… more
- Conviva (Columbia, SC)
- …has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... teamwork and providing a positive and welcoming environment for all. The Senior Business Systems Analysis Professional performs analysis of business, process and… more
- New York State Civil Service (Thiells, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Physical Therapist (NY HELPS) Occupational Category Health Care, Human/Social ... Minimum Qualifications MINIMUM QUALIFICATIONS:* Currently permanent in the title of Senior Physical Therapist.OR* Active and reachable on the appropriate Civil… more
- Molina Healthcare (Escondido, CA)
- …and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for ... of customer service. **Job Duties** This role serves as the primary point of contact between Molina Health plan and the Plan's highest priority, high volume and… more
- New York State Civil Service (Brewster, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Physical Therapist (NY HELPS) Occupational Category Health Care, Human/Social ... must have one year of permanent service as a Senior Physical Therapist or in a title deemed appropriate...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
- New York State Civil Service (Oxford, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Licensed Practical Nurse 1 or 2 Snr LPN 1 or 2 Broome NYS HELPS Occupational ... a 70.1 transfer.* NON-COMPETITIVE appointment may be considered.NON-COMPETITIVE MINIMUM QUALIFICATIONS: Senior Licensed Practical Nurse 1 Promotion: possession of a… more
- Independent Health (Buffalo, NY)
- …and statistical analyses, specifically designed to support pricing and bidding for Medicare Advantage plans. Such projects will support both internal and ... perks, benefits and commitment to diversity and inclusion. **Overview** As a Risk Revenue Analyst- Senior the incumbent will provide a full scope of actuarial… more
- Highmark Health (Harrisburg, PA)
- …a specified territory for new sales of Senior Products line of business including; Medicare Advantage HMO and PPO plans, Medicare supplemental plans and ... of Senior Products line of business including; Medicare Advantage HMO and PPO plans, ...any and all users. If you would like to contact us regarding the accessibility of our website or… more
- Highmark Health (Columbus, OH)
- …to support STARs performance, and provider incentive programs in partnership with senior leadership for the Medicare Advantage Quality Consultants. ... departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, implements and...any and all users. If you would like to contact us regarding the accessibility of our website or… more
- Conviva (San Antonio, TX)
- …+ Develop and nurture relationships with brokers and intermediaries specializing in senior healthcare, Medicare Advantage , and value-based care models. ... revenue growth. + Serve as the primary point of contact for brokers, providing them with the necessary tools,...models. + Deep understanding of Original Medicare , Medicare Advantage , and other senior … more
- Blue Cross and Blue Shield of Louisiana (New Orleans, LA)
- …This role does not manage people. + This role reports to this job: Vice President, Medicare Advantage & Medicare Supplement Plan Sales + Necessary Contacts: ... Medicare Advantage customers and all levels of internal BCBSLA personnel...industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new… more
