- UCLA Health (Los Angeles, CA)
- …preferred * 3-5 years of experience in healthcare program management, ideally within a Medicare Advantage plan or health insurance setting, preferred * ... play a pivotal role in driving the success of key initiatives for the UCLA Health Medicare Advantage Health Plan. In this role, you will: * Oversee the… more
- CVS Health (Blue Bell, PA)
- …or Near-ASA + Bachelor's degree along with 3+ years related experience + Prior Medicare , Pharmacy, or Group Health Insurance experience + Experience with ... Bring your heart to CVS Health . Every one of us at CVS ...SQL, R, Python, and Power BI + Prior Group Medicare Part D experience **Pay Range** The typical pay… more
- Humana (Harrisburg, PA)
- …And much more! **Use your skills to make an impact** **Required Qualifications** + Active Health Insurance and Medicare Supplement license + 6 or more years ... part of our caring community and help us put health first** Are you passionate about the Medicare...of experience working in the insurance industry + 2 or more years of sales… more
- City of New York (New York, NY)
- …- Participate in local and state initiatives, partnerships, and collaborations related to Medicare and health insurance counseling. Qualifications 1. A ... creating a community-care approach that reflects a model age-inclusive city. The Health Insurance Information Counseling and Assistance Program (HIICAP) helps… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and education. . 5 years as an Appeals Specialist or equivalent experience in Medicare health insurance claims, customer service, billing or related ... to appeal requests. Completes cases within the Center for Medicare & Medicaid Services (CMS) timeframes. . Utilizes the...million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're… more
- Humana (Mocksville, NC)
- …with prospective members in the field is required for this position** + Active Health Insurance license and Medicare Supplement license or ability to ... as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health ...state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. We will also… more
- Elevance Health (Knoxville, TN)
- …which would provide an equivalent background. **Preferred Skills, Capabilities & Experiences:** Health insurance , Medicaid and/or Medicare experience. Please ... to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location listed above. Elevance Health supports a hybrid… more
- Ascension Health (Baltimore, MD)
- …professional licensure at time ofhire. **Additional Preferences** + **Basic understanding of Medicare and Health Insurance ** + **Experience working with ... associates in similar roles. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match… more
- WTW (Fort Lee, NJ)
- …a leading name in the performance marketing arena in the USA, specializes in the Medicare health insurance and life and supplemental insurance sectors. ... to join our dynamic team. Our partnerships with top-tier insurance carriers like Humana, Cigna, Blue Cross Blue Shield,...constant influx of over 10,000 seniors becoming eligible for Medicare each day. When you become part of TRANZACT,… more
- University of Southern California (Los Angeles, CA)
- …pharmacy and healthcare (medical, pharmacy, plan benefit/enrollment, etc.) claims from Medicare , Medicaid, or commercial health insurance plans, ... Program on Medicines and Public HealthApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Health -Sciences-Campus/Senior-Research-Associate Program-on-Medicines-and-Public- Health \_REQ20156432-1/apply) Alfred E. Mann… more
- BayCare Health System (Clearwater, FL)
- …Period (AEP) season. + Individual must obtain and maintain AHIP (America's Health Insurance Plans), annual certification and pass required background checks. ... a foundation of trust, dignity, respect, responsibility and clinical excellence. **Summary:** + Health Care Advisors/ Medicare Sales Agents are the face of… more
- CVS Health (Hartford, CT)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...more personal, convenient and affordable. **Position Summary** As the Medicare Reporting Lead Director, you will be responsible for… more
- 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 ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and...of user interfaces, predicative analytic tools, and other population health management tools endorsed by Highmark. + Independently and… more
- Elevance Health (Columbus, OH)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a...is a proud member of Elevance Health 's family of brands. We administer… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- …management services for the development and management of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our ... Medicare & Secondary Billing Guidelines + Previous experience billing various Medicare and Co- insurance companies and understanding the requirements for each… more
- CVS Health (Salt Lake City, UT)
- … in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health 's unrivaled ... the management and organization of plan activities at the health plan as it relates to the Medicare...internal and external clients is required. + Knowledge of insurance regulatory and contractual requirements. + Knowledge of value… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …or as a subject matter expert. Researches, federal and state regulatory issues including health insurance , Medicare , and other types of insurance . ... Mutual is the oldest and one of the largest health insurance companies based in Ohio. We...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.… more
- CVS Health (Lansing, MI)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...analytical and communication skills to support, manage and develop Medicare and Medicaid compliance programs and processes that promote… more
- Medical Mutual of Ohio (OH)
- …and experience. + 3 years of experience with government health insurance programs which includes exposure to Medicare Advantage, MA compliance protocols, ... experience in Medicare sales compliance or equivalent experience with government health insurance programs which includes exposure to Medicare Advantage,… more
- RWJBarnabas Health (Oceanport, NJ)
- Quality Officer III ( Medicare )Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding ... integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking and a higher...& Long Term Disability + Life & Accidental Death Insurance + Tuition Reimbursement + Health Care/Dependent… more
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