• Merck & Co. (North Wales, PA)
    …with federal and state regulations, including government programs such as Medicaid, Medicare , and 340B, ensuring programs remain compliant with legal and medical ... US Equal Opportunity Employment laws, visit: EEOC Know Your Rights EEOC GINA Supplement Pay Transparency Nondiscrimination We are proud to be a company that embraces… more
    HireLifeScience (10/29/24)
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  • Merck & Co. (Rahway, NJ)
    …of US payers and health care systems. Responsibilities in understanding Centers for Medicare & Medicaid Services (CMS) and US policies, Food and Drug Administration ... US Equal Opportunity Employment laws, visit: EEOC Know Your Rights EEOC GINA Supplement Pay Transparency Nondiscrimination We are proud to be a company that embraces… more
    HireLifeScience (10/17/24)
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  • Business Process Owner Senior - Medicare

    USAA (Tampa, FL)
    …are currently seeking a dedicated **Business Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This ... 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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  • Analyst, Actuarial - Medicare

    CVS Health (Hartford, CT)
    …Insurance Actuarial team by supporting annual rate filing process for the Medicare Supplement products. This position's responsibilities will include (but are ... team members with the following items: - Creating and filing Medicare Supplement rate recommendations to various State Departments of Insurance - Communicating… more
    CVS Health (10/23/24)
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  • Medicare Products Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement , and individual plans. The ... Evaluates membership and utilization by plan and acquisition channel for Medicare Advantage and Medicare Supplement product lines. Performs data analysis of… more
    Medical Mutual of Ohio (08/13/24)
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  • Medicare Pharmacy Coordinator

    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 ... remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare more
    Medical Mutual of Ohio (09/20/24)
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  • Actuarial Senior Manager - Medicare Pricing…

    The Cigna Group (Birmingham, AL)
    Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and… more
    The Cigna Group (09/14/24)
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  • Medicare Sales Field Agent- Davie/Rowan…

    Humana (Mocksville, NC)
    …in the field is required for this position** + Active Health Insurance license and Medicare Supplement license or ability to obtain prior to the start date + ... on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in...as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health plan products… more
    Humana (10/29/24)
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  • Medicare Program Manager III

    Centene Corporation (Cheyenne, WY)
    …5+ years project implementation, product or program management experience. + Medicare Supplement Benefits (Dental, Vision, Hearing) experience strongly ... levels, and value by leading the dental, vision and hearing Medicare Product development through strategy development, identify opportunities, plan, organize,… more
    Centene Corporation (09/20/24)
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  • Medicare Nurse Reviewer

    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 ... provide peace of mind to more than 1.2 million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.… more
    Medical Mutual of Ohio (11/01/24)
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  • Actuarial Analyst

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement , and individual plans. Estimates ... experience in health actuarial work. + 1 year of experience in Medicare Advantage or Medicare Supplement if assigned to Medicare area. **Professional… more
    Medical Mutual of Ohio (10/31/24)
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  • Vice President of Product, Government Programs

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …includes: Direct Pay Medicare ( Medicare Advantage Prescription Drug Plan, Medicare Supplement Plans, Prescription Drug Plans), Group Medicare , and ... Government Programs, the VP Product is responsible for developing and implementing Medicare and Federal Employee Program (FEP) products that result in achieving… more
    Blue Cross Blue Shield of Massachusetts (10/16/24)
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  • Insurance Coordinator

    Fresenius Medical Center (Van Nuys, CA)
    …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement , State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
    Fresenius Medical Center (09/24/24)
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  • Provider Network Compliance Specialist

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement , and individual plans. Ensures ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace… more
    Medical Mutual of Ohio (10/23/24)
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  • Director, Case Management

    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. Join our ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace… more
    Medical Mutual of Ohio (10/10/24)
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  • Care Navigator

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement , and individual plans. **Works ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace… more
    Medical Mutual of Ohio (10/01/24)
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  • Registered Nurse Clinical Appeal & Claim

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement , and individual plans.** Working under ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace… more
    Medical Mutual of Ohio (11/01/24)
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  • Training Instructional Designer

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement , and individual plans. Participates in ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace… more
    Medical Mutual of Ohio (10/31/24)
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  • Agilist I-III

    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' ... and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement , and individual plans. Our plans provide peace… more
    Medical Mutual of Ohio (10/30/24)
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  • Mgr, Systems Dev. & Main.

    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' ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace… more
    Medical Mutual of Ohio (10/30/24)
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