• Medicare Sales Operations…

    Medical Mutual of Ohio (OH)
    …help our members achieve their best possible health and quality of life. ** Medicare Sales Operations Specialist ** Executes all end-to-end functions relating ... other fulfillment needs identified for the business area. **Sr. Medicare Sales Operations Specialist ** Executes...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
    Medical Mutual of Ohio (12/12/24)
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  • Chinese-speaking Medicare Enrollment…

    VNS Health (Manhattan, NY)
    OverviewThe Medicare Enrollment Specialist educates consumers who have reached out to VNS Health Plans and existing VNS Health Plans MLTC members about the ... preferred Work Experience: + Minimum two years of managed Medicare , Medicaid, life insurance and/or any other sales... Medicare , Medicaid, life insurance and/or any other sales experience that includes collecting premiums during the initial… more
    VNS Health (01/09/25)
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  • Bilingual Community Relations Specialist

    Aveanna Healthcare (Hayward, CA)
    Bilingual Community Relations Specialist ( Remote ) ApplyRefer a FriendBack Job Details Requisition #: 198793 Location: Hayward, CA 94540 Category: Client Services ... - $62,000.00 per year Position Details Position Overview The Community Relations Specialist is responsible for the generation of new referrals, outreach, and… more
    Aveanna Healthcare (02/14/25)
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  • Senior Reimbursement and Market Access…

    Stryker (Redmond, WA)
    ​​ **What you will do:** As a Senior Market Access and Reimbursement Specialist , you will support the day-to-day reimbursement inquiries from the field sales ... cross-functional teams to resolve issues. + ​Works closely with sales , marketing, patient access, and market access teams to...and EOBs + 2+ years of experience working with Medicare , Medicare Advantage, Medigap and private/commercial payer… more
    Stryker (02/05/25)
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  • Oncology Sales Specialist - AR;…

    Merck (Columbus, OH)
    …individuals who thrive in a team environment and are driven to succeed. The Oncology Sales Specialist (OSS) is a key member of our customer facing organization ... field sales experience will be hired at the S3 Oncology Sales Specialist level. \#MSJR \#oncologysales \#eligibleforerp \#LPOC Current Employees apply HERE… more
    Merck (02/07/25)
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  • Senior Sales Proposal Specialist

    HealthEdge Software Inc (Columbus, OH)
    …formanaging and creating high-quality responses to RFPs, RFIs, and other sales -related documents. This role requires strategic thinking, attention to detail, and ... strong collaboration with sales leadership, subject matter experts (SMEs), and internal teams...experience in: + Healthcare software and services, including Commercial, Medicare , Medicaid, ACA, and Dental lines of business. +… more
    HealthEdge Software Inc (01/29/25)
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  • Client Accounting Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    **_The Client Accounting Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH Medical ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s… more
    Medical Mutual of Ohio (01/03/25)
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  • Eligibility Specialist

    Belle (Orlando, FL)
    Location : This is a remote , work from home position About Belle Belle (http://bellecares.com) is a fast-growing engagement company revolutionizing home healthcare - ... join us! About this Role We're seeking an Eligibility Specialist to serve as the company's primary expert on... to serve as the company's primary expert on Medicare eligibility verification. This role will be the key… more
    Belle (01/17/25)
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  • COB Specialist

    Medical Mutual of Ohio (OH)
    **Responsibilities** **COB Specialist I** Researches and responds to inquiries/issues to ascertain specifics of multiple health insurance coverages for members and ... and other insurance companies. . Performs other duties as assigned. **Sr. COB Specialist ** Performs research to ascertain specifics of other coverage for members and… more
    Medical Mutual of Ohio (11/23/24)
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  • Field Reimbursement Specialist

    Amgen (Minneapolis, MN)
    …and transform the lives of patients while transforming your career. **Field Reimbursement Specialist - Minneapolis, MN** **What you will do** Let's do this. Let's ... the world. In this vital role the Field Reimbursement Specialist (FRS) will manage defined accounts within a specified...the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for… more
    Amgen (02/10/25)
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  • Fayetteville Lead Center Specialist

    BlueCross BlueShield of North Carolina (NC)
    …and providers on acceptable Blue Cross NC practices and policies. + Responsible for sales of IU-65, Medicare , and Ancillary products; analyzes the needs of ... **Job Description** In your role as a Lead Center Specialist at our Fayetteville Center, you will be supporting the local community with in-person inquiries, plan… more
    BlueCross BlueShield of North Carolina (02/14/25)
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  • Center Specialist -Fayettville

    BlueCross BlueShield of North Carolina (NC)
    …ambiguous information to resolve all customer inquiries on first contact. + Support for sales of IU-65, Medicare , and Ancillary products; analyzes the needs of ... **Job Description** In your role as a Center Specialist at our Fayetteville Center, you will be...supporting the local community with, plan questions, in-person inquiries, sales , and community engagement opportunities. The ideal candidate for… more
    BlueCross BlueShield of North Carolina (02/15/25)
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  • Enrollment Specialist I

    UPMC (Pittsburgh, PA)
    The Enrollment Specialist will be responsible for the creation and maintenance of eligibility in the transactional system, responding to both internal and external ... exceed service requirements. To successfully perform the role, an Enrollment Specialist must have a comprehensive understanding of enrollment regulations and… more
    UPMC (02/13/25)
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  • Product Operations Specialist

    Centene Corporation (Springfield, IL)
    …projects in the following areas:** Benefits, Product Management, Marketing and Sales , Strategic Planning, and/or Project Management. -OR- **Data analysis and process ... appeals authorizations in one or more of the following:** Medicare , Medicaid, PDP, Exchange etc. Preferred Other Experience in...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (02/16/25)
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  • Lowe's Care Nurse - Case Manager

    Lowe's (Charlotte, NC)
    …treatment to an appropriate resolution. Apply medical treatment guidelines for future Medicare -covered expenses. The candidate will work directly for a Fortune 100 ... clinical and nursing skills to develop Medical Cost Projections and Medicare Set-Asides for workers' compensation and liability settlements based on published… more
    Lowe's (02/06/25)
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  • Sheriff's Technical Assistant 3 (Civil Service)

    Spokane County (Spokane, WA)
    …testing facilities are permitted. No exceptions. *This is an on-site position, not a remote position. This job posting is to create a merged eligibility list from ... medical payment slips from LEOFF-I retirees and prepare for reimbursement. Process Medicare payment reimbursement for LEOFF-I retirees over 65. Compile and maintain… more
    Spokane County (01/07/25)
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  • Commercial Contract Leader

    GE HealthCare (Waukesha, WI)
    …business including contract development and agreement management, external customer sales of products and services, government contracting. In-depth understanding of ... and transactions such as (but not limited to) customer sales contracts, amendments and sales agreements +...compliance advice- in conjunction with the Regulatory and Compliance specialist areas in GE Healthcare. + Supporting on dispute… more
    GE HealthCare (01/26/25)
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  • Senior Manager, Field Reimbursement Manager (FRM)…

    Gilead Sciences, Inc. (Boston, MA)
    …purpose of this role is to serve as a field-based, product access specialist that partners with provider organizations to optimize patient access to Gilead PBC/Liver ... interact include other Gilead field associates, such as Therapeutic Specialists ( Sales ), representing Gilead with the highest integrity in accordance with Gilead… more
    Gilead Sciences, Inc. (02/16/25)
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  • Director Pharmacy Health Engagement

    Highmark Health (Harrisburg, PA)
    …for a specific segment of Highmark's membership (eg, national, regional, Medicare Advantage, FEP, special programs, etc.). Includes analysis and determination and ... problems, and high-cost medication regimens + Collaborates with: 1) Market leaders, and sales to develop and implement solutions for emerging market and client needs… more
    Highmark Health (12/10/24)
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