- Merck & Co. (North Wales, PA)
- …for all US payer customer segments (health plan, PBM, ADAP, Medicaid, Medicare , federal, pharmacy, hospital and GPO) Develop pricing and contracting strategies for ... field sales and account management teams Work with Senior Specialist to develop and deploy resources to support managed...for open positions.If you have been offered a separation benefits package, but have not yet reached your separation… more
- A-Line Staffing Solutions (St. Louis, MO)
- Accounts Payable, Billing Specialist openings with a Major Health Plan based in the St. Louis, MO area! Starting ASAP!! Apply now with Luke H. at A-Line! Remote ... entry of invoices, routing information Need to have ability to learn remote Required Skills/Experience: Bachelor's degree required (open to Recent college grad)… more
- Blanchard Valley Hospital (Findlay, OH)
- …obtains required signatures, provides information on hospital policies, registration, benefits , and patient rights & responsibilities. Works well with patients ... service. Duty 3: Completes Medical Necessity review for all Medicare patients ensuring that an ABN is printed or...skills Maintains confidentiality at all times Ability to work remote and attend onsite meetings as needed Ability to… more
- Blanchard Valley Health System (Findlay, OH)
- …patients, including but not limited to, verifying insurance eligibility and benefits , pre-screening and enrolling self-pay (uninsured and underinsured) patients for ... inherent to the position. Duty 10. Remains current on collection laws, Medicare /Medicaid laws, HCAP regulations and guidelines, third party funding requirements, and… more
- Insight Global (Thomasville, GA)
- …Skills and Requirements * Valid health and life insurance license. * Proven experience as a Benefits Specialist or in a similar role. * Must have gone through 2 ... to operate in this field. This is a fully remote position, offering flexibility and the opportunity to work...the annual enrollment period for health and life insurance benefits . * Provide expert guidance and support to clients… more
- CVS Health (Nashville, TN)
- …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... specialized team who will focus on educating existing Medicare members on available plan offerings to help meet...members and inquiries related to utilization of their product, benefits , etc. + Cross selling applicable products to existing… more
- Wider Circle (Los Angeles, CA)
- Join a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits . We work with underserved populations to help them ... navigate Medicare to identify the best benefits for their needs. Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced… more
- Randstad US (Columbia, TN)
- medicare specialist 1 customer service. +...updated, professional resume. Please note: This is NOT a remote position. salary: $17 - $17.01 per hour shift: ... of health insurance is seeking to add to their Customer Service team, with a Medicare Specialist 1 member. The ideal candidate will have a background in medical… more
- GEHA (Lee's Summit, MO)
- …a personalized customer experience, sustained by a nimble and efficient organization. The Medicare Part D Performance Management Specialist will report to the ... GEHA) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees… more
- BroadPath Healthcare Solutions (Salem, OR)
- …Training and job-related licensing fees will be covered **Primary Responsibilities of a Medicare Sales + Enrollment Specialist ** + Answer incoming inquiries from ... **Overview** We are hiring motivated individuals to join our Medicare Sales and Enrollment Specialists team. Our Specialists will assist members and prospective… more
- General Dynamics Information Technology (Fairfax, VA)
- …years of related experience **Job Description:** GDIT is searching for Quality Assurance Specialist to join our growing team. You will support an exciting new ... program focused on identifying vulnerabilities in Medicaid, Medicare and the Marketplace. The position will monitor, inspect, and propose measures to correct or… more
- US Tech Solutions (Canton, MA)
- **Summary** + Inside Sales Agent is responsible for the sale of all company's Medicare products to prospective members. The Agent is a sales professional and an ... and is passionate about helping people. This is a remote position. **Responsibilities** + Take inbound calls, qualify prospects...assisting prospects through the sales cycle; explain our product benefits in a way that is compliant with CMS… more
- University of Washington (Seattle, WA)
- …SCHEDULE** + 40 hours per week + Day Shift + This position is Remote **POSITION HIGHLIGHTS** The Insurance Follow-up Specialist is responsible for the optimal ... and your family with life and long-term disability insurance. + Receive UPASS Benefits , which includes free public transportation in the Puget Sound region on… more
- The Cigna Group (Bloomfield, CT)
- …+ Assist members with environmental difficulties that interfere with obtaining maximum benefits from medical care. + Serve as a liaison between primary care ... and procedures to routine instructions that require professional knowledge in specialist areas. + Provide standard professional advice and creates initial… more
- TEKsystems (Atlanta, GA)
- As the Pharmacy Benefits Specialist If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth opportunities for ... you career Standard Hours - 100% remote . Monday-Friday (8:00am-8:00pm - 8 hour shift will be...Medicare | Medicaid | Medical Claims | Pharmacy Benefits Core Experience: + Major medical experience + Specialty… more
- AdventHealth (Altamonte Springs, FL)
- **AdventHealth Corporate** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing ... are even better. **Shift** : Full-time; Monday - Friday **Job Location** : Remote **The role you'll contribute:** Under general supervision of the Director of… more
- TEKsystems (Atlanta, GA)
- As the Medical Program Specialist If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth opportunities for you ... career Standard Hours - 100% remote . Monday-Friday (8:00am-6:00pm) Competitive Pay - $21.00 an hour...calls the majority of their shift. + The Program Specialist is responsible for serving as the customer's primary… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a RN Clinical Documentation Specialist for a Full Time, 0.90 FTE, Variable position. The salary range for this job opening at ... work experience, terms of any applicable collective bargaining agreement, seniority, etc. **This remote role requires the incumbent to reside in OR, WA, AK or TX.**… more
- Providence (MT)
- **Description** **Providence is calling a Senior Charge Description Master Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or ... the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Pharmacy Operations Specialist is responsible for supporting the operational functions of Commonwealth Care Alliance (CCA) ... for timeliness of PAs processed by PBM **EXPLANATION OF BENEFITS (EOBs)** + Monthly review of EOBs to ensure...managed care pharmacy industry required. + Experience working with Medicare Parts B and D and/or Medicaid Plans preferred.… more
