- Health eCareers (Griffin, IN)
- …a Physician Assistant to join our home-based primary care team to support our vulnerable Medicare and Medicare advantage patients in Griffin, GA (travel will ... Agency (DEA) registration or be eligible for registrationMust possess active Medicare /Medicaid Enrollment or be eligible to enrollCertified in Basic Life Support… more
- Health eCareers (Phoenix, AZ)
- …per dayGeriatric patient population -- age 60+Experience with managed care and Medicare Advantage requiredPaid malpractice insurance; pre-paid travel and housing ... expensesAssignment details and time entry in online portalCompetitive compensation24-hour access to your Weatherby Healthcare consultantCharter member of NALTO " more
- CVS Health (Columbus, OH)
- …Summary** Leads the strategy, design, development and life cycle management of Aetna Medicare products that serve Medicare Advantage populations, including ... Direct product enhancements **Required Qualifications** 7+ years of experience with Medicare Advantage plans, including C- SNP plans. **Preferred… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... department measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain reports, from ad hoc requests to scheduled production reports. + Write clear… more
- Molina Healthcare (ID)
- …**Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will ... protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by… more
- Molina Healthcare (New York, NY)
- …and production of the annual marketing strategy and objectives for Molina Medicare 's portfolio of Medicare products. + Responsible for supporting the ... + Developing, implementing, improving, and maintaining Marketing Operations for Molina Medicare . + Directing and analyzing Market Research Activities for Molina … more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members are… more
- BrightSpring Health Services (Knoxville, TN)
- …Business Signature Advantage , an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare ... Our Company Signature Advantage Overview Seeking a Sales Account Representative/Executive for...and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Solid understanding of Medicare and its related financial models, including Medicare FFS, Medicare Advantage , Medicare Part D, and ... exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive… more
- Humana (Lansing, MI)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid. + Utilization management experience… more
- Humana (Concord, NH)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical management organizations,… more
- MVP Health Care (Schenectady, NY)
- …every interaction. **Your key responsibilities:** + Conduct all phases of the Medicare Advantage sales process, including identifying, qualifying, and meeting ... with prospective clients. + Present Medicare Advantage (MA) products to achieve company and individual enrollment goals. + Ensure enrollees fully understand MA… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. Job Title: Medicare Advantage Enrollment Seasonal Associate Department: Medicare ... orientation, or any other characteristics protected by law. Position Summary: The Medicare Advantage Enrollment Seasonal Associate will be responsible for… more
- Kelly Services (Fairport, NY)
- …line with established policies and procedures. + Maintaining current knowledge of Medicare Advantage regulations and corporate policies. + Skillfully resolving ... yes, please see this opportunity!** **Kelly(R) is seeking a Medicare Customer Satisfaction Advocate to work at a top...6 month project **What's a typical day as a Medicare Customer Service Representative? You'll be:** + Under the… more
- Amazon (San Francisco, CA)
- …clinical quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in ... the quality of care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and other national quality metrics. - Design and… more
- Commonwealth Care Alliance (Boston, MA)
- …ensuring accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- CVS Health (Phoenix, AZ)
- …and all questions are thoroughly answered + Respond to inquiries from our Medicare Advantage members + Connects with members to diminish service disruption ... top talent for our Service Advocate role in our Medicare Stars Member Advocacy Center. The Member Advocacy Center...Advocacy Center (MAC Team) is an elite team in Medicare Stars that conducts various high touch omnichannel outreach… more
- BlueCross BlueShield of North Carolina (NC)
- …at least 9 years of relevant actuarial experience. **Bonus Points** + Experience in Medicare Advantage Risk Adjustment highly preferred **What You'll Get** + The ... opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. + Work-life balance, flexibility, and the autonomy to do great work. + Medical, dental, and vision coverage along with numerous health and… more
- Centene Corporation (Houston, TX)
- …+ Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and ... procedures pertaining to: + Disclosures and provisions of the Advantage Medicare product + Enrollment and disenrollment + Develop a presence in the local… more
- State of Indiana (Indianapolis, IN)
- …Health Insurance-Assistance Program (SHIP). The ideal candidate will have experience with Medicare D-SNP or other Advantage Program and Managed Medicaid Long ... Medicaid/ Medicare Coordination Manager Date Posted: Sep 5, 2025...engaged with this mission. Role Overview: In this role, Medicaid/ Medicare Coordination Manager, you will establish priorities, targets, and… more
