- Molina Healthcare (Cedar Rapids, IA)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design. Provides centralized… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …is right for you, we encourage you to apply! Job Description: Summary: The Medicare / Individual Markets Consultant works cohesively within a team to increase the ... volume of Medicare and individual market health plan sales to individual...strong relationship building techniques, the primary role of the Medicare / Individual Markets Consultant is to engage prospects,… more
- Centene Corporation (Queens, NY)
- …Initiatives (VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing ... end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will… more
- Molina Healthcare (MI)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- Medicare Biller The CommuniCare Family of Companies currently owns/manages over 130 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and ... of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH. PURPOSE/BELIEF… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...Medicaid Services (CMS) and company policies and regulations. The Medicare MAP advisor will develop a presence in the… more
- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 Hourly ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …apply! Job Description: Summary: Under the general direction of the Director of Medicare Sales, the Medicare Broker Account Executive provides direction and ... manages assigned external agents for the sales and retention of Individual Medicare products. Develops new methods to increase sales and enhance Health Plan's … more
- UTMB Health (Galveston, TX)
- Director of Finance Government Reimbursement ( Medicare , Medicaid) - Government Reimbursement **Galveston, Texas, United States** Executive - Business Professional ... accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six...accounting or business and/or a CPA. + Experience with Medicare IME, DGME, DSH and Organ Acquisition reimbursement and… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... daily basis, but not limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and paper claims ( UB -04 and 1500)… more
- CVS Health (Hartford, CT)
- …is available throughout the United States. We are seeking a Senior Manager, Medicare Special Needs Plan (SNP) Consultant for the Medicare Performance Management ... scale and complexity that impact the delivery of all Medicare products and services and be involved in the...you will work with other business units across the Medicare segment on a variety of projects including, but… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicare Enrollment Coordinator** **Job Class: Human Services Program Representative 1** **Agency: Human Services Dept** + **Job ID** : 85674 + ... and training and development opportunities. This position reports to the TPA Medicare Enrollment Team within the Managed Care Contracting and Rates unit of… more
- Molina Healthcare (NM)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and ... education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
- PruittHealth (Norcross, GA)
- …PURPOSE:** Compilation and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting basis. Calculation of ... allowable Medicare bad debt claims based on third party documentation...2. Validate and document each paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance… more
- Molina Healthcare (Jacksonville, FL)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- CVS Health (Trenton, NJ)
- …every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products in their market, supporting ... of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group team… more
- Humana (Palm Harbor, FL)
- …caring community and help us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... the community through service, organizations, activities and volunteerism + Experience selling Medicare products + Bilingual with the ability to speak, read and… more
- UPMC (Pittsburgh, PA)
- Working collaboratively with the CMO of Medicare , the AVP, Medicare Medical Services will be responsible for driving our journey toward population health ... initiatives, with a focus on Medicare Special Needs. Reporting to the CMO of Government...Reporting to the CMO of Government Products, the AVP, Medicare Medical Services serves as one of the strategic… more
- Molina Healthcare (Columbus, OH)
- …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. + Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Scientist supports analytic activities associated with BCBSMA overall performance on Medicare Stars ratings, with specific focus on CAHPS patient experience ... analytic support to help identify the most efficient means through which Medicare Stars clinical quality and patient experience performances at BCBSMA can be… more
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