- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a pivotal role ... resolutions to sustain quality member care + Understand all aspects of enrollment operations, Medicare membership enrollment , reconciliation, and benefits… more
- Centene Corporation (Spring Hill, FL)
- …apply all policies and procedures pertaining to:** + Disclosures and provisions of the Advantage Medicare product + Enrollment and disenrollment + Develop a ... appointments as needed to complete the enrollment process + Market Advantage on-site at hospitals, senior centers, assisted living facilities, community… more
- Providence (WA)
- …data, and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of Medicare ... must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:**...providing critical insights to enhance the performance of our Medicare Advantage plans **_Providence is welcoming 100%… more
- PruittHealth (Macon, GA)
- …at which to conduct outreach activities and maintain calendar of such events. Market Medicare Advantage on-site at senior centers, food pantries, community ... and/or nursing community dynamics. * Demonstrate compliance with CMS regulations regarding Medicare Advantage Plans and PruittHealth Code of Conduct. *… more
- CVS Health (Tallahassee, FL)
- …sales growth and develop an assigned territory selling our competitive portfolio of Medicare Advantage & DSNP products. The Field Sales Representative will be ... Strong communication and presentation skills Preferred Qualifications + 5+ years of selling Medicare Advantage in FL + Bachelor's Degree Education + High School… more
- CVS Health (Chantilly, VA)
- …manage sales growth and develop an assigned territory selling our competitive portfolio of Medicare Advantage & DSNP products with the Virginia market. The Field ... educates prospective members on product, pricing and services, and assists with enrollment .* Identifies opportunities to educate about our Medicare products… more
- CVS Health (Lansing, MI)
- …for will be a highly successful sales representative with extensive experience selling Medicare Advantage and DSNP plans in the Southeastern Michigan area. The ... with enrollment . * Identifies opportunities to educate about our Medicare products within the assigned territory through relationship building with contracted… more
- Henry Ford Health System (Grand Rapids, MI)
- …and planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for ... GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in… more
- Providence (Irvine, CA)
- …for developing and executing a sales and broker strategy to grow and retain Medicare Advantage , Individual and Family Plan, and Commercial Small Group membership ... **Description** The Senior Director, Individual Market Sales & Broker Strategy,...grow their business or retain existing business. + Lead Medicare open enrollment strategy through the implementation… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …supporting Medicare Advantage must have working knowledge of Medicare enrollment guidelines and reimbursement. **Licenses and Certifications** + Pursuit ... use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND...well as coordinating projects and time frames with less senior reimbursement staff. + Accountable for complying with all… more
- 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' ... senior levels. . Performs other duties as assigned. ** Sr . Membership Billing Representative - TPA** . Processes routine...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- The Cigna Group (Bloomfield, CT)
- …dedicated to the end-to-end implementation of solutions for the core administration of Medicare Advantage and CareAllies health plans. To ensure future success ... **U.S. Government Technology, Claims & Enrollment - Application Development Senior Manager**...and Capitation Adjudication (fka EZ-CAP). + Build partnerships with Medicare and CareAllies programs and operations, and collaborate to… more
- WelbeHealth (Los Angeles, CA)
- …+ Experience using CRM systems (Salesforce or other similar CRM system) + Medicare Advantage or PACE experience preferred + Medi-Cal knowledge preferred. + ... who may qualify for the PACE program through the enrollment process with WelbeHealth. The Senior Care Advisor will collaborate with market leaders, members of… more
- 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. Manages a ... corporate leadership. + 3 years' experience working with healthcare products/programs, preferably Medicare Advantage or government programs. + Proven ability to… more
- reveleer (CA)
- Senior Director, Engineering Operations Location: Glendale, CA or Remote Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to ... enables plans to independently execute and manage every aspect of enrollment , provider outreach and data retrieval, coding, abstraction, reporting, and submissions.… more
- Point32Health (Canton, MA)
- …. **Job Summary** Reporting to the EVP, Chief Operations Officer, the Senior Vice President of Operations (SVP) is a strategic operator and member ... of the senior leadership team. S/he is responsible for driving operational...of benefits, liability, and recovery programs; provider and member enrollment ; plan and benefit configuration; business controls; and quality… more
- Trinity Health (Westerville, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive ... **Employment Type:** Part time **Shift:** Rotating Shift **Description:** ** Senior Cook 1130a-8p** **Why Mount Carmel?** With five hospitals… more
- 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' ... to resolve elevated issues related to claims, eligibility, plan design, billing, enrollment , etc. on behalf of customers. Demonstrates diligence in working with… more
- CVS Health (Trenton, NJ)
- …a member of the team to deliver purpose built configuration for the Medicare Enrollment Operations Team on the NextGeneration Platform.* Independently designs ... Team role that will be a member of the Medicare / Medicaid Enrollment Configuration team tasked...for the Medicare organization, including products for Medicare Advantage (MA), Medicare … more
- Healthfirst (New York, NY)
- …Entitlement Advocate oversees the activities of Entitlement Advocates who provide Healthfirst's Medicare Advantage Plan (MAP) and Senior HealthPartners' ... Care (MLTCP) members and families with assessment and interventions related to enrollment processing of qualified, eligible candidates for enrollment and… more