- Wipfli LLP (Milwaukee, WI)
- … benefits , cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, ... a career-defining opportunity. Job Summary Under the direction of the Partner/Senior Manager leading the respective service area, region or industry, the Manager… more
- Battelle Memorial Institute (Tampa, FL)
- …current third-party regulations and policies, with special emphasis on TRICARE and Medicare benefits and services, to identify alternative financing sources to ... line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our...and their recovery + Knowledge of community resources, patient entitlement/ benefit eligibility, and ability to access these resources to… more
- Commonwealth Care Alliance (Boston, MA)
- …Behavioral Health **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral ... part of the care management dyad, the Clinical Care Manager works directly with assigned CCA members to help...living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits… more
- Merck & Co. (Panama City, FL)
- …with the in-scope customer team: Customer Team Leader, Key Account Manager , Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, ... and long-term plans in collaboration with the local team and district manager (known as the Oncology Customer Team Leader).Ask insightful questions to understand… more
- Merck & Co. (North Wales, PA)
- …with the in-scope customer team: Customer Team Leader, Key Account Manager , Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, ... plans in collaboration with the local team and district manager (known as the Oncology Customer Team Leader). Ask...by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site… more
- Pairtu (San Francisco, CA)
- …like that. Today we mix smart software with human advocates to guide Medicare patients through diagnoses, bills, and care plans. Investors from Omada, Oscar, and ... need structure and predictability or 'need to be a manager ' this isn't for you. The upside? You'll level...contracting lead. **Bonus points if you've:** - Worked with Medicare or Medicaid populations. - Managed billing, coding, or… more
- Commonwealth Care Alliance (Boston, MA)
- …, Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation ... strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA achieve its mission and… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
- Sanford Health (Bismarck, ND)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote ND (Bismarck) **Location:** Bismarck, ND **Address:** **Shift:** 8 Hours - Day ... Hours:** 40.00 **Salary Range:** $37.50 - $62.00 **Job Summary** The Product Manager will lead the ongoing analysis, planning, and management of their respective… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the ... different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Medical Mutual of Ohio (OH)
- …office in Brooklyn, OH. However, the role is open to considering candidates who are remote as long as they live within the state of Ohio._** Founded in 1934, Medical ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …managed care benefit plans and strong knowledge of government program contracts ( Medicare and Medicaid) and benefits , preferred. + Strong written and verbal ... departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for… more
- Centene Corporation (New York, NY)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... journeys, renewing member journeys, aligned dual member experience, getting care, benefit usage, digital tool interaction and Call Center experience) by analyzing… more
- Actalent (New Haven, CT)
- Job Title: Medicare Coverage Analyst Job Description We are seeking a knowledgeable Medicare Coverage Analyst with expertise in a broad range of trials, ... managing assignments to third-party vendors, ensuring that all relevant Medicare policies are adhered to and that thorough evaluations...in budget reporting. Work Environment This position is 100% remote , allowing you to work from the comfort of… more
- Humana (Sanford, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Health Care Service Corporation (Nashville, TN)
- …quality deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager , Medicare experience + Advanced analytical skills, ... driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and… more
- US Tech Solutions (May, OK)
- …determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager (PBM) **Skills:** + MUST HAVE MANAGED CARE exp ... **Location: Remote ** **Duration: 6+ months contract** **Shift: Monday-Friday 9:30am-6pm...experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit… more
- Mayo Clinic (Rochester, MN)
- …dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/ benefits /) - to take care of you ... every turn, you can build a long, successful career with Mayo Clinic. ** Benefits Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or… more
- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... by connecting them with appropriate resources and support services. The Care Manager provides education and guidance to members and their families on managing… more
