• (USA) Senior Manager , Enrollment

    Walmart (Bentonville, AR)
    …with a passion for streamlining healthcare operations? Lead and transform our enrollment processes! As Senior Manager , you'll ensure seamless onboarding for ... pharmacy clinical expansion + Lead and oversee pharmacist provider enrollment in Medicaid and Medicare with growth...‎ Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and… more
    Walmart (07/22/25)
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  • Specialist, Enrollment & Eligibility

    East Boston Neighborhood Health Center (Revere, MA)
    …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... Page (http://careers.ebnhc.org) . Time Type: Full time Department: PACE Enrollment and Eligibility All Locations: 300 Ocean Avenue -...of MassHealth eligibility + Strong knowledge of the overall Medicare eligibility of Part A, B and D +… more
    East Boston Neighborhood Health Center (07/03/25)
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  • Provider Enrollment Credentialing…

    HCA Healthcare (Boise, ID)
    …of credentialing files prior to committee presentation + Work closely with Provider Enrollment Manager to resolve credentialing file issues + Ensure payor ... need:** + Minimum of 1 year related healthcare experience preferred, such as Medicare /Medicaid Enrollment or Managed Care Enrollment ; relevant education may… more
    HCA Healthcare (08/01/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members are ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
    Centers Plan for Healthy Living (07/15/25)
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  • Medicare /MassHealth Sales - Spanish…

    Fallon Health (Springfield, MA)
    …+ Generates sufficient NaviCare enrollment applications to meet monthly enrollment goals. + Explains the NaviCare program clearly and consistently ... service, and clinical quality. Fallon Health's NaviCare is a program for people age 65 and older, who live...area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare more
    Fallon Health (05/19/25)
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  • Medicare Product Development Manager

    Molina Healthcare (Layton, UT)
    …for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of responsibilities) within ... Medicare and Medicaid. Role is predicated on building relationships...needs and satisfaction, financial budgets, and current and future program initiatives. Ability to drive operational excellence and process-oriented… more
    Molina Healthcare (07/25/25)
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  • Medicare Sales and Customer Service…

    Erickson Living (Bethesda, MD)
    Location: The Grandview by Erickson Senior Living We are seeking a dedicated and dynamic Medicare Sales and Customer Service Manager to join our team. In this ... support with various administrative matters, including claims resolution, premium billing, and enrollment management. You will also work closely with our partners at… more
    Erickson Living (07/19/25)
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  • Provider Enrollment Coordinator

    Trinity Health (Des Moines, IA)
    …Full time **Shift:** **Description:** Responsible for completion of applications for provider enrollment for Medicare , Railroad Medicare , BCBS, Medicaid, ... and payer contacts to ensure a timely submission of enrollment applications. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates the… more
    Trinity Health (07/01/25)
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  • Director, Appeals & Grievances ( Medicare )

    Molina Healthcare (St. Petersburg, FL)
    … Duals, Appeals & Grievances, Provider Disputes (Par and Non-Par) and overall Medicare program knowledge. * Experience reviewing all types of medical claims ... claims review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare more
    Molina Healthcare (07/20/25)
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  • Program Manager III - Account…

    AON (Fort Washington, PA)
    …the lowest rates and seamless enrollment processes. Role Collaboration and Support: The Program Manager III will work closely with the Aon operations team to ... the lowest rates and seamless enrollment processes. Role Collaboration and Support: The Program Manager III will work closely with the Aon operations team to… more
    AON (07/29/25)
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  • Program Manager - Center…

    Albany Medical Center (Albany, NY)
    …$134,309.04 Salary range: $86,650.99 - $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany Med ... Medical College, Department of Neurology and Director of Alzheimer's Program , the Program Manager will...CEAD RN staff, administrative oversight of the infusion treatment program , including patient enrollment and ongoing monitoring… more
    Albany Medical Center (05/26/25)
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  • Electric Program Manager

    Silicon Valley Power (Santa Clara, CA)
    **Electric Program Manager ** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4735840)  **Electric Program Manager ** ... Silicon Valley Power is recruiting to fill various Electric Program Manager positions in the following specialties:...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
    Silicon Valley Power (05/22/25)
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  • Manager , Healthcare Sales

    MVP Health Care (Tarrytown, NY)
    …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Manager , Healthcare Sales** to join #TeamMVP. This is the opportunity for you ... (EP), HARP, On-Exchange Qualified Health Plans (QHP), Off-Exchange Plans, and Medicare Advantage plans to individuals at Federally Qualified Health Centers (FQHCs),… more
    MVP Health Care (07/29/25)
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  • Senior Railroad Civil Engineer (Project…

    MetroLink (Los Angeles, CA)
    Senior Railroad Civil Engineer (Project Manager ) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4824881) Apply  Senior Railroad Civil Engineer ... (Project Manager ) Salary $99,799.00 - $154,688.00 Annually Location California 91767,...Full Time Remote Employment Flexible/Hybrid Job Number 23-2400159 Department Program Management Division Program Delivery Opening Date… more
    MetroLink (07/16/25)
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  • Billing Operations Representative III - Hybrid

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE ( Program of All-Inclusive Care for the ... LinkedIn. **Brief summary of purpose:** Under the direction of the Supervisor or Manager , the Enrollment & Billing Operations Representative III supports Fallon… more
    Fallon Health (07/25/25)
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  • NM Seneca Case Manager

    Lakeview Health Services (Geneva, NY)
    …client service. Essential Job Functions Overview With the general oversight of the CSS Program Manager , works from a trauma informed care perspective to perform ... $2,500 SIGN-ON BONUS Title : Seneca County Non-Medicaid Case Manager Job Requisition No.: 1768 Program :...objectives. + Develop and revise support services plans upon enrollment , review every 6 months, and following significant changes… more
    Lakeview Health Services (07/03/25)
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  • Nurse Care Manager

    Beth Israel Lahey Health (Wakefield, MA)
    …roster reports to review at risk population with providers to prioritize program enrollment , care planning, addressing prognosis and potential palliative/hospice ... you're making a difference in people's lives.** The Care Manager , RN provides care management services to the BILHPN...resource for the physicians and practice team for the Medicare ACO population functioning as navigator, coach, and condition… more
    Beth Israel Lahey Health (06/06/25)
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  • RN Care Manager - Waiver Program

    Molina Healthcare (Columbus, OH)
    …be licensed for the state of OHIO. This position will support our MMP (Medicaid Medicare Population) with members on Waiver program . This position will have a ... case load and manage members enrolled in this program . We are looking for Registered Nurses who have...of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a… more
    Molina Healthcare (06/22/25)
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  • Case Manager Registered Nurse - Field…

    CVS Health (East Orange, NJ)
    …daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment . Successful completion ... Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also...personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment .… more
    CVS Health (07/18/25)
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  • Nurse Case Manager

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision, ... such as phone, email, and video conferencing. Verifies eligibility, benefits, enrollment history, clinical history, and demographics. Assesses patient needs by… more
    Medical Mutual of Ohio (05/28/25)
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