- Marion County (Salem, OR)
- …Health Nurse Practitioner (PMHNP) or Psychiatrist), appropriateness of continued enrollment in ECS.Coordinate discharge planning with NorthWest Seniors and ... Disability Services (NWSDS) Case Manager (CM) and Providence Benedictine Nursing Care staff. Identify MH needs to be addressed at future placements; relay MH,… more
- AdventHealth (Altamonte Springs, FL)
- …: Altamonte Springs, FL **The role you'll contribute:** The Regulatory Licensure and Enrollment Manager , working with the Director over Regulatory Licensure and ... Advocacy and Public Policy team, the Regulatory Licensure and Enrollment Manager will proactively recommend and participate...Performs initial clean-up of existing and any newly assigned Medicare Enrollment 's (855s). . Works with facility… more
- Trinity Health (Gaithersburg, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Sales and Enrollment Manager ** **Location: PACE Montgomery County MD** **Status:** Full ... implement a strategic sales plan. Evidence of achieving sales goals. Sales and Enrollment Manager . + Must be action-oriented, have business acumen, manage… more
- 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 ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island,...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- Centene Corporation (Austin, TX)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... Manages either the Medicare Sales or the Broker Field Sales teams to...Develops market-specific sales plans and marketing strategies to maximize enrollment growth. + Manages and tracks effectiveness of team… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the ... and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization...Bid process annually, the cost and utilization of all benefits to make adjustments annually, impact of marketing, sales,… more
- CareOregon (Portland, OR)
- …hired for remote positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager ... Direct Reports n/a Requisition # 24286 Pay and Benefits Estimated hiring range $78,270 - $94,710 / year,...candidates residing in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process for the… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** This position will support our MMP (Medicaid Medicare Population) that is part of the Community Well Services team. This position will have a ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
- Centene Corporation (New York, NY)
- …a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Education/Experience:** ... field or equivalent experience. 4+ years of experience in Sales, Healthcare, Medicare , CMS Regulations and/or Management. Experience in working with or managing… more
- Corewell Health (Grand Rapids, MI)
- …of the member appeal and fair hearing review processes for all Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, ... CMS, decisions are properly implemented. Assist the Lead, Supervisor and/or Manager in coordinating activities and in the development/collection of materials… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** SHP Enrollment Representative **Cost Center:** 682891380 SHP- Enrollment Services **Scheduled Weekly ... for determining eligibility and performing the full range of eligibility, enrollment , and disenrollment processes for all product lines. The Enrollment… 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...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- CenterLight Health System (Bostwick, GA)
- …enrollees and their caregivers. + Ensure high performance and productivity of pre- enrollment verifications of Medicare , Medicaid, and PACE eligibility. + Educate ... JOB PURPOSE: The Clinical Assessment Outreach Manager is accountable for educating referral sources and...staff, with state & federal laws regarding Medicaid and Medicare Eligibility and Enrollment regulations. + Directly… more
- Akin Gump Strauss Hauer & Feld LLP (Washington, DC)
- …the United States, Europe, Asia and the Middle East. We are currently seeking a Benefits Manager (Health) t in the Human Resources department, reporting to the ... administration, and other team initiatives as defined. The Benefits Manager is expected to perform all...staff. Open Enrollment + Lead annual Open Enrollment Benefits Campaign for team, including verifying… more
- MetroLink (Los Angeles, CA)
- …+ Description + Benefits + Questions SUMMARY PURPOSE OF POSITION The Manager II, Contract & Compliance, will perform highly complex work for the procurement of ... Manager II, Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply...you will only be allowed to enroll during Open Enrollment or within 60 days from the date on… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits , enrollment processes, and regulatory requirements governing Medi-Cal ... Product Solutions Manager II Job Category: Administrative, HR, Business Professionals...Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits , enrollment processes, and regulatory requirements governing… more
- Humana (New York, NY)
- …and business unit leaders. This role will have a particular focus on Medicare enrollment growth strategy and investment optimization. The Strategy Manager ... Company Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation...highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Manager ,… more
- Centers Plan for Healthy Living (Bronx, NY)
- …and plans they need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and ... Licensed Benefits Advisor (Field Based) Bronx, NY, USA *...issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process +… more
- Trinity Health (Columbus, OH)
- …**Shift:** **Description:** **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other ... do the right thing. **What we offer:** + Competitive compensation and benefits packages including medical, dental, and vision coverage + Retirement savings account… more
- Foundation Communities (Austin, TX)
- …of seasonal staff, one-one client support, and training. * Assist Senior Program Manager with preparations and launch of Open Enrollment season and Year-Round ... * Serve as a designated site manager or supervising site manager during Open Enrollment as needed. Internal/External Collaborations * Coordinate with… more