- 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 ... the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare...providing critical insights to enhance the performance of our Medicare Advantage plans **_Providence is welcoming 100%… more
- BayCare Health System (Park Lake, KY)
- …of BayCare Health Plans and are responsible for prospecting and selling BayCarePlus Medicare Advantage plans to our Medicare community. + Responsibilities ... organizations, organizing and attending local events to promote the plan , and achieving sales goals. + Advisors will alternate...amazing team and a great place to work! BayCarePlus Medicare Advantage Plans **Facility:** BayCare Health System,… more
- Providence (Portland, OR)
- …of study + 5+ years of healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development + Experience with writing queries ... **Description** **_Providence Health Plan caregivers are not simply valued - they're...of Actuaries (FSA or ASA) + Experience certifying the Medicare Advantage Bid + Experience with Commercial,… more
- InnovaCare (San Juan, PR)
- …At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and ... assigned to support it. Assures coverage of Customer Service call center during normal operating hours. Documents member or...More, plan de salud para la poblacion Medicare Advantage con presencia en los condados… more
- Humana (Miami Beach, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... and a call center environment specifically but not limited to Medicare & Medicaid recipients. + Previous experience with electronic case note documentation and… more
- Humana (Jacksonville, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... and a call center environment specifically but not limited to Medicare & Medicaid recipients. + Previous experience with electronic case note documentation and… more
- ProMedica Health System (Evansville, IN)
- …in Toledo, has more than 685 employees dedicated to serving their health plan members. Paramount offers Medicare Advantage and Marketplace Exchange ... Paramount Health Care, a ProMedica Health Plan , offers insurance products across six Midwest states....Committee for Quality Assurance (NCQA) for their HMO and Medicare Advantage products. In addition, Paramount has… more
- Conduent (WI)
- …is responsible for fully explaining the Medicare Part D and/or Part C Medicare Advantage Programs and answering all questions related to the program levels. ... where individuality is noticed and valued every day. **Remote Call Center Representative** Pay Rate is $15.00 an hour...The CSRs will be required to navigate the Members' plan benefits, review Client's policy and procedures, as well… more
- InnovaCare (San Juan, PR)
- …At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and ... Minimum one year of experience in a healthcare or Call Center environment. Prefered someone with health plan...More, plan de salud para la poblacion Medicare Advantage con presencia en los condados… more
- InnovaCare (Guaynabo, PR)
- …At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and ... a minimum of one year experience in healthcare and/or Call Center environment. Health plan customer service...More, plan de salud para la poblacion Medicare Advantage con presencia en los condados… more
- InnovaCare (San Juan, PR)
- …At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and ... of care, data entry, claim review, coordination of orders, call center tasks, outbound outreach to providers and beneficiaries,...More, plan de salud para la poblacion Medicare Advantage con presencia en los condados… more
- Intermountain Health (Murray, UT)
- …state and federal regulatory requirements. Enrolls customers who are eligible in the SelectHealth Medicare Advantage plan . This role will follow a flexible ... with teammates and other departments. Stays current on general plan design and modifications to provide accurate and appropriate...benefits and enrollment questions of potential Medicare Advantage enrollees on the initial call or… more
- Commonwealth of Pennsylvania (PA)
- …employer-direct Medicare Part D prescription drug plan , a pre-65 medical plan , insured Medicare Advantage plans, pre-65 managed care plans, insured ... plans, three Medicare Rx plans, and multiple Medicare Advantage plans from multiple managed care...years of professional experience with oversight responsibility of a Medicare Part D prescription drug plan , including… more
- Trinity Health (Columbus, OH)
- …time **Shift:** **Description:** **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and ... for quality gap closures. + Previous experience with HEDIS, CAHPS and Medicare Advantage Star ratings, including technical specifications, eligibility, timeframe… more
- Humana (Columbus, OH)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Sharp HealthCare (La Mesa, CA)
- …Rights. More fields may be added as regulations change.In cases where Tricare or Medicare / Medicare Advantage is primary or secondary, use scripting to review ... **AWS Hours Requirement:** **Additional Shift Information:** **Weekend Requirements:** Every Other **On- Call Required:** No **Hourly Pay Range (Minimum - Midpoint -… more
- Providence (Renton, WA)
- …responsible for a payer portfolio of managed services across Commercial, Exchange, Medicare Advantage and Medicaid product lines. The RVP works collaboratively ... managing product development, contract execution, and revenue generated for Commercial, Medicare Advantage , Medicaid, and Accountable Care or Value Based… more
- CenterWell (Phoenix, AZ)
- …+ Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... the Center. + Participates in the local primary care 'on- call ' program of CenterWell Senior Primary Care. + Assures... Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding… more
- CVS Health (Trenton, NJ)
- …Generation Platform Program for the Medicare organization, including products for Medicare Advantage (MA), Medicare Advantage withPrescription Drug ... is a Scrum Team role that will be a member of the Medicare / Medicaid Enrollment Configuration team tasked with developing purposebuilt capabilities for our… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …activities. Member Service Representatives II-KSPA handles member and provider calls for our Medicare Advantage plan and have demonstrated ability to ... II-KSPA provide Concierge Service to members of the health plan which include providing a high level of service...Medicare coverage rules. MSR II-KSPA will support KelseyCare Advantage chat conversations and make outbound calls to assist… more