- UCLA Health (Los Angeles, CA)
- …* Five or more years of experience working in a Healthcare contact center environment * In-depth knowledge of Medicare Advantage program rules, ... at UCLA Health. As an important member of our Medicare Advantage leadership team, you will provide...tactical execution and leadership for our Member and Provider Contact Center . Your passion for excellence will… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS)...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- Healthfirst (New York, NY)
- …membership growth agent responsible for identifying, educating, and enrolling prospective Medicare Advantage (MA) beneficiaries in the appropriate MA plan ... benefits in a manner that is compliant with the Center for Medicaid and Medicare Services (CMS)...with your job search or application for employment, please contact us by sending an email to ###@Healthfirst.org or… more
- InnovaCare (San Juan, PR)
- …resolution of Member and Provider issues and concerns. Provides support to all the Contact Center Units in order to make members and provider inbound/outbound ... accordingly of Departamental policies. Accomplish established metrics by the Contact Center Management on a daily, weekly...management in North America. Through two it's main ways, Medicare Advantage and the provider network, we… more
- Conviva (San Antonio, TX)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... $300K depending on experience and location** . **Responsibilities:** * Evaluates and treats center patients in accordance with standards of care. * Follows level of… more
- ProMedica Health System (Evansville, IN)
- …than 685 employees dedicated to serving their health plan members. Paramount offers Medicare Advantage and Marketplace Exchange health plans for individuals and ... Committee for Quality Assurance (NCQA) for their HMO and Medicare Advantage products. In addition, Paramount has...for Paramount Dental and has oversight of the Call Center Representatives and Specialists. POSITION SUMMARY The Team Lead… more
- ProMedica Health System (Evansville, IN)
- …than 685 employees dedicated to serving their health plan members. Paramount offers Medicare Advantage and Marketplace Exchange health plans for individuals and ... by the National Committee for Quality Assurance (NCQA) for their HMO and Medicare Advantage products. In addition, Paramount has a full complement of… more
- ChenMed (Miami, FL)
- …other related duties as assigned. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of Medicare and Medicare Advantage programs preferred. + Proficiency with ... great people to join our team. The Sales Call Center Specialist will engage with potential members through phone... Specialist will engage with potential members through phone contact , scheduling VIP tours in our medical centers. The… more
- Centerwell (Las Vegas, NV)
- …Partners has a strong emphasis on senior-focused primary care to members of Medicare Advantage health plans. Partners is committed to providing personalized, ... of our caring community and help us put health first** The Manager, Clinic/ Center Administration plans and directs the work of professional and support personnel who… more
- Centers Plan for Healthy Living (Bronx, NY)
- …beneficiaries by explaining program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and ... in the community and serve as a point of contact for our current members. PRIMARY RESPONSIBILITIES : Performance...frequent travel to various Centers Plans For Healthy Living Advantage Care Medicare HMO Plan sites located… more
- Georgetown Univerisity (Washington, DC)
- …offers rigorous academic programs, a global perspective, exciting ways to take advantage of Washington, DC, and a commitment to social justice. Our community ... a difference in the world. Requirements Clinical Research Coordinator II, Center for Translational Transplant Medicine - Georgetown University Medical Center… more
- Martin's Point Health Care (Portland, ME)
- …Generations Advantage (GA) leadership and EMT, analyze, develop, and submit Medicare Advantage and Prescription Drug (MA/PD) plan Bid Pricing Tools (BPTs) ... most major insurance plans. Martin's Point also administers two health plans: Generations Advantage ( Medicare Advantage plans available throughout Maine and… more
- Healthfirst (New York, NY)
- The Entitlement Advocate provides Healthfirst's Medicare Advantage Plan(MAP), Managed Long-Term Care Plan(LTC), Dual eligible Medicare Plan and Nursing Home ... department. + Assist callers requesting assistance with Medicaid Renewal application, Medicare Savings Program application, and New Medicaid Applications. + Outreach… more
- Conviva (Boynton Beach, FL)
- …of two to five years directly applicable experience preferred * Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a...in a value based relationship environment * Knowledge of Medicare guidelines and coverage * Knowledge of HEDIS quality… more
- Kelsey-Seybold Clinic (Houston, TX)
- …value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage , a Medicare Advantage plan offered to Houston-area ... + Actively participate and serve as the primary point of contact for department EPIC Optimization requests and implementations Cardiology Clinic Responsibilities:… more
- Conviva (Sarasota, FL)
- …+ Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... with them. **Patient Care** : + Evaluates and treats center patients in accordance with standards of care. +...in a value based relationship environment. + Knowledge of Medicare guidelines and coverage. + Spanish is needed +… more
- Conviva (Winter Haven, FL)
- …of two to five years directly applicable experience preferred * Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... with those they do. **Responsibilities:** * Evaluates and treats center patients in accordance with standards of care. *...Medicine preferred * Active and unrestricted DEA license * Medicare Provider Number * Medicaid Provider Number * Minimum… more
- Conviva (Daytona Beach, FL)
- …of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... problems within clinics/centers. + Clinician's PTO management in collaboration with Center administrator, including holiday schedules and as determined by the… more
- Healthfirst (NY)
- …solicits and provides information via telephonic efforts in support of Healthfirst's Medicare Advantage Plan, Complete Care (MAP), Managed Long Term Care ... and meet established quotas. Integrated Products is a paperless, call center work environment requiring daily hands-on administration of multiple electronic Patient… more
- CVS Health (Columbus, OH)
- … center environment + 1 or more years of experience working with Medicare Advantage plans and products. Preferred Qualifications + Strong leadership skills + ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...Sponsor Liaison will serve as the Single Point Of Contact (SPOC) for Aetna Retiree Exchange customer's human resources… more