- Mount Carmel Health System (Grove City, OH)
- …hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, ... Employment Type:Part timeShift:Description:RN Case Manager - Casual / PRNWhy Mount Carmel? With five… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well ... experience * Minimum of 5 years' experience in a Medicare or Managed Care environment managing enrollment ,...a Medicare or Managed Care environment managing enrollment , claims, premium billing or encounters project is required… more
- Providence (Portland, OR)
- …the best people, we must empower them._** **Providence Health Plan is calling a Manager Medicare Producer who will:** + Be responsible for the sales growth ... of the Medicare Advantage producer sales channel in their...+ This posting is for multiple openings of a Manager Medicare Producer + This role will… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …for safeguarding all equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...(5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community… more
- Fallon Health (Worcester, MA)
- …external SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage , Medicare Supplement, NaviCare, Summit Elder Care, ... with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider...of Purpose:** Under the direction of the Supervisor or Manager , the Enrollment & Billing Operations Representative… more
- CareFirst (Baltimore, MD)
- …performance, forecast sales and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization of all ... (strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in… more
- TEKsystems (Indianapolis, IN)
- Description: Job Summary: The Provider Enrollment Analyst will be responsible for initiating, processing, and completing applications for enrollments of Indiana ... well as managing the ongoing participation requirements. Additionally, the Provider Enrollment Analyst will apply fundamental knowledge of procedures related to… more
- LA Care Health Plan (Los Angeles, CA)
- …of business. Experience in improving Stars and Quality Measures. Experience in Medicare Advantage , with experience serving duals population. Direct experience in ... Product Solutions Manager III Job Category: Administrative, HR, Business Professionals... III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position… more
- LA Care Health Plan (Los Angeles, CA)
- …well as strategic partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage , with experience serving duals ... Product Solutions Manager II Job Category: Administrative, HR, Business Professionals... II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position… more
- Centers Plan for Healthy Living (Bronx, NY)
- …Is responsible for safeguarding all equipment issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process + ... and performing all required tasks assigned by the Sales Manager . Incumbent will be responsible for educating and enrolling...frequent travel to various Centers Plans For Healthy Living Advantage Care Medicare HMO Plan sites located… more
- The Cigna Group (Bloomfield, CT)
- …dedicated to the end-to-end implementation of solutions for the core administration of Medicare Advantage and CareAllies health plans. To ensure future success ... **U.S. Government Technology, Claims & Enrollment - Application Development Senior Manager **...and Capitation Adjudication (fka EZ-CAP). + Build partnerships with Medicare and CareAllies programs and operations, and collaborate to… more
- ChenMed (Jacksonville, FL)
- …+ Direct-to-patient sales and marketing experience preferred. + Experience within the Medicare Advantage population strongly preferred. Experience working for a ... we need great people to join our team. The Manager , Market Sales is responsible for leading a team...personal contact and rapport with key local communities serving Medicare -eligible seniors. Leverages connections to increase community events 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 ... home and within their communities. Working under the direction of the Entitlement Manager and Team Leads, maneuvers multiple tasks independently with a fast paced… more
- Sharp HealthCare (San Diego, 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 ... coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order… more
- Evolent Health (Columbus, OH)
- …+ Prior supervisory or management experience - **Required.** + Experience with Medicare Advantage and Medicaid plans - **Preferred.** **Technical Requirements:** ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Manager , Credentialing Operations will be a dynamic role that will work directly with… more
- Trinity Health (Columbus, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive ... **Employment Type:** Full time **Shift:** **Description:** ** Manager MCMG Revenue Site Operations** **Why Mount Carmel?** With five hospitals… more
- Trinity Health (Columbus, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive ... **Employment Type:** Full time **Shift:** **Description:** ** Manager of Coding Operations** **Why Mount Carmel?** With five hospitals… more
- Trinity Health (Grove City, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive ... **Employment Type:** Part time **Shift:** **Description:** **RN Case Manager - Casual / PRN** **Why Mount Carmel?** With five hospitals… more
- Trinity Health (Grove City, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Lab Manager for Grove City Campus** **Why Mount Carmel?** With five hospitals… more
- Belle (Orlando, FL)
- …or "Belle Technicians," who provide engaging, in-home therapeutic foot care to Medicare Advantage members. Our team is revolutionizing the foot healthcare ... travel) position. About this Role Belle is looking for a full-time Regional Manager ; In-home Service Operations to manage our Belle Technicians (BTs), and all… more
