- Providence (Salem, OR)
- …the best people, we must empower them._** **Providence Health Plan is calling an Associate Customer Care Coordinator, Medicare Advantage , who will:** + Serve ... a part of your work schedule **We welcome 100% remote work for residents who reside in one of...Track:** Admin Support **Department:** 5018 OPS PHT CUST SERVICE MEDICARE OR REGION **Address:** OR Salem 3993 Fairview Industrial… more
- Providence (NM)
- …and providing critical insights to enhance the performance of our Medicare Advantage plans **We welcome 100% remote work for residents who reside in ... to support the pricing and bidding process for our Medicare Advantage plans + Have a deep...study + Successful completion of 4+ exams of the Associate of the Society of Actuaries (ASA) designation +… more
- CareOregon (Portland, OR)
- …to health care + Work experience in health insurance + Experience with Medicaid or Medicare Advantage + Associate of the Society of Actuaries Preferred + ... Candidates hired for remote positions must reside in Oregon, Washington, Utah,...responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a… more
- Medical Mutual of Ohio (OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans ... **_Note, this is a fully remote opportunity_** . **_Eastern & Central Time Zones...administered at point-of-sale. . Performs other duties assigned. **Qualifications** ** Medicare Pharmacy Coordinator I** . Associate Degree… more
- CareFirst (Baltimore, MD)
- …the CareFirst operating area for Over 65 Individual Medicare products including Medicare Supplemental plans and Medicare Advantage plans. The incumbent ... years sales experience. **Preferred Qualifications** : 3 years sales experience in Medigap/ Medicare and Medicare Advantage . **Knowledge, Skills and Abilities… more
- BlueCross BlueShield of North Carolina (NC)
- …purpose to improve healthcare for all, + Deliver on optimal performance of the Medicare pharmacy program across Medicare Advantage , including DSNP. EGWP and ... **Additional Locations:** Full Time Remote - Alabama, Full Time Remote ...of programs and services to meet the needs across Medicare Advantage , including DSNP, EGWP and the… 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) ... business units across the organization. This position has been approved for remote work. Apply today for immediate consideration! Job Description Position Summary:… more
- Providence (AK)
- …of study + 5+ years of healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development + Experience with writing queries ... and set priorities for direct reports **We welcome 100% remote work for residents who reside in one of...of Actuaries (FSA or ASA) + Experience certifying the Medicare Advantage Bid + Experience with Commercial,… more
- Humana (Columbus, OH)
- …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 ... Nursing Educator 2 develops educational goals and plans for new associate orientation, ongoing training, and professional development. Training programs may include,… more
- Henry Ford Health System (Troy, MI)
- …members to excel in their roles and contribute to overall organizational success. + Medicare Advantage Plan Development: Develop a proficient team to manage all ... discipline is required. + Experience: Minimum of five (5) years of experience in Medicare Advantage and Drug plan bid filing or Commercial or Medicaid pricing… 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 ... Type:** Full time **Shift:** **Description:** This position is fully remote **Why Mount Carmel?** With five hospitals (https://www.mountcarmelhealth.com/find-a-location/) ,… more
- Molina Healthcare (Bronx, NY)
- …Whole Health by Molina_** **is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. These plans streamline the delivery of long-term services to ... or disabled people who are eligible for Medicaid and Medicare .** **We are looking for a LPN or LVN...apply._** **Work hours: Monday - Friday 8:30AM- 5:00PM EST** ** Remote position with light travel- 10-15% for in person… more
- UPMC (Pittsburgh, PA)
- …have a comprehensive knowledge of actuarial principles, the Affordable Care Act, Medicare Advantage , and financial and regulatory reporting requirements + ... the senior financial leadership team. This role can be remote within the continental US. If you have expertise...to solve issues with a sense of urgency. + Associate or Fellow in the Society of Actuaries and… more
- Highmark Health (Columbus, OH)
- …Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including ... Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines. Works closely with team… 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
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** ... position has the option to work hybrid or fully remote ; Ohio residents preferred._** Founded in 1934, Medical Mutual...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Humana (Indianapolis, IN)
- …other care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers ... and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary...+ Where software engineers change lives. + Where every associate can build a professional path where they learn… 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
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Medical Mutual' ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
- Medical Mutual of Ohio (Centerville, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Medical Mutual' ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more