- 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
- BlueCross BlueShield of North Carolina (NC)
- …of go-to-market strategies. + Develop and maintain actuarial models to support the Medicare Advantage Part D bid process + Provide proactive and strategic ... **Job Description** This Consulting Actuary with a Medicare Part D focus on the Medicare...of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have… 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
- 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
- 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 ... Blue Cross NC Corporate Pharmacy Department is seeking an Associate Vice President (AVP) for Government Pharmacy. The role...of programs and services to meet the needs across Medicare Advantage , including DSNP, EGWP and the… more
- CareFirst (Baltimore, MD)
- …must have two years of case management experience. + Previous experience with Medicare and/or Medicare Advantage patient populations with multiple ... indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of...and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to… more
- Centerwell (Columbus, OH)
- …degree + Telephonic sales experience + Understanding of value-based primary care and/or Medicare Advantage + Bilingual in English/Spanish with the ability to ... The Care Delivery Tele Sales Agent is responsible for converting Medicare eligible callers to patients through telephonic conversations, proactively anticipate… 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
- 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 (Tallahassee, 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 ... to improve the organization's efficiency and accuracy related to Medicare Part C/D Grievance and Appeals and to minimize...to make an impact** **Required Qualifications** + Minimum of Associate 's degree in Nursing (RN) + A current, valid,… 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
- 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
- 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
- Humana (New York, NY)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Manager, you will deconstruct issues ... Humana's businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the… 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 (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
- MetroLink (Los Angeles, CA)
- …Location California 90017, CA Job Type Temporary Special Services Employee Remote Employment Flexible/Hybrid Job Number 23-2400102 Department Finance Opening Date ... Ensure the efficient utilization of the payables system, taking advantage of system capabilities. + Enter and audit invoices...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more