- Johns Hopkins Healthcare (Springfield, VA)
- …and wellness programs and MORE! Who you are: As a Field Sales Representative for Medicare Advantage , you are passionate about the health and well-being of our ... administrative duties. Conduct presentations and attend community events to promote Medicare Advantage in assigned territory Regularly communicate with… more
- #TeamGoHealthSalesIL (Miami, FL)
- …business. Quickly grasp new concepts and product offerings, such as Major Medical, Medicare Advantage , Medicare Supplement, Prescription Drug Plans, final ... into a leadership role. Your Role As a hybrid Medicare and Life Advocate Agent, you'll serve as a...inbound calls from consumers interested in saving on their Medicare expenses and optimizing their benefit coverage while also… more
- Professional Staffing Group (Hingham, MA)
- …Coordinator. This role focuses on responding to member concerns related to Medicare Advantage plans, balancing accurate documentation with clear, compassionate ... Grievance Coordinator - Medicare (remote MA only) Some need-to-know information: Remote but with on-site Training in Hingham, MA Per company policy, only candidates… more
- CenCal Health (Santa Barbara, CA)
- …with Federal and State regulatory requirements, the DHCS Medi-Cal Managed Care Contract, Medicare Advantage and Medicare Part D regulations and guidance, ... departments and external partners to ensure compliance with Medi-Cal and Medicare regulatory and contractual requirements, and operational plan requirements, as well… more
- Centene Corporation (Brooklyn, NY)
- …Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product Understand and apply all policies and ... procedures pertaining to: Disclosures and provisions of the Advantage Medicare product Enrollment and disenrollment Develop a presence in the local community to… more
- UnitedHealth Group (Minnetonka, MN)
- …including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead ... a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis… more
- Sage Health (Halethorpe, MD)
- …provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. Unlike other physician ... provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors… more
- SCAN (Long Beach, CA)
- …corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, ... such as Python/R is preferred. Knowledge of operations and data utilized in Medicare Advantage or other managed care models. Ability to delivery solutions in a… more
- PacificSource (Portland, OR)
- …and sound financial performance. Develop and monitor departmental budgets. Oversee Medicare Advantage and Medicaid operations to ensure regulatory compliance ... and Billing. Oversee the drafting and documentation of internal controls and reporting, Medicare Advantage and Medicaid policies and procedures, keeping all up… more
- Senior Benefits Agency (Tamaqua, PA)
- … Sales Agent, you'll play a pivotal role in guiding clients through their Medicare options, including Medicare Advantage and Supplement plans. WE OFFER ... with clients to assess their healthcare needs. Educating clients on Medicare plans and retirement protection options. Utilizing our state-of-the-art lead generation… more
- Willis Towers Watson (Charlotte, NC)
- …a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... Previous work in telemarketing or call center settings. Knowledge of Medicare Advantage , Medicare Supplement, Life Insurance, Prescription Drug Products and… more
- Rune Labs (San Francisco, CA)
- …on expanding our successful value-based care model to new integrated delivery networks, Medicare Advantage plans, and ACOs. This role will also explore and ... implementing risk-sharing agreements with health systems - Deep understanding of Medicare Advantage and ACO payment models - Experience launching and scaling… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Group's 2025 Vision to become a "Global Pharma Innovator with Competitive Advantage in Oncology," Daiichi Sankyo is primarily focused on providing novel therapies ... of all channels of managed care environment in the US (commercial, Medicare , Medicaid, etc.); preferredSufficient understanding of financial matters to challenge and… more
- EvergreenHealth (Kirkland, WA)
- …multiple systems and/or educates patients on co-insurances/co-pays, self-pay, L&I, MVA, Medicaid, Medicare / Medicare Advantage , etc. Markets the benefits of ... the patient portal and assists patients with the enrollment process. Manages multi-line telephone system (incoming and outgoing). Follows guidelines to identify and direct patients calling with emergent/urgent symptoms to appropriate clinical staff for… more
- Medical Mutual (Cleveland, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Oversees the ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace… more
- SCAN (Long Beach, CA)
- …corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, ... results as needed Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters, testing and… more
- Valor Global (Houston, TX)
- …be part of a mission-driven team focused on improving access to care for Medicare Advantage and Medicaid members. This remote position centers around making ... high-volume outbound calls to engage members, SELLING the benefits of a free in-home or virtual health evaluation, and schedule appointments with licensed providers. You'll use scripts and an auto-dialer to communicate clearly, answer questions, and… more
- UnitedHealth Group (Dallas, TX)
- …Time zone) based on business need Preferred Qualifications: Experience working with Medicare Advantage payers Telecommuting Requirements: Ability to keep all ... company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a UnitedHealth Group approved high-speed… more
- Vheda Health (Columbia, MD)
- …landscape, particularly within Managed Care Organizations (MCOs), State Governments, Medicare Advantage Plans, and Third-Party Administrators (TPAs). Your ... serve. Key Responsibilities: Generate qualified leads within MCOs, State Governments, Medicare Advantage Plans, and TPAs to build a robust sales pipeline.… more
- InterDent (Vancouver, WA)
- …to increase patient referrals, market share and/or reimbursements. Review opportunities in Medicare Advantage plans, state Medicaid programs outside of Oregon ... various dental benefit models (FFS, Indemnity, PPO, EPO, DHMO, Discount, Medicaid, Medicare Advantage ). Ideally has at least 10 years' experience in the dental… more
