- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits , enrollment processes, and regulatory requirements governing Medi-Cal… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits , enrollment processes, and regulatory requirements governing Medi-Cal… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members are ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island,...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- The Cigna Group (Nashville, TN)
- …Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims, enrollment , fulfillment, network operations, ... **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality...and retain top talent to enable execution of the Medicare growth strategy. **Qualifications** Candidates should model our team's… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager ... Direct Reports n/a Requisition # 24286 Pay and Benefits Estimated hiring range $78,270 - $94,710 / year,...one of the listed 9 states. Job Summary The Medicare Encounter Data Analyst leads the process for the… more
- Molina Healthcare (Detroit, MI)
- …RN license in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care team. This position will have a ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
- The Cigna Group (Bloomfield, CT)
- …reporting to the manager of CTMs. This role will support the Medicare Advantage line of business by directly supervising the CTM team. The primary ... a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions… more
- Apex Health Solutions (Houston, TX)
- …Firm grasp of CMS regulations and requirements; experience with all aspects of Medicare enrollment Conversant with benefit plan designs and plan structures such ... enrollment and disenrollment operations related to beneficiaries in Medicare Advantage products including receipt, tracking, reviews and processing of… more
- Trinity Health (Atlanta, GA)
- …offices with Medicare /Medicaid exposure is a plus. **Position Highlights and Benefits :** + Day-1 Benefits (PTO accrual, retirement plan and match, health ... on overdue accounts and rejected claims. + Notify the Department Director or Manager as necessary regarding billing and claim processing. + Facilitate provider … more
- VNS Health (Manhattan, NY)
- OverviewInitiates the referral and enrollment process for VNS health plan services to achieve desired enrollment goals. Performs outreach to assess eligibility ... and troubleshoot inquiries related to enrollment issues. Works under general supervision. Compensation Range:$20.98 - $26.23 Hourly * Provides consumers education on… more
- VNS Health (Manhattan, NY)
- OverviewInitiates the referral and enrollment process for VNS health plan services to achieve desired enrollment goals. Performs outreach to assess eligibility ... and troubleshoot inquiries related to enrollment issues. Works under general supervision. Compensation Range:$20.98 - $26.23 Hourly What We Provide + Referral bonus… more
- Elevance Health (Harrisburg, PA)
- **SCA Provider Enrollment Representative I** **Locations:** This is a virtual role; the ideal candidate will be located within 50 miles of one of the following NGS ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...$19.66 + Columbus, GA - 18.67 The **SCA Provider Enrollment Rep I** is responsible for the accurate and… more
- MetroLink (Los Angeles, CA)
- Manager I, Human Resources Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4578046) Apply Manager I, Human Resources Salary $89,909.00 - ... Department Human Resources Opening Date 07/12/2024 + Description + Benefits + Questions SUMMARY PURPOSE OF POSITION The Southern...of the Metrolink commuter rail system, is seeking a Manager I to work in the Human Resources Department.… more
- MetroLink (Los Angeles, CA)
- Senior Manager , Project Management (Limited Term) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4663705) Apply Senior Manager , Project ... Job Number 23-2400139 Department SCORE Opening Date 09/18/2024 + Description + Benefits + Questions SUMMARY PURPOSE OF POSITION The Southern California Regional Rail… more
- Centers Plan for Healthy Living (Bronx, NY)
- …and plans they need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and ... Licensed Benefits Advisor (Field Based) Bronx, NY, USA *...issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process +… more
- Trinity Health (Columbus, OH)
- …**Shift:** **Description:** **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other ... do the right thing. **What we offer:** + Competitive compensation and benefits packages including medical, dental, and vision coverage + Retirement savings account… more
- Silicon Valley Power (Santa Clara, CA)
- **Senior Electric Division Manager ** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4659486) **Senior Electric Division Manager ... Bargaining Unit 9 Weighting Plan NA + Description + Benefits + Questions **Description** **The Department:** As a community...the incumbent serves at the discretion of the City Manager . _The position is housed at SVP main offices… more
- CVS Health (New York, NY)
- …team in building out and delivering a multiyear roadmap to scale our Medicare cross-sell/conversion program. This program will be a part of our direct-to-consumer ... enrollment channels growth engine. Our goal is to deliver...many parts of the CVS Health organization including our Medicare , PBM, and Commercial teams. **Roles and responsibilities will… more
- CenterWell (Houston, TX)
- …caring community and help us put health first** The Broker Relationship Manager will be responsible for cultivating and maintaining strategic partnerships with ... nurture relationships with brokers and intermediaries specializing in senior healthcare, Medicare Advantage, and value-based care models. + Identify and pursue new… more
- Henry Ford Health System (Troy, MI)
- …innovative leader to join our executive team as the Vice President & General Manager of Government Programs. This individual will play a critical role in shaping and ... of the communities we serve. The VP & General Manager of Government Programs role is central to driving...driving the strategy and growth of HAP's Government Products, Medicare Product, and Sales, aligning with the organization's vision… more