• Medicare Annual Wellness

    SUNY Upstate Medical University (Syracuse, NY)
    …and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit using established EMR ... Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This… more
    SUNY Upstate Medical University (08/28/25)
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  • RN - Medicare Wellness Rantoul…

    Carle Health (Rantoul, IL)
    …Diploma: Nursing (Required) **Other Knowledge/Skills:** Responsibilities Ensures understanding of CMS Medicare Annual Wellness Visit requirements/ ... Wellness nurse will be to complete Medicare Annual Wellness visits with...is compliant with DNV standards.Perform telephone visits with eligible Annual Wellness Visit patients Complete… more
    Carle Health (11/12/25)
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  • LPN - Wellness -Strategic Ins Dev - Full…

    Guthrie (Binghamton, NY)
    …patient populations through nursing-patient collaboration and patient education. This nurse performs the Medicare Annual Wellness Visit under the direct ... Up to a $15,000.00 Sign on Bonus!! Summary: The Wellness Nurse plays a key role in health promotion...illness prevention strategies. + Performs all elements of the Medicare AWV with beneficiaries in accordance with Documentation Standards… more
    Guthrie (09/26/25)
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  • RN-Patient Navigator

    Catholic Health Services (Rockville Centre, NY)
    …with hospital discharge planners and primary care providers to ensure continuity of care. Medicare Annual Wellness Visit (AWV) Management + Manage ... in care coordination, population health, or primary care preferred. + Experience with Medicare Annual Wellness Visits, transitional care, and chronic care… more
    Catholic Health Services (09/27/25)
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  • Abstraction Coordinator

    AdventHealth (Palm Coast, FL)
    …and chart abstraction. This position contacts patients to schedule, interview, and document the Medicare Annual Wellness Visit . Additionally, this role ... + Prepares electronic medical charts for patients already scheduled for an Annual Wellness Visit add-on. + Provides necessary education to patients regarding… more
    AdventHealth (10/24/25)
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  • Patient Care Guide

    Randolph Hospital (Asheboro, NC)
    …(AWV) and transition of care outreach phone calls. Identify patients who are eligible for a Medicare Annual Wellness Visit and educate the patients on ... or other in-patient facility, or had a recent ER visit , and communicate with those patients in order to...to answer any questions and schedule a follow up visit within 7 days of discharge, educating them on… more
    Randolph Hospital (11/06/25)
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  • Director, Actuarial Services - Medicare

    BlueCross BlueShield of North Carolina (NC)
    …with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. _*Based on annual corporate goal achievement and individual ... Description** Join our team as Director, Actuarial Services - Medicare Pricing and lead our Medicare pricing...dental, and vision coverage along with numerous health and wellness programs. + Parental leave and support plus adoption… more
    BlueCross BlueShield of North Carolina (11/07/25)
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  • Executive Director, CFO - Aetna Medicare

    CVS Health (Hartford, CT)
    …all with heart, each and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial ... **Strategic Finance & Leadership** + Serve as the chief financial partner to the Medicare Part D and Medicare Supplement business leadership teams. + Translate… more
    CVS Health (11/22/25)
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  • Executive Director, Medicare Part D…

    CVS Health (Hartford, CT)
    …And we do it all with heart, each and every day. Executive Director, Medicare Part D Strategy leader will lead the development and advancement of the organization's ... strategy for Medicare Part D, spanning both the Part D portion...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
    CVS Health (11/22/25)
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  • Senior Manager, Corporate Compliance…

    CVS Health (Downers Grove, IL)
    …analytical and communication skills to support, manage and develop and execute Medicare and Medicaid compliance programs and processes that promote compliant and ... senior level corporate compliance and business teams that operate Medicare Advantage in a highly complex regulatory environment and...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
    CVS Health (11/21/25)
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  • Medicare Sales Specialist Hourly…

    CVS Health (Pierre, SD)
    …talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team ... who will focus on educating existing Medicare members on available plan offerings to help meet...rates and other acquisition metrics as outlined in the annual performance plan. + Maintain high standards of professionalism… more
    CVS Health (11/13/25)
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  • AVP, General Manager - Medicare - NY/NJ…

    CVS Health (Albany, NY)
    …every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products in their market, supporting ... costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
    CVS Health (11/22/25)
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  • Lead Director; Actuarial - Medicare

    CVS Health (Blue Bell, PA)
    …in this role will serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual Eligible, HIDE/FIDE Integrated, ... The SNP population presents a huge growth opportunity for Medicare Advantage plans, and Aetna is aggressively expanding into...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
    CVS Health (10/22/25)
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  • Medicare Member Advocate-Hybrid St. Louis…

    CVS Health (St. Louis Park, MN)
    …we do it all with heart, each and every day. **Position Summary** As a Medicare Member Advocate supporting the Allina Health | Aetna Medicare plan membership in ... support them in understanding and getting the most value from their Medicare plan, enhancing member experience and retention. Additional responsibilities include but… more
    CVS Health (11/01/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Hartford, CT)
    …anywhere in the US. **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work on part C appeals (both provider and ... * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
    CVS Health (11/07/25)
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  • Senior Fraud Investigations Analyst…

    BlueCross BlueShield of North Carolina (NC)
    …with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. _*Based on annual corporate goal achievement and individual ... of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience +...dental, and vision coverage along with numerous health and wellness programs + Parental leave and support plus adoption… more
    BlueCross BlueShield of North Carolina (10/14/25)
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  • Sr Mgr, Medicare Stars Program Manager

    CVS Health (Harrisburg, PA)
    …with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, this individual contributor role will provide subject ... and clinical teams. + 5+ years of work experience supporting Medicare or Healthcare/Pharmacy Quality business processes. **Preferred Qualifications** + 2+ years… more
    CVS Health (11/19/25)
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  • Clinical Development Pharmacist, Medicare

    CVS Health (Buffalo Grove, IL)
    …drugs covered under the pharmacy benefit. This specific role will focus significantly on Medicare Part D. You will use and develop a strong knowledge of specialty ... to support UM. Knowledge of regulations impacting UM for Medicare clients is preferred. It will be necessary to...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
    CVS Health (11/14/25)
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  • Medicare Executive Resolution Analyst

    CVS Health (Harrisburg, PA)
    …do it all with heart, each and every day. **Position Summary** The Medicare Executive Resolution Analyst is responsible for reviewing and responding to Medicare ... to you. **Required Qualifications** -1+ year of experience in Medicare customer service. -1+ year of experience with tools...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
    CVS Health (11/11/25)
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  • Medical Director - Medicare (Medical Policy…

    CVS Health (Sacramento, CA)
    …process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment with a focus Medicare policy., This Medical ... Clinical Policy, Reimbursement and Health Care Systems. * Experience with Medicare policies and guidelines (National Coverage Determination (NCD), Local Coverage… more
    CVS Health (10/19/25)
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