- Centers Plan for Healthy Living (Staten Island, NY)
- …caregivers with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor - Will promote and sale MAP and Medicare Line of ... for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center...Medicaid Services (CMS) and company policies and regulations. The Medicare MAP advisor will develop a presence… more
- TEKsystems (Las Vegas, NV)
- …hassle of cold calling. Position Overview: As a Licensed Virtual Benefit Advisor , you will guide retirees and pre- Medicare individuals through the process of ... Now Hiring: Licensed Virtual Benefit Advisor (Remote) Expert-Level Opportunity |...professional with a passion for helping retirees navigate their Medicare options? Join our dynamic team as a Virtual… more
- TEKsystems (Orlando, FL)
- Licensed Benefit Advisor 100% Remote - Equipment Provided Anticipated Start Date: August 11th 2025 Pay: $21/hr + Commission (lump sum at end of AEP season) ... Position* Active Health & Life Insurance License Description The Licensed Virtual Benefit Advisor 's responsibilities include selling and enrolling retirees into… more
- Alight (TX)
- …retirees and assist with selecting the appropriate health plans. As a Virtual Benefit Advisor , individuals will be able to handle all responsibilities from ... the comfort of their home office. The Licensed Virtual Benefit Advisor 's responsibilities include selling and enrolling retirees into appropriate insurance… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …guidance and plans they need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor - Medicare Sales, Maintains relationships, services our existing ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...Services (CMS) and company policies and regulations. The Licensed Benefits Advisor will develop a presence in… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Services (DHCS), Department of Managed Health Care (DMHC), Centers for Medicare and Medicaid Services(CMS) and National Committee for Quality Assurance ... Compliance Advisor III Job Category: Administrative, HR, Business Professionals...requirements, including but not limited to, the Centers for Medicare and Medicaid Services (CMS), the California Department of… more
- The Cigna Group (Bloomington, MN)
- …school diploma or GED required + 2+ years of experience in Operations, Benefits and/or Benefit /claims testing, quality assurance, or similar roles required + ... **POSITION SUMMARY** The Quality Review and Audit Advisor is responsible for complex and large-scale/cross-functional testing projects and initiatives including but… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to ... Medicare /Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The Market Development… more
- City of New York (New York, NY)
- …Services seeks to hire a Healthcare Payment & Financing Innovation Sr. Policy Advisor . This position will be responsible for designing and analyzing payment and ... Services seeks to hire a Healthcare Payment & Financing Innovation Sr. Policy Advisor . This position will be responsible for designing and analyzing payment and… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... benefits . You will be responsible for ensuring cases are...and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity… more
- The Cigna Group (St. Louis, MO)
- …team. The leadership and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give their members' access to ... WORK** In your role, you will serve as the primary contact for Medicare strategic initiatives and market development contract commitment management as well as… more
- Catholic Health Initiatives (Bismarck, ND)
- …Management Directors, Quality Directors etc.) + Serve as a liaison between the National Care Coordination and Physician Advisor teams with the facility-based ... **Responsibilities** CHI St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a physician leader and… more
- OhioHealth (Columbus, OH)
- …- in our careers and in our communities. **Job Description Summary:** The Advisor , Value Based Contract Operations is charged with the daily management of ... Integrated Network. This includes the OhioHealth Clinically Integrated Network (CIN) Medicare Advantage and Commercial contracts, OhioHealth Venture Medicare … more
- Elevance Health (Atlanta, GA)
- **Developer Advisor ** **Location:** Ideal candidates will be able to report to our Pulse Point location at 740 W. Peachtree St. NW, Atlanta, GA 30308 **Work Hours** ... : Monday to Friday, 8:00 am to 5:00 pm ** National Government Services** is a proud member of Elevance...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- CenterWell (Shreveport, LA)
- …our caring community and help us put health first** The Patient Service Advisor is an embedded growth and retention associate responsible for executing initiatives ... and providing a personalized care journey. The Patient Service Advisor plays a key role in ensuring success of...the health system and educating them about available resources, benefits , and events. + Conduct 30/60/90 day follow up… more
- Trinity Health (Silver Spring, MD)
- …Physician Advisor **Type of Position:** Exempt **What We Offer:** Benefits , Free parking, employee discounts. Quality of Life: Flexible work schedules to ... from Washington, DC, and Baltimore, MD. **Position Overview:** The Physician Advisor provides expertise related to appropriate utilization/level of care (LOC),… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other health care ... Understands the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS-DRG, APR-DRG, and the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations… more
- AdventHealth (Orlando, FL)
- **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day One + Student Loan Repayment Program + Career ... + Central Florida's premier multi-specialty medical group + Comprehensive Employee Benefits such as Educational Reimbursement + CREATION Health employee wellness and… more
- TEKsystems (Falls Church, VA)
- …& Qualifications What government agency/customer does the contract support? Centers of Medicare and Medicaid Services (CMS) What is the mission of the program? ... contract is to use machine learning models to analyze Medicare claims data and to improve model(s) for identifying...selection is made. Experience Level Expert Level Pay and Benefits The pay range for this position is $68.00… more
- Hackensack Meridian Health (Neptune City, NJ)
- …payment. + Verify member eligibility and ensure correct billing information. Contact benefit provider to gather policy benefits /limitations and ensure service ... and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how...Health at Home, we recognize our full- and part-time benefit eligible team members by offering a Total Rewards… more