- UPMC (Pittsburgh, PA)
- …Plan has an exciting opportunity for a Government Product Sales Representative in the Medicare & SNP Sales department. This is a full time position working variable ... handling inbound calls from, and making outbound calls to Medicare beneficiaries, offering education about the Medicare ...to Medicare beneficiaries, offering education about the Medicare program and Medicare plans, providing reviews… more
- Humana (Harrisburg, PA)
- …and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for services the ... recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years....over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid, achieve… more
- CVS Health (Pittsburgh, PA)
- …will sell, cross-sell, up-sell, and retain through the use of the Aetna IVL Medicare product portfolio.This role will deploy an operating model that supports 3 days ... shopper initiatives, and state, federal, and CMS requirements for Medicare sales agents and programs + 0-3 Years Experience...or 1 to 2 years' experience of selling multiple Medicare products (ie, Medicare Advantage, Medicare… more
- Humana (Harrisburg, PA)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid/ Medicare . Looking for long-term improvements of encounter submission processes. Begins to… more
- Heritage Ministries (Conneautville, PA)
- …responsible for the coordination and completion of necessary functions to assure Medicare and other payer's requirements are maintained in regards to clinical ... and documentation. The MDS Coordinator will act as a coordinator of MDS, Medicare , and Restorative Nursing functions. This individual will work in conjunction with… more
- Geisinger (Williamsport, PA)
- …of Geisinger throughout the assigned region. Job Duties Cultivates new sales of Medicare Advantage HMO and PPO plans, and Medicare supplemental plans. Influences ... to implement in designated region. Deliver sales presentations to Medicare eligible audiences in a group setting as well...to the sales strategies. + Increases membership in the Medicare line of business. + Delivers sales presentations to… more
- Highmark Health (Camp Hill, PA)
- …budgetary responsibility and authority. + As a seasoned Group Retiree market expert ( Medicare Advantage, Medicare Supplement, Part D, Medicare Exchanges) ... Continuously monitor and maintain knowledge of the Commercial, Group Retiree and Medicare markets and competition. + Develop strategies and tactics to optimize… more
- CVS Health (Harrisburg, PA)
- …day. **Position Summary** As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a… more
- Humana (Harrisburg, PA)
- …medical review by physician or nurse, with a focus on our 5+ million Medicare members. You will also facilitate the delivery of high quality, appropriate, and ... to assist and facilitate new hires and remediation of medical directors performing Medicare utilization management processes and be the liaison for the Medicare … more
- NTT DATA North America (Pittsburgh, PA)
- …accurate and timely customer support to ensure successful member enrollment for Medicare services. The Enrollment Support Specialist will work closely with new and ... existing Medicare member clients to process enrollments and related requests,...and related requests, ensuring compliance with the Center for Medicare & Medicaid Services (CMS) guidelines. **Key Responsibilities:** +… more