• Senior Manager, Product Mgt & Development…

    CVS Health (Albany, NY)
    …and lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans ... - Direct product enhancements **Required Qualifications** 7+ years of experience with Medicare Advantage , DSNP, HIDE and FIDE plans. **Preferred Qualifications**… more
    CVS Health (09/05/25)
    - Related Jobs
  • Medicare Compliance Manager…

    Molina Healthcare (Rochester, NY)
    …**Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will ... protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by… more
    Molina Healthcare (07/25/25)
    - Related Jobs
  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members are… more
    Centers Plan for Healthy Living (07/15/25)
    - Related Jobs
  • Manager, Provider Engagement - VBP…

    Centene Corporation (Queens, NY)
    …in managing end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). ... Act as a strategic advisor on contract structure and payment methodologies for Medicare Advantage and D-SNP providers, supporting new contract negotiations and… more
    Centene Corporation (07/09/25)
    - Related Jobs
  • Medical Director - National Medicare

    Humana (Albany, NY)
    …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... and genetics.** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid. + Utilization management experience in a medical… more
    Humana (09/04/25)
    - Related Jobs
  • Behavioral Health Medical Director…

    Humana (Albany, NY)
    …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical management organizations,… more
    Humana (08/09/25)
    - Related Jobs
  • Medicare Sales

    Kelly Services (Fairport, NY)
    …line with established policies and procedures. + Maintaining current knowledge of Medicare Advantage regulations and corporate policies. + Skillfully resolving ... yes, please see this opportunity!** **Kelly(R) is seeking a Medicare Customer Satisfaction Advocate to work at a top...6 month project **What's a typical day as a Medicare Customer Service Representative? You'll be:** + Under the… more
    Kelly Services (08/28/25)
    - Related Jobs
  • Medicare Sales Representative

    Centene Corporation (Bronx, 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… more
    Centene Corporation (09/04/25)
    - Related Jobs
  • Outreach and Retention Associate

    Centers Plan for Healthy Living (Staten Island, NY)
    …the guidance and plans they need for healthy living. Outreach and Retention Associate (ORA)- Medicare Advantage CPHL is a Medicare Advantage Prescription ... Medicare products *Licensed Agents Only. + Educate potential members about Medicare Advantage / Special Needs Plans and the benefits of enrolling in the CPHL… more
    Centers Plan for Healthy Living (07/15/25)
    - Related Jobs
  • Medical Director - Acute Rehab Team

    Humana (Albany, NY)
    …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... Preferred Qualifications + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid, or other Medical management organizations,… more
    Humana (09/05/25)
    - Related Jobs