- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Under minimal ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace… more
- Humana (Columbus, OH)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience… more
- Humana (Columbus, OH)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... filing, reporting & analysis, reserving or trending) **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience working… more
- ChenMed (Maple Heights, OH)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- ChenMed (Cincinnati, OH)
- …is required. Working with seniors a plus, as is a general understanding of Medicare Advantage + A minimum of 2 years of business-to-business experience or ... talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Cultivates strong relationships with health… more
- Highmark Health (Columbus, OH)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Elevance Health (Independence, OH)
- …an accommodation is granted as required by law. The **Actuarial Analyst III** supports Medicare Advantage pricing and bid development within the Medicare ... Actuarial team. **How You Will Make an Impact:** Primary duties may include, but are not limited to: + Benefit Ownership: Manage assigned pricing models and benefits, ensuring data accuracy, methodology consistency, and timely bid filing readiness. + Contract… more
- ChenMed (Cleveland, OH)
- …is required. Working with seniors a plus, as is a general understanding of Medicare Advantage + A minimum of 2 years of business-to-business experience or ... talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Start cultivateing strong relationships… more