- Highmark Health (Buffalo, NY)
- …are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with ... STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess the needs… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …located throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring ... quotas are met based on tenure. + Attends all Sales Meetings and gatherings. + Submits daily Plan...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan .… more
- CVS Health (Albany, NY)
- …of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group ... accountability for the IVL/DSNP products in their market, supporting Sales and customer experience agendas in market as well...organization of plan activities at the health plan as it relates to the Medicare … more
- Centers Plan for Healthy Living (Bronx, NY)
- …working weekends and requires frequent travel to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located throughout the five ... healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales , Maintains relationships, services our existing...Territory Management + Maintain Centers Plans for Healthy Living Advantage Care Medicare HMO Plan … more
- Centers Plan for Healthy Living (Staten Island, NY)
- …living. Outreach and Retention Associate (ORA)- Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan serving Medicare eligible ... products *Licensed Agents Only. + Educate potential members about Medicare Advantage / Special Needs Plans and the...and Health is preferable*. + Minimum 2 years of sales and/or customer service experience, preferably with Medicare… more
- MVP Health Care (Schenectady, NY)
- …Health Plus, Essential Plan , Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans ... **Qualifications you'll bring:** + Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital,… more
- Humana (Albany, NY)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Manager, you will deconstruct issues ... The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over...of growth strategy such as marketing as well as sales and product investment trade-offs that are responsive to… more
- Humana (Albany, NY)
- …and Health Insurance License required + Bilingual + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional ... plays a crucial role in driving lead generation and supporting the local sales team through grassroots marketing, community outreach, and event execution. The Field… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …filings and financial statements for assigned business segments. + Leads preparation of Medicare Advantage bids and coordinates CMS bid review responses. + ... and insurance operations. + Provides counsel on current and proposed health plan Underwriting guidelines for commercial and Medicare eligible subgroups. +… more
- Highmark Health (Albany, NY)
- …, 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