- 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 (New York, 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
- Humana (Albany, NY)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Strong Communication Skills + ... Researches and understands competitors in marketplace and collaborates with sales and other partners supporting the markets to develop...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more