- 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
- 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, and enrollment and disenrollment + Develop a presence in the local… more
- 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 ... issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application...as a primary language + 3 plus years of, Medicare or Sales experience. + Valid Driver's… 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 ... is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products...accountability for the IVL/DSNP products in their market, supporting Sales and customer experience agendas in market as well… more
- Centers Plan for Healthy Living (Queens, NY)
- …they need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales , Maintains relationships, services our existing customers and secures ... frequent travel to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located...as a primary language + 3 plus years of, Medicare or Sales experience. + Valid Driver's… more
- MVP Health Care (Schenectady, NY)
- …Child 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
- 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 ... 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
- 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
- Humana (Albany, NY)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Strong Communication Skills + ... insights. Researches and understands competitors in marketplace and collaborates with sales and other partners supporting the markets to develop strategies for… more
- Highmark Health (Albany, NY)
- …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