- Humana Inc (Boston, MA)
- …a part of our caring community and help us put health first The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer ... Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …is fully remote with the ocassional time onsite as needed. The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed ... analysis indicates which medical procedures/services maybe 'Routine Cost' and billable to patient insurance and which should be billed to the study sponsor. The … more
- Humana Inc (Boston, MA)
- A health services company is seeking a Senior Manager, Medicare Sales to lead a team of Medicare Sales Field Agents. This position requires strong leadership, ... service. Successful candidates will have experience in sales leadership and the insurance industry, and will be responsible for mentoring their team while meeting… more
- Humana Inc (Boston, MA)
- …management experience in a medical management review organization such as Medicare Advantage, managed Medicaid, or Commercial health insurance Current ... put health first The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve… more
- Humana Inc (Boston, MA)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . Experience ... internal teaching conferences, and other reference sources. Medical Directors learn Medicare , Medicare Advantage, and Medicaid requirements and operationalize… more
- Humana Inc (Boston, MA)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...or be willing to relocate Active Health & Life Insurance Licenses 2 or more years of sales leadership… more
- Manulife Insurance Malaysia (Boston, MA)
- …CMS, and state-specific regulations, particularly in Medicaid and Medicare environments.**Required Qualifications: Bachelor's degree required; Master's in Healthcare ... health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans.… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Verifies patient identification, confirms and updates patient demographics, patient contacts, insurance information, and PCP. Completes the Medicare Secondary ... functions include, but are not limited to, collecting demographic and insurance information, confirming insurance eligibility, verifying benefits, and obtaining… more
- Humana Inc (Boston, MA)
- …CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial ... strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuarial Analytics/Forecasting Principal role offers flexibility in… more
- Humana Inc (Boston, MA)
- …CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for financial ... strategy and analysis, with connections to enterprise-wide and total Insurance perspectives. The Actuary Analytics/Forecasting role offers flexibility in… more
