- CVS Health (Chicago, IL)
- …exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP and PDP Products. ... This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure business strategy achieve… more
- Humana (Big Stone Gap, VA)
- …exceed 113K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... the community we serve through face-to-face, telephonic, virtual interactions. Our Medicare Sales Representatives sell individual health plan products and educate… more
- TEKsystems (Honolulu, HI)
- …+ Manage offshore vendor relationships to ensure quality and efficiency. + Ensure compliance with federal , state, and local regulations. + Identify and implement ... The Medicare Specialist will oversee claims processing operations, ensuring...will oversee claims processing operations, ensuring accuracy, efficiency, and compliance with regulatory requirements. This role requires a strong… more
- CVS Health (Springfield, IL)
- …for ensuring broker adherence to all CMS and Aetna guidelines. * Monitors compliance with state, federal , and health plan regulatory requirements. * Prioritize ... is hiring a local Broker Manager to support the growth of our industry leading Medicare business. This is a highly collaborative role that will report to the Sales… more
- CVS Health (Boise, ID)
- …lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This ... care objectives. Working cross-functionally with Duals Center of Excellence, clinical, compliance , analytics and network teams, the Senior Manager drives innovation… more
- CVS Health (Tallahassee, FL)
- …part of a growing business segment, selling our competitive portfolio of Medicare products. Upon acquisition the Field Sales Representative will own the member ... Continued Education (CE's) + Product Certification + Required Security and Compliance + Client/Carrier Certifications + Any required CMS Certifications **Required… more
- Fallon Health (Worcester, MA)
- …integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of ... health clinical change (not otherwise accounted for by a medical change) to assign a rating category which determines...financial resources available in the community as well as State/ Federal and national resources * Coordinates and works with… more
- Beth Israel Lahey Health (Exeter, NH)
- …be proactive, assertive, and possess creative problem solving skills. -Experience with Medicare population, managed care, ACO, medical home or integrated case ... with multiple chronic illnesses as well as vulnerable populations with complex medical , social, and behavioral health needs. This position is responsible for… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services ( Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... for administrative and office support staff such as secretarial/administrative assistants, medical assistants, schedulers, data management and medical records… more
- PruittHealth (Norcross, GA)
- …agreement objectives. 12. Follows all PruittHealth policies and procedures, state and federal laws and regulations and report violations and potential issues to ... with members of own and other teams to communicate effectively and ensure compliance with cross-team responsibilities. 17. Carries out all duties with a "Commitment… more