• Senior Markets Pricing - Actuarial Consultant

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
    Blue Cross Blue Shield of Massachusetts (04/30/25)
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  • Medical Certification Specialist 1-2

    Louisiana Department of State Civil Service (LA)
    …by providers, facilities, waivers, and/or long term care programs are in compliance with federal certification, state regulations, and established state ... Medical Certification Specialist 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4818520) Apply ...and quality of services to determine the extent of compliance with the state licensure standards and Medicare more
    Louisiana Department of State Civil Service (05/07/25)
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  • Senior Wellness Program Manager

    Medical Mutual of Ohio (Brooklyn, OH)
    …reporting. . Orients, trains and assists more junior level staff. . Assures compliance with federal and regulatory guidelines and NCQA standards associated with ... days per week in Brooklyn, Ohio._** **_Founded in 1934, Medical Mutual is the oldest and one of the...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans._**… more
    Medical Mutual of Ohio (06/12/25)
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  • Medical Billing Positions

    Hart Medical Equipment (Grand Blanc, MI)
    …or any other protected status in accordance with the requirements of applicable federal state and local laws. Hart Medical Equipment also provides reasonable ... Hart Medical Equipment provides a full range of home...within the providership table. + Maintain current knowledge on Medicare , Medicaid, and all third party payers for equipment… more
    Hart Medical Equipment (03/25/25)
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  • Licensed Retiree Benefits Advisor - Temporary…

    Alight (TX)
    …Health Solutions is a business unit that provides customer service assistance to Medicare and Pre- Medicare eligible retirees and assist with selecting the ... not limited to health, prescription drug, vision, dental plans, and advising Pre- Medicare eligible recipients of their options. This is done primarily through… more
    Alight (04/28/25)
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  • Lead Application Architect

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    …Microsoft) and cloud-based contact center solutions (AWS Connect, Google CcaaS). * Compliance & Security: Ensure adherence to Medicare regulations, HIPAA ... Baltimore **Position ID:** J0525-2239 **Employment Type:** Full Time US - CGI Federal roles - What we do matters (https://youtu.be/cT09CQZNzt4) By playing this video… more
    CGI Technologies and Solutions, Inc. (05/31/25)
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  • Market CMO, Medical -IN

    CenterWell (Louisville, KY)
    …you will plan, organize, manage and supervise health care services offered in the medical centers. Work in conjunction with the Center Medical Directors to ... healthcare. + Plan, organize, manage and supervise the roles of the Center Medical Directors. + Identify physician recruitment needs and collaborate in the hiring… more
    CenterWell (05/16/25)
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  • Behavioral Health Services Medical Coder

    Ventura County (Ventura, CA)
    …the Behavioral Health Medical Coder plays a key role in ensuring compliance and accuracy in CPT coding for a County Behavioral Health Plan. This role ... for outpatient, inpatient, and specialty behavioral health services. The position ensures compliance with Federal and State guidelines, including Medi-Cal and… more
    Ventura County (06/10/25)
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  • Sr Mgr,Product Implementation

    CVS Health (Hartford, CT)
    …every day. Position Summary We are seeking a Senior Manager to join our Medicare Product Tech team, supporting the business applications that power our Group ... Medicare business. This individual will serve as a critical...Partner with cross-functional teams, including Informatics (DDAT), operations, and compliance , to support continuous improvement initiatives. + Provide guidance… more
    CVS Health (05/28/25)
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  • Development Lead

    CGI Technologies and Solutions, Inc. (Baltimore, MD)
    …cybersecurity best practices Desired qualifications/non-essential skills required: * Experience with Federal Government, Center for Medicare and Medicaid (CMS) ... Baltimore **Position ID:** J0525-2240 **Employment Type:** Full Time US - CGI Federal roles - What we do matters (https://youtu.be/cT09CQZNzt4) By playing this video… more
    CGI Technologies and Solutions, Inc. (05/31/25)
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