- Humana (Miami Lakes, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...**Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental,… more
- CVS Health (Albany, NY)
- …every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products in their market, supporting ... of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group team… more
- CVS Health (Blue Bell, PA)
- …in this role will serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual Eligible, HIDE/FIDE Integrated, ... The SNP population presents a huge growth opportunity for Medicare Advantage plans, and Aetna is aggressively expanding into...into a growth story early, work closely with executive Medicare business leaders to drive strategic decisions, and shape… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance process.… more
- Molina Healthcare (Essex, MA)
- …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. + Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Washington DC or any state in the US (except Hawaii).** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed ... which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies...are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and designates medical… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …As a core member of the Government Programs Star Performance team, the Medicare Stars Analyst provides ongoing analytic support to the development and execution of ... in class 5-star strategy. In collaboration with the VP, Medicare Stars, this person will work with key stakeholders...in the pursuit of continuous quality improvement of our Medicare stars ratings. The successful candidate will have an… more
- CVS Health (Pierre, SD)
- …talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team ... who will focus on educating existing Medicare members on available plan offerings to help meet...Work defined campaigns that are designed to assist Aetna Medicare members holistically find the appropriate Aetna Medicare… more
- Sedgwick (Baton Rouge, LA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Medicare Associate **Job Description** + Set up new Medicare Lien Resolution ... Medicare Compliance System + Electronically sort and index Medicare mail in the SIR and Medicare ...index Medicare mail in the SIR and Medicare Compliance systems + Responds to questions from examiners… more
- Molina Healthcare (Oshkosh, WI)
- …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. + Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more