• Associate Medical Director

    UCLA Health (Los Angeles, CA)
    Description Are you passionate about evidence-based medicine and improving care for Medicare Advantage members? UCLA Health Medicare Advantage Plan is looking ... guiding clinical policy that's grounded in the latest scientific research and Medicare guidelines. Your work will directly support our Health Services Department in… more
    UCLA Health (09/19/25)
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  • Primary Care Physician

    CenterWell (Hermitage, TN)
    …directly applicable experience. + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid ... provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers. + Familiarity with HEDIS quality indicators and Medicare guidelines.… more
    CenterWell (09/19/25)
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  • Vice President, Risk Adjustment Solutions

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... for Fallon Health government and state sponsored products including Medicare Advantage, Commercial/ACA, PACE, and Medicaid. **Responsibilities** **Primary Job… more
    Fallon Health (09/19/25)
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  • Psychiatrist 1 and 2 (NY Helps), Part-Time,…

    New York State Civil Service (New York, NY)
    …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
    New York State Civil Service (09/18/25)
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  • Licensed Clinical Social Worker (NY Helps),…

    New York State Civil Service (Syracuse, NY)
    …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
    New York State Civil Service (09/17/25)
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  • Insurance Strategy Lead

    Humana (Richmond, VA)
    …the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating insurance ... Strategy team plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue… more
    Humana (09/17/25)
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  • Licensed Master Social Worker (NY Helps),…

    New York State Civil Service (Syracuse, NY)
    …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
    New York State Civil Service (09/17/25)
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  • Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …Association, the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with ... accurate and up-to-date knowledge of all Government Programs regulations (Medicaid, Medicare , Federal Employee Program, New York State Department of Financial… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Document Management Specialist

    Medical Mutual of Ohio (Oklahoma City, OK)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Job Summary:** ... and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind… more
    Medical Mutual of Ohio (09/16/25)
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  • Security Hospital Treatment Assistant (SHTA),…

    New York State Civil Service (New Hampton, NY)
    …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and lose… more
    New York State Civil Service (09/13/25)
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