- 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
- Corewell Health (Grand Rapids, MI)
- …Job Description The Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist, will engage with Medicare members to improve ... and support other quality measures. Under the direct supervision of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Humana (Providence, RI)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- HCA Healthcare (Reston, VA)
- …purpose and integrity. We care like family! Jump-start your career as a Medicare Specialist today with Parallon. **Benefits** Parallon offers a total rewards package ... vary by location._** Come join our team as a Medicare Specialist. We care for our community! Just last...organizations. Apply Today! **Job Summary and Qualifications** As the Medicare Specialist, you are responsible for all aspects of… more
- Robert Half Accountemps (Lexington, KY)
- Description We are looking for a detail-oriented Medicare Biller to join our team in Lexington, Kentucky. In this long-term contract position, you will play a ... critical role in ensuring compliance with Medicare regulations and guidelines, particularly in the context of research billing and financial processes. This role… more
- UPMC (Pittsburgh, PA)
- Purpose: Reporting to the CMO of Government Products, the AVP, Medicare Medical Services serves as one of the strategic and tactical leaders who works with providers ... requirements for the Government products, with a focus on Medicare , including Special Needs Products for UPMC Health Plans....Plans. The AVP works closely with the President of Medicare product and Population Health functional business units to… more
- Insight Global (Irvine, CA)
- Job Description We are seeking experienced Medicare Senior Billers to join our team on an ongoing contract basis. In this role, you will: * Manage end-to-end ... Medicare and Managed Medicare & Medi-Cal billing processes, ensuring compliance with federal and state regulations * Accurately prepare, review, and submit claims… more
- UCLA Health (Los Angeles, CA)
- …Senior Product Manager to lead the design, development, and implementation of our Medicare Advantage products. In this role, you'll partner with the Director of ... Medicare Product Development and Bids to guide the annual...throughout the member lifecycle. Key Responsibilities: + Lead end-to-end Medicare Advantage product development. + Support and help manage… more
- US Tech Solutions (May, OK)
- …contract **Note:** + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. + **Shift Timing:** ... As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related...and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. + This is a great… more