• Medicare Annual Wellness Visit Registered…

    SUNY Upstate Medical University (Syracuse, NY)
    …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
    SUNY Upstate Medical University (11/26/25)
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  • Sr Medicare Medicaid Biller & Collector

    Prime Healthcare (Redding, CA)
    …For more information, visit www.shastaregional.com. Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and collections, ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the deficiency lists used to obtain… more
    Prime Healthcare (11/25/25)
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  • Senior Medicare Medicaid Biller Collector

    Prime Healthcare (Inglewood, CA)
    …members to join our corporate team! #LI-JV1 Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and collections, gathering ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the deficiency lists used to obtain… more
    Prime Healthcare (11/25/25)
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  • Account Representative Medicare Advantage

    CNO Financial Group (Chicago, IL)
    …and location. This position is bonus eligible.** The Account Representative - Medicare Advantage is responsible for working with all internal and external team ... members ( Medicare Advantage and other insurance carriers) in contributing to...internal, external, and field associates. **As an Account Representative Medicare Advantage, your responsibilities will include:** + Conduct Meetings:… more
    CNO Financial Group (11/21/25)
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  • Medicare Member Engagement Specialist…

    Molina Healthcare (Warren, MI)
    …of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, ... database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular… more
    Molina Healthcare (11/13/25)
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  • RN Registered Nurse - PRN Medicare Oasis…

    Home Care Now (Tampa, FL)
    Home Care Now is hiring Registered Nurses for Medicare Admissions & Visits for PER DIEM positions serving patients in Hillsborough county. Medicare Oasis E and ... the physician's plan of care and orders * Complete Medicare SOC and Oasis E documentation * Follow physicians...least ONE year experience as an RN at a Medicare Home Health Agency * Medicare Documentation… more
    Home Care Now (11/09/25)
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  • Quality Administrator, Medicare - Michigan…

    McLaren Health Care (Flint, MI)
    We are looking for a Quality Administrator Medicare , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...strategizing, and improving quality performance with a focus on Medicare Star ratings. This position supports the design, development,… more
    McLaren Health Care (11/04/25)
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  • Professional, Sub-Acute RN UM Reviewer…

    MVP Health Care (Tarrytown, NY)
    …achieve this, we're looking for a **Professional, Sub-Acute RN UM Reviewer - Medicare ** to join #TeamMVP. If you have a passion for patient-centered advocacy, ... + At least 2 years of experience in utilization management of sub-acute Medicare reviews + Experience with Medicare guidelines and documentation standards… more
    MVP Health Care (09/30/25)
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  • Senior Manager - Medicare Stars Program…

    CVS Health (Austin, TX)
    …all with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, in this individual contributor role you will ... and clinical teams. + 5+ years of work experience supporting Medicare or Healthcare/Pharmacy Quality business processes. **Preferred Qualifications** + 2+ years… more
    CVS Health (11/27/25)
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  • Medicare Bid Optimization Principal…

    Health Care Service Corporation (Chicago, IL)
    …that will invest in your professional development. **Job Summary** The Medicare Advantage Bid Optimization Principal Divisional Strategy Consultant will support MA ... position is responsible for assisting with leading the team with all Medicare Advantage short-term and multi-year planning, assisting the leadership team on… more
    Health Care Service Corporation (11/23/25)
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