- CVS Health (Nashville, TN)
- …heart, each and every day. **Position Summary** Drive growth for Medicare Advantage External Distribution Partnerships by setting strategic sales goals, crafting ... of experience in Marketing, Sales, and Insurance, with required Medicare expertise. + Offer 5-10 years of experience in... expertise. + Offer 5-10 years of experience in Medicare Advantage organizations. + Leverage 5+ years in … more
- TEKsystems (Missouri City, MO)
- …- MUST BE IN CENTRAL TIME ZONE. Customer Service Representative - Medicare Support Location: REMOTE Schedule: Requiring M-F 8am-9pm availability Our health insurance ... client is seeking empathetic and patient Customer Service Representatives to support their Medicare call center during the upcoming open enrollment period. This is a… more
- CVS Health (PA)
- …in the United States* **Position Summary** As an Individual Contributor Manager of Medicare Complaints Operations - Technical, you will play a vital role in managing ... improvement and ensuring the organization meets its operational goals. The Manager of Medicare Complaints Operations - Technical will be a key player in fostering a… more
- CVS Health (AZ)
- …and every day. **Position Summary** This position reports to the Director, Medicare Member Materials. Responsible for end-to-end development of annual CMS ... Medicare Part D member materials. This position will have...ways: + Experience developing, managing, and/or reviewing documents for Medicare plans + Experience managing multiple projects with competing… more
- Prime Healthcare (Ontario, CA)
- …new members to join our corporate team! Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and collections, gathering and ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the deficiency lists used to obtain… more
- CVS Health (CT)
- …are in search for professional to lead programs, projects and initiatives within Medicare business unit, and particularly those related to Medicare Star Ratings, ... living team with data requests & analysis** **.Primary contact between Medicare business units and internal business partners** **.Provide expert advice, analytic… more
- Centene Corporation (Charleston, WV)
- …Purpose:** Centene is seeking a motivated, self-driven associate actuary to join our ** Medicare Duals** team. This role offers a unique opportunity to contribute to ... high-impact Medicare Duals analyses, while playing a key role on the Medicare Bid Team. The ideal candidate will take ownership of bid assumptions, conduct… more
- 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
- Molina Healthcare (Bellevue, WA)
- …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
- CVS Health (CT)
- …anywhere in the US. **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work on part C appeals (both provider and ... providers). * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the Second Look… more