- Centene Corporation (Buffalo, NY)
- …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. ... prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and procedures pertaining… more
- Molina Healthcare (St. Petersburg, FL)
- …market leader in the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit ... that will execute on Molina's Medicare national broker distribution strategy with National Marketing Organizations...strategy that drives significant sales growth of Marketplace and Medicare products with accounts. * Build and maintain strong,… more
- Fallon Health (Springfield, MA)
- …in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare benefits, including prescription ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:**… more
- CVS Health (Buffalo Grove, IL)
- …drugs covered under the pharmacy benefit. This specific role will focus significantly on Medicare Part D. You will use and develop a strong knowledge of specialty ... to support UM. Knowledge of regulations impacting UM for Medicare clients is preferred. It will be necessary to...It will be necessary to create clinical content for Medicare Part B, including standard and client requested programs… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Manager of Healthcare Partnerships will drive Medicare Advantage channel growth through continued development of relationships at Medicare ... home health, home care, hospital or medical equipment + Knowledge of Medicaid/ Medicare benefit programs + Demonstrated experience consulting and presenting to care… more
- Southeast Health (Dothan, AL)
- …Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job ... to obtain accurate reimbursement; + Understands the use of and navigation of Medicare 's DDE system and other governmental and commercial payer websites for claim… more
- CVS Health (Sacramento, CA)
- …process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment with a focus Medicare policy., This Medical ... Clinical Policy, Reimbursement and Health Care Systems. * Experience with Medicare policies and guidelines (National Coverage Determination (NCD), Local Coverage… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures sales success. This position is responsible for cultivating and ... brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, and internal regulations. This highly… more
- BrightSpring Health Services (Bowling Green, KY)
- …approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and standards. + Conduct ... facility rollout meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and staff. +… more
- Ochsner Health (New Orleans, LA)
- …in applying and improving compliance policies, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies ... Notices of Grant Award, FDA letters to produce a Medicare Coverage Analysis within a CTMS system. + Creation,...+ Creation, revision, and management of documents related to Medicare coverage analysis and compliance with Medicare … more