- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …your true colors to blue. The Role The Clinical Pharmacist, Medicare Clinical Programs is responsible for providing comprehensive medication management services ... support care management with identifying and resolving drug-related problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in… more
- Humana (Concord, NH)
- …a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app hydrated via ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Centene Corporation (Clayton, MO)
- …will provide Executive Assistant support to the Chief Executive Officer of Medicare leader. Responsible for leading and providing executive level support for the ... Chief Executive Officer of Medicare in partnership with multiple internal partners to ensure...and professional support to the Chief Executive Officer of Medicare with minimal or no supervision. + This position… more
- CVS Health (Scottsdale, AZ)
- …**Position Summary** The Clinical Pharmacist engages within the Medical Affairs - Medicare Formulary Administration team to support the creation and maintenance of ... the CVS Caremark's standard and client-modified Medicare formularies and utilization management edits. This role is...Managed Care residency - Demonstrated experience with formulary management, Medicare Part D, PBM and Managed Care, drug file… more
- Carle Health (Rantoul, IL)
- …of practice as defined by the Illinois Board of Nursing. Main focus of the Medicare Wellness nurse will be to complete Medicare Annual Wellness visits with ... Nursing (Required) **Other Knowledge/Skills:** Responsibilities Ensures understanding of CMS Medicare Annual Wellness Visit requirements/visit workflowsProvides and facilitates competent… more
- CVS Health (St. Louis Park, MN)
- …you will lead the market-wide strategy, performance improvement, and execution of the Medicare Stars quality program for Allina Health | Aetna Medicare ... improvement strategies. **Required Qualifications** + 7-10 years of experience with ** Medicare Stars** programs. + Strong analytical and project management skills. +… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The HIRM is ... 5 out of 5 stars from the Centers for Medicare and Medicaid Services, for 6 consecutive years. This...of all applicable CMS regulations and guidelines of specific Medicare Advantage Plans. + Create sales events intended to… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Medicare Wellness Registered Nurse will schedule and conduct Medicare Annual Wellness visits in Primary Care Offices. Provides professional ... required by the time of appointment. Preferred Qualifications: Experience with Medicare wellness visits and collaborating with a multi-disciplinary team. EPIC… more
- University of Washington (Seattle, WA)
- …has an outstanding opportunity for an **Insurance Follow-Up Specialist** to join our ** Medicare ** team **.** **WORK SCHEDULE** + 100% FTE + Mondays - Fridays + ... 100% Remote **POSITION HIGHLIGHTS** The **Insurance Follow-Up Specialist, Medicare ** is responsible for the optimal payment of claims from Medicare through work… more
- Centene Corporation (Charleston, WV)
- …ASA designation and are looking to continue growing their actuarial career in ** Medicare financial forecasting, actuarial analyses, and bid support** . **ASA or FSA ... preferred for bid certification eligibility. **Position Purpose:** Produce quarterly Medicare financial forecasts. Conduct analysis, pricing and risk assessment to… more