- Elevance Health (AR)
- Provider Network Management Director ( Medicare Network Build) JR167138 **Preferred Location** : Commuting distance to the Little Rock, Arkansas office. **Hybrid 2:** ... Primary focus of this role is contracting and negotiating contract terms for ** Medicare , Medicaid,** and **ACA programs** . Deals with primarily the most complex… 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
- Centene Corporation (Trenton, NJ)
- …Purpose:** Responsible for the growth and performance of the assigned Medicare region to meet membership, pre-tax earnings, quality, network performance, provider ... and external stakeholders to become a thought leader in support of the Medicare product in the local market communities. + Identify the appropriate strategic… more
- Centene Corporation (Cheyenne, WY)
- …probability, statistics, principles of finance and business to calculate financial outcomes around Medicare FFS claims and other expenses + Support Medicare FFS ... in shaping the annual budget and quarterly financial forecasts across all 32 Medicare Advantage markets. + **Collaborative Team Culture** : Join a group that values… more
- Humana (Honolulu, HI)
- …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis and interpretation ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …work collaboratively with Pharmacists to provide high-touch, concierge-level pharmacy services to Medicare members. This role focuses on outreach to members who have ... Education and Experience: + Minimum 2-3 years of customer/member service experience + Medicare Part D and/or Pharmacy experience preferred + BS/BA or AS/AA degree in… more
- Robert Half Accountemps (Boca Raton, FL)
- Description We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing ... industry. * Proficiency in E/M coding and auditing principles. * Familiarity with Medicare claims, payer denials, and CPT codes. * Strong analytical skills and… more