- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. Job Title: Medicare Advantage Enrollment Seasonal Associate Department: Medicare ... orientation, or any other characteristics protected by law. Position Summary: The Medicare Advantage Enrollment Seasonal Associate will be responsible for… more
- Kelly Services (Fairport, NY)
- …line with established policies and procedures. + Maintaining current knowledge of Medicare Advantage regulations and corporate policies. + Skillfully resolving ... yes, please see this opportunity!** **Kelly(R) is seeking a Medicare Customer Satisfaction Advocate to work at a top...6 month project **What's a typical day as a Medicare Customer Service Representative? You'll be:** + Under the… more
- Amazon (San Francisco, CA)
- …clinical quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in ... the quality of care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and other national quality metrics. - Design and… more
- Commonwealth Care Alliance (Boston, MA)
- …ensuring accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- BroadPath Healthcare Solutions (Kapolei, HI)
- …lead a high-performing team of licensed sales agents who help consumers enroll in Medicare Advantage and Prescription Drug Plans. This is your chance to step ... in telesales + 1+ year of recent **healthcare experience** , preferably in Medicare Advantage + Active **Health Producer License in Hawaii** **Diversity… more
- CVS Health (Phoenix, AZ)
- …and all questions are thoroughly answered + Respond to inquiries from our Medicare Advantage members + Connects with members to diminish service disruption ... top talent for our Service Advocate role in our Medicare Stars Member Advocacy Center. The Member Advocacy Center...Advocacy Center (MAC Team) is an elite team in Medicare Stars that conducts various high touch omnichannel outreach… more
- BlueCross BlueShield of North Carolina (NC)
- …at least 9 years of relevant actuarial experience. **Bonus Points** + Experience in Medicare Advantage Risk Adjustment highly preferred **What You'll Get** + The ... opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. + Work-life balance, flexibility, and the autonomy to do great work. + Medical, dental, and vision coverage along with numerous health and… more
- Centene Corporation (Houston, TX)
- …+ Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and ... procedures pertaining to: + Disclosures and provisions of the Advantage Medicare product + Enrollment and disenrollment + Develop a presence in the local… more
- State of Indiana (Indianapolis, IN)
- …Health Insurance-Assistance Program (SHIP). The ideal candidate will have experience with Medicare D-SNP or other Advantage Program and Managed Medicaid Long ... Medicaid/ Medicare Coordination Manager Date Posted: Sep 5, 2025...engaged with this mission. Role Overview: In this role, Medicaid/ Medicare Coordination Manager, you will establish priorities, targets, and… more
- Sharp HealthCare (La Mesa, CA)
- …Rights. More fields may be added as regulations change.In cases where Tricare or Medicare / Medicare Advantage is primary or secondary, use scripting to review ... coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order… more