• Campaign Coordinator - Video Production

    WTW (Raleigh, NC)
    …a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... role in managing the end-to-end execution of video production campaigns across Medicare Advantage and Life Insurance lines of business. Acting as the primary… more
    WTW (08/28/25)
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  • Delaware Valley ACO Fellowship

    Humana (Oklahoma City, OK)
    …Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among ... areas including HR. DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 … more
    Humana (07/30/25)
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  • Clinical Data & Report Analyst

    Emory Healthcare/Emory University (Atlanta, GA)
    …extraction, and submission of supplemental data files for gap closure, particularly for Medicare Advantage and Commercial health plans. + Supports the Emory ... is required. + Demonstrated experience working with supplemental data submissions to Medicare Advantage and Commercial payers. + Familiarity with NCQA, CMS,… more
    Emory Healthcare/Emory University (09/09/25)
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  • Enrollment Specialist

    NTT DATA North America (Lincoln, NE)
    …current knowledge of CMS compliance requirements as they pertain to Medicare Advantage enrollment and member maintenance **Required Skills/Experience** + ... outcomes. Outsourcing is not just a method of gaining a one-time cost advantage , but an effective strategy for gaining and maintaining competitive advantages when… more
    NTT DATA North America (09/05/25)
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  • Pre-Authorization Nurse

    Humana (Tallahassee, FL)
    …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... + Health Plan experience working with large carriers. + Medicare / Medicaid experience. + Experience working with CMS Guidelines,...help people with Medicare , or both Medicare and Medicaid, achieve… more
    Humana (09/13/25)
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  • RN Utilization Management

    Humana (Tallahassee, FL)
    …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... BSN or Bachelor's degree in a related field + Medicare /Medicaid health plan experience + MCG experience + Bilingual...help people with Medicare , or both Medicare and Medicaid, achieve… more
    Humana (09/10/25)
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  • Hybrid Field Sales Representative

    CVS Health (Pittsburgh, PA)
    …+ _4-year college degree or 1 to 2 years' experience of selling multiple Medicare products (ie, Medicare Advantage , Medicare Supplement)_ + ... and retain through the use of the Aetna IVL Medicare product portfolio.This role will deploy an operating model...shopper initiatives, and state, federal, and CMS requirements for Medicare sales agents and programs + 0-3 Years Experience… more
    CVS Health (09/07/25)
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  • Care Coordinator, RN Field Based

    Humana (East Chicago, IN)
    …other care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers ... and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a… more
    Humana (08/23/25)
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  • Risk Adjustment Analyst

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …support role preferred + 2-3 years of business experience in health insurance + Medicare Advantage experience a plus + Overall Medicare experience preferred ... constructively. This role requires frequent interaction / cross-collaboration with both Medicare and Commercial Operations, Health & Medical Management, IT, vendor… more
    Blue Cross Blue Shield of Massachusetts (08/19/25)
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  • Transplant Financial Coordinator, Part Time

    Dartmouth Health (Lebanon, NH)
    …to best meet their individual needs, ie, COBRA, Medicare /Medicaid eligibility, Medicare Supplemental Plans, and Medicare Advantage Plans. * Provides ... counsels the patient in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator also has… more
    Dartmouth Health (06/27/25)
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