- Health Care Service Corporation (Chicago, IL)
- …CMS regulatory requirements, including Medicare Marketing Guidelines + Experience with Medicare products (including Medicare Advantage , Medicare ... Prescription Drug Plan (PDP) and Medicare Supplement products) **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay… more
- Robert Half Accountemps (Land O' Lakes, FL)
- …on managing accounts receivable for various secondary insurance balances, including Commercial, Medicare Advantage , Blue Cross, Workers Comp, Auto, and other ... patient billing processes. * Familiarity with secondary insurance payers, including Commercial, Medicare Advantage , and Workers Comp. * Ability to handle claim… more
- CenterWell (Arlington, TX)
- …and nurture relationships with brokers and intermediaries specializing in senior healthcare, Medicare Advantage , and value-based care models. + Identify and ... healthcare and value-based care models. + Deep understanding of Original Medicare , Medicare Advantage , and other senior healthcare insurance products. +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Preferred Skills and Experience * Encounter Data submissions experience with a focus on Medicare Advantage strongly preferred. * Knowledge of CMS ACA EDGE, ... quality assurance, and regulatory submissions with a focus onaccurateandcompleteandMedicare Advantage (MA) data.You'llcollaborate withdataanalysts, actuaries,risk adjustment subject matter experts,… more
- Humana (Nashville, TN)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience… more
- Humana (Topeka, KS)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... filing, reporting & analysis, reserving or trending) **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience working… more
- Ankura (NC)
- …firm or large to mid-size consulting firm in the payer and government programs ( Medicare Advantage and Part D, ACA, Medicaid, etc.) with experience working in ... financial and operational performance. Specific expertise in PACE program operations and Medicare Advantage Special Need Programs (ISNP, CSNP, DSNP) Model of… more
- CareFirst (Baltimore, MD)
- …for the jurisdictions of Maryland, DC, and Virginia Upon Hire Required. + Annual Medicare Advantage certification testing and CareFirst required Medicare ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Medicare Sales **Equal Employment Opportunity** CareFirst BlueCross BlueShield is… more
- Logan Health (Kalispell, MT)
- …adjustments based on government regulations. Additionally, this role works heavily with Medicare and Medicare Advantage plans and requires familiarity ... Fluent in English, both spoken and written. Preferred Qualifications: + Experience with Medicare and/or Medicaid UB-04 & CMS-1500 claim forms. + Advanced skills in… more
- CenterWell (Atlanta, GA)
- …to make an impact** **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid ... provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines.… more