- Kelsey-Seybold Clinic (Shenandoah, TX)
- …health plans and is in-network with major insurance plans. KelseyCare Advantage , a Medicare Advantage plan offered to Houston-area beneficiaries ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Kelsey-Seybold Clinic (Spring, TX)
- …health plans and is in-network with major insurance plans. KelseyCare Advantage , a Medicare Advantage plan offered to Houston-area beneficiaries ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Kelsey-Seybold Clinic (Houston, TX)
- …health plans and is in-network with major insurance plans. KelseyCare Advantage , a Medicare Advantage plan offered to Houston-area beneficiaries ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- ChenMed (Memphis, TN)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel… more
- Adecco US, Inc. (Kansas City, MO)
- …selected plans. Responsibilities include verifying application details, guiding clients through Medicare Advantage and Supplement options, conducting Health Risk ... of one year in pre-sales or customer service. Previous experience in the Medicare health insurance industry is preferred. Candidates must demonstrate a passion… more
- East Boston Neighborhood Health Center (Revere, MA)
- …revenue codes, ICD-10-CM coding and HCC/risk adjustment methodologies + Experience with Medicare Advantage risk models and patient documentation integrity + ... + Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare , Medicaid, and other fiscal intermediary guidelines. + Support implementation… more
- ChenMed (Jacksonville, FL)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... that works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel… more
- Humana (Salt Lake City, UT)
- …team and plays a critical part in forecasting risk scores and revenue for the Medicare Advantage Part D business. The successful candidate will lead efforts to ... **Preferred skills** + FSA or plus relevant advanced degree + Experience with Medicare Part D + Familiarity with Risk Score Data + Python **Additional Information**… more
- Humana (Indianapolis, IN)
- … Medicare policies, processes and procedures + DSNP experience inclusive of Medicare Advantage + Long-term support services; experience working with or ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, and ... other related field required + Minimum of five years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required +… more