- HCA Healthcare (Nashville, TN)
- …a strong clinical background, with preference given to candidates familiar with Medicare and Medicare Advantage 's Two-Midnight Rule. **Licenses, ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Humana (Atchison, KS)
- …role. **Preferred Qualifications:** + Master's Degree + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional ... 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
- Point32Health (MA)
- …3-5 years of professional experience + Preferred: 3-5 years of experience selling Medicare Advantage products or relevant sales experience with a track record ... presentation skills. + Familiarity with MassHealth is a plus + Medicaid, Medicare and/or Long-Term Care industry knowledge helpful. + Excellent time management,… more
- Highmark Health (Montpelier, VT)
- …gain share and risk share models and will be implemented for the Organization's Medicare Advantage , Medicaid, ACA, and commercial populations with the goal of ... in the primary care and the ambulatory care environment, healthcare insurance industry, healthcare administration in primary care, or healthcare consulting in… more
- Fallon Health (Worcester, MA)
- …accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. ... those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and ...insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care… more
- 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** + ... not just a method of gaining a one-time cost advantage , but an effective strategy for gaining and maintaining...offered. Company benefits may include medical, dental, and vision insurance , flexible spending or health savings account, life, and… more
- WelbeHealth (CA)
- …+ Experience using CRM systems (Salesforce or other similar CRM system) + Medicare Advantage or PACE experience preferred + Medi-Cal knowledge preferred ... in **tele sales** , **or** **customer services sales** , Medicare or PACE sales experience preferred + Minimum (1)...12 holidays observed annually, and sick time + Medical Insurance Coverage (Medical, Dental, Vision) + Advancement opportunities -… more
- CareFirst (Baltimore, MD)
- …Operations Supervisor supports the execution of the corporate coding strategy across Medicare Advantage , Medicaid, and ACA markets. This role ensures operational ... leadership to ensure that all risk adjustment activities fully comply with Medicare , Medicaid, ACA, and state-specific regulations. Remain current on changes to risk… more
- Houston Methodist (Houston, TX)
- …managed care payers include commercial payers, separate transplant contracts, Medicare Advantage , Medicaid Health Maintenance Organizations (HMOs), ... International, behavioral health, worker's compensation, student insurance , bundled payment contracts, quality metric bonus program and risk contracts. The Director… more
- Fallon Health (Springfield, MA)
- …accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. ... those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and ...insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care… more