• Medical Director - OneHome

    Humana (Austin, TX)
    …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare more
    Humana (07/15/25)
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  • Member Services Representative II -Kspa

    Kelsey-Seybold Clinic (TX)
    …activities. Member Service Representatives II-KSPA handles member and provider calls for our Medicare Advantage plan and have demonstrated ability to interpret ... Medicare coverage rules. MSR II-KSPA will support KelseyCare Advantage chat conversations and make outbound calls to assist... insurance environment. Knowledge of health Care and insurance and the ability to Interpret/Apply Medicare more
    Kelsey-Seybold Clinic (05/10/25)
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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 ... in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The...wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator also has responsibilities… more
    Dartmouth Health (06/27/25)
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  • Delaware Valley ACO Fellowship

    Humana (Columbus, OH)
    …Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among ... HR. DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and...Health Savings Accounts + Flex Spending Accounts + Life Insurance + 401(k) + PTO including 9 paid holidays,… more
    Humana (07/30/25)
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  • Account Executive-MHS (Southern OH Region)

    Medical Mutual of Ohio (OH)
    …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. _This is a ... is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
    Medical Mutual of Ohio (06/12/25)
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  • Health Plan Territory Representative II

    LA Care Health Plan (Los Angeles, CA)
    …experience. Preferred: Experience in sales of Managed Care products including Medicare Advantage , Medi-Cal and Covered California. Skills Required: Excellent ... License - Active, current and unrestricted California License America's Health Insurance Plan (AHIP) Medicare Designation and Covered CA Certification (Or… more
    LA Care Health Plan (07/06/25)
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  • Account Executive-Small Group

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Responsible for ... is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
    Medical Mutual of Ohio (07/25/25)
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  • Account Administrator-Small Group

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** ... is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
    Medical Mutual of Ohio (07/25/25)
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  • Care Coordinator, RN Field Based

    Humana (Goshen, IN)
    …other care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers ... for the people we so proudly serve. * Health Insurance begins on day one! * 23 days of...and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary… more
    Humana (06/18/25)
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  • Provider Contract Manager

    Medical Mutual of Ohio (Dublin, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Under general ... is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
    Medical Mutual of Ohio (07/15/25)
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