• Part-Time Inbound Call Rep - Hybrid/Remote - 20…

    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. ... insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care...in a number of different key area's such as; Sales and Marketing, Provider Relations, Care Services, Pharmacy and… more
    Fallon Health (08/20/25)
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  • Director, Network Contracting

    Point32Health (NH)
    …and experience working collaboratively with providers. + Preferred: 10-15 years of Medicare Advantage experience. Skill Requirements + Energetic, goal driven ... functions including risk adjustment, population health, finance, operations, actuarial, and sales . **Job Description** Key Responsibilities/Duties - what you will be… more
    Point32Health (08/07/25)
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  • Sr PM / Program Manager ( HealthCare Payer)

    Capgemini (Cincinnati, OH)
    …of **Program Manager / Sr Project Manager** - Markets and Growth portfolio Medicare Advantage / DSNP/ Medicaid or Exchange program/ product build knowledge ... up to 6% + Employee Share Ownership Plan + Medical, Prescription, Dental & Vision Insurance + Life Insurance + 100% Company-Paid Mobile Phone Plan + 3 Weeks… more
    Capgemini (08/30/25)
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  • Chief of Network Strategy & Management

    Providence (Portland, OR)
    …support the organization's objectives related to market expansion, particularly in Medicare Advantage , Commercial insured, and self-insured markets. + ... Plan with employer matching, health care benefits (medical, dental, vision), life insurance , disability insurance , time off benefits (paid parental leave,… more
    Providence (07/25/25)
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  • Bilingual Enrollment Specialist

    MVP Health Care (Fishkill, NY)
    …Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans ... Two or more years in a customer service or sales environment, with some experience in the health care...industry such as a hospital, medical office, or health insurance company + The ability to speak more than… more
    MVP Health Care (09/13/25)
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  • Bilingual Health Care Enrollment Specialist

    MVP Health Care (Albany, NY)
    …plans including Medicaid, Child Health Plus, Essential Plan, QHPs, HARP, Off-Exchange, Medicare Advantage , and D-SNP. **Qualifications you'll bring:** + Two plus ... years of customer service or sales experience, ideally in health care (hospital, medical office,...experience, ideally in health care (hospital, medical office, or insurance ). + Associate's degree or equivalent combination of education… more
    MVP Health Care (09/11/25)
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  • Senior Product Manager

    BlueCross BlueShield of North Carolina (NC)
    …of experience in related field **Bonus Points** + Strong understanding of Medicare Advantage regulatory environment. + Demonstrated experience supporting Dual ... to assure that product launches effectively, including the appropriate training, sales support, communications, and product positioning. + Responsible for SSBCI… more
    BlueCross BlueShield of North Carolina (09/10/25)
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  • RN Medical Policy Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …areas within BCBSMA. + Responsible for reviewing Local Coverage Determinations (LCD) for Medicare Advantage and identifying any code changes that impact edits. ... education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs… more
    Blue Cross Blue Shield of Massachusetts (08/19/25)
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