• Remote Cantonese Bilingual Member Engagement…

    BeneLynk (Charlotte, NC)
    …+ Meet production/departmental goals by answering inbound/outbound calls to screen Medicare Advantage plan members to determine pre-eligibility ... role will include making and fielding calls to help Medicare and Medicaid Managed Care Plan Members...life. Preference for candidates who have some background in sales or other attributes such as collections and telemarketing.… more
    BeneLynk (07/29/25)
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  • Organization Effectiveness Lead

    CenterWell (Dover, DE)
    …cross-functional initiatives. + Strong understanding of the senior healthcare industry, particularly Medicare Advantage and value-based care. + Must be a ... lead generation to closed-won. + Lead and drive strategic sales enablement initiatives focused on Original Medicare ,...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
    CenterWell (08/02/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Blue Bell, PA)
    …to ensure comprehensive and accurate diagnosis coding for risk adjusted government programs ( Medicare Advantage , ACA business, and Medicaid). Also work with Care ... for risk revenue management for all government program products (commercial ACA, Medicare , and Medicaid). Establishes the strategic direction for the Risk Revenue… more
    Highmark Health (07/30/25)
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  • Regional Vice President (RVP) Provider Solutions…

    Elevance Health (Norfolk, VA)
    …trends throughout Virginia, positively impacting the affordability of respective Medicaid and Medicare Advantage health plan products. + Develops new ... is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group insurance plans in Colorado,… more
    Elevance Health (07/25/25)
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  • Pharmacy Operations Clinical Pharmacist Manager

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …activities to ensure that all Commercial (Pharmacy and Medical benefits) and Medicare Advantage Part D coverage determination requests are processed ... to internal partners including but not limited to Member Service, Medicare Operations, Compliance, Legal, Medical Directors, Sales /Marketing/Product and external… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
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  • Salesforce Operations Administrator

    Henry Ford Health System (Troy, MI)
    Responsible for assisting with all Salesforce initiatives for the Medicare Advantage line of business from the scoping phase through mapping and overall ... and propose business requirements; serve as operational business unit SME for the Medicare sales Operations and Retention team; attend daily stand-up meetings,… more
    Henry Ford Health System (07/10/25)
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  • Field Marketing Executive - Kansas

    Humana (Paola, KS)
    …role. **Preferred Qualifications:** + Master's Degree + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional ... plays a crucial role in driving lead generation and supporting the local sales team through grassroots marketing, community outreach, and event execution. The Field… more
    Humana (08/01/25)
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  • Head of Data Science and Analytics

    WTW (Fort Lee, NJ)
    …a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... product categories and cross-functional stakeholders in the finance, marketing, sales , compliance, and account teams. DSA provides value-creating solutions across… more
    WTW (06/11/25)
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  • Triage And Enrollment Coordinator

    TEKsystems (Woodland Hills, CA)
    Description The Triage & Enrollment Coordinator is a member of the Medicare Sales Team and responsible for successfully triaging calls enrolling prospects and ... Enrollment Coordinator is an extended team member of the sales team and works on a regular basis with...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
    TEKsystems (08/02/25)
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  • IT Support

    WTW (Raleigh, NC)
    …a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... of analysts, writers, engineers, designers, business leads, data scientists and sales professionals all work together to create thoughtful, data-driven and effective… more
    WTW (08/02/25)
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