• Principal Risk Adjustment Healthcare Analyst

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …data analysis. This roleleveragesdeepexpertiseinRiskAdjustment and healthcare data-primarily Medicare Advantage , Medicaid, and ACA Commercial-identifyingtrends ... have experience inRiskAdjustment methodologies, clinical coding, and healthcare programs ( Medicare Advantage , Medicaid, ACA Commercial), as well asproficiencyin… more
    Blue Cross and Blue Shield of Minnesota (12/22/25)
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  • Senior Analyst, Plan Sponsor

    CVS Health (Hartford, CT)
    …Sponsor Liaison [PSL] will serve as the Single Point of Contact for Aetna Medicare Advantage servicing to our Plan Sponsors human resources personnel [their ... administration matters as the single point of contact to provide swift resolution. + Develops complex customer service account...of Hartford, Connecticut** + 3 years experience in Group Medicare Business and Medicare Advantage more
    CVS Health (12/06/25)
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  • Medical Assistant

    CenterWell (Clarksville, IN)
    …administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage , value-based arrangements or other Medicare programs. ... health and pharmacy. Launched in spring 2021, CenterWell creates experiences that provide patients with ease, comprehensive care and a personal approach. By placing… more
    CenterWell (11/25/25)
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  • Counsel

    WTW (Philadelphia, PA)
    …health plans; and (ii) assist retirees in enrolling in individual health products, such as Medicare Advantage , Medicare Supplement, Medicare Part D and ... to join the WTW legal team. The candidate will provide general legal advice and contracting support, primarily to...may also have knowledge of ERISA, state insurance laws, Medicare , and/or experience in the employee benefits or health… more
    WTW (01/03/26)
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  • Home Health Operations Director

    Presbyterian Homes and Services (Roseville, MN)
    …knowledge of regulatory compliance in the field. * Knowledge of reimbursement under Medicare , Medicare Advantage , commercial payers, and private duty. * ... for all operations, licensure compliance, survey readiness, and regulatory reporting. * Provide direct oversight of daily operations for Home Health, outpatient, and… more
    Presbyterian Homes and Services (12/30/25)
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  • Paneled Nurse Practitioner

    CenterWell (Anderson, SC)
    …be required to be screened for TB. **Preferred Qualifications** + Experience managing Medicare Advantage panels of patients with understanding of best practice ... moderate to substantial. **Overview:** We are a value-based care provider focused on quality of care for the patients...our team-based care environment. Our approach allows us to provide an unmatched experience for seniors. Our model is… more
    CenterWell (12/31/25)
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  • Senior Utilization Review Medical Director

    Integra Partners (Troy, MI)
    …plan medical director + Experience with DMEPOS UM programs, MLTC, Medicaid, or Medicare Advantage + Experience chairing or participating in UM, Credentialing, or ... include but are not limited to: Clinical Leadership & Oversight + Provide day-to-day clinical leadership and oversight to the Utilization Review Medical Director(s)… more
    Integra Partners (12/03/25)
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  • Executive Director, Chief Actuary

    Banner Health (Phoenix, AZ)
    …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools ... (BHN) is an accountable care organization that joins Arizona's largest health care provider , Banner Health, and an extensive network of primary care and specialty… more
    Banner Health (11/22/25)
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  • Coding Educator

    CenterWell (Tallahassee, FL)
    …PCO has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned … more
    CenterWell (01/02/26)
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  • Market Sales Manager

    ChenMed (St. Louis, MO)
    …+ Direct-to-patient sales and marketing experience preferred. + Experience within the Medicare Advantage population strongly preferred. Experience working for a ... of leading the team including, but not limited to, selection, onboarding, performance management, and engagement. + Manages, coaches, and provides training to… more
    ChenMed (12/02/25)
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