• Health Plan Product Manager

    Sanford Health (Dickinson, ND)
    …to the work of health and healing across our broad footprint.** **Facility:** Remote ND (Dickinson) **Location:** Dickinson, ND **Address:** **Shift:** 8 Hours - Day ... Hours:** 40.00 **Salary Range:** $37.50 - $62.00 **Job Summary** The Product Manager will lead the ongoing analysis, planning, and management of their respective… more
    Sanford Health (12/23/25)
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  • 100% Remote Medicare Coverage…

    Actalent (Kansas City, KS)
    Job Title: Medicare Coverage Analyst Job Description We are seeking a knowledgeable Medicare Coverage Analyst with expertise in a broad range of trials, ... managing assignments to third-party vendors, ensuring that all relevant Medicare policies are adhered to and that thorough evaluations...in budget reporting. Work Environment This position is 100% remote , allowing you to work from the comfort of… more
    Actalent (01/14/26)
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  • Manager , Medicare Compliance

    Medical Mutual of Ohio (OH)
    …office in Brooklyn, OH. However, the role is open to considering candidates who are remote as long as they live within the state of Ohio._** Founded in 1934, Medical ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
    Medical Mutual of Ohio (12/23/25)
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  • Senior Manager , Medicare Sales…

    Humana (Chicago, IL)
    …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of the market they… more
    Humana (12/30/25)
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  • Senior Project Manager , Healthcare…

    Humana (Trenton, NJ)
    …first** Humana Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business area (non-IT) within Humana. This ... scope in the IT implementation activities. This is NOT a traditional Project Manager role. The Senior Implementation Business Project Manager will serve as… more
    Humana (01/16/26)
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  • Manager , Medicare Claims

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** The Manager , Medicare Claims, oversees end-to-end claims services for provider segments, meeting business goals. This role sets performance ... procedural changes which will result in improved customer satisfaction. + Serve as Medicare Claims Subject Matter Expert and single point of contact for performance… more
    BlueCross BlueShield of North Carolina (01/12/26)
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  • Medicare Sales Field Agent - CarePlus…

    Humana (St. Petersburg, FL)
    …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
    Humana (01/14/26)
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  • Senior Medicaid & Medicare Reimbursement…

    OhioHealth (Columbus, OH)
    …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
    OhioHealth (12/25/25)
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  • Pharmacist - Clinical Pharmacist Advisor…

    US Tech Solutions (May, OK)
    …determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager (PBM) **Skills:** + MUST HAVE MANAGED CARE exp ... **Location: Remote ** **Duration: 6+ months contract** **Shift: Monday-Friday 9:30am-6pm...experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit more
    US Tech Solutions (10/30/25)
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  • Lead - Medicaid and Group Medicare Project…

    CenterWell (Santa Fe, NM)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    CenterWell (01/07/26)
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