- HCA Healthcare (Nashville, TN)
- …individual is recognized. Submit your application for the opportunity below: Medicare SpecialistParallon **Benefits** Parallon, offers a total rewards package that ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Medicare Specialist for our team to ensure that we continue to provide all… more
- Adecco US, Inc. (Cumberland, RI)
- …and revalidation payer enrollment applications for clinics and providers + Maintain compliance with Medicare , Medicaid, and commercial payer credentialing + ... credentialing, payer enrollment, or medical billing + Knowledge of Medicare and Medicaid compliance requirements + Ability...billing + Knowledge of Medicare and Medicaid compliance requirements + Ability to manage multiple deadlines and… more
- CNO Financial Group (Carmel, IN)
- …and location. This position is bonus eligible.** The Account Representative - Medicare Advantage Account Representatives is responsible for working with internal and ... external team members in managing our Medicare Advantage carrier relationships and distribution of their products....to internal teams and third-party carriers. + Monitor CMS compliance activities and carrier processes to ensure adherence to… more
- BlueCross BlueShield of North Carolina (NC)
- …complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** + Analyzes necessary documentation, ... coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses all resources...Medicaid Services (CMS). + Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category… more
- Humana (Juneau, AK)
- …looking for a DOD SkillBridge Internship opportunity? Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... and certification to allow you the ability to sell Medicare plans. Our training program will provide you with...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Healthfirst (NY)
- …of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing ... review of the website with business owners and ensures compliance with regulatory requirements specific to annual Go to...deliverables as needed. + Assists in the preparation of Medicare Part C and D reporting via HPMS, including… more
- Molina Healthcare (Phoenix, AZ)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- Humana (Salt Lake City, UT)
- …our caring community and help us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability to ... as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health plan products...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Providence (WA)
- **Description** **Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with serving as a** ... Program Manager will:** + Develop and implement strategies to improve Medicare Advantage Star Ratings, driving clinical quality indicators (HEDIS Star metrics),… more
- BrightSpring Health Services (Louisville, KY)
- …approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and standards. + Conduct ... facility rollout meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and staff. +… more