• Director, Actuarial Services - Medicare…

    BlueCross BlueShield of North Carolina (NC)
    …Valuations, Client Management, Data Interpretations, Finance, Finance Strategy, Financial Modeling, Health Insurance , Leadership, Medicare Advantage, ... Description** Join our team as Director, Actuarial Services - Medicare Pricing and lead our Medicare pricing...products and demonstrates a broad knowledge base of the health insurance industry. **What You'll Do** +… more
    BlueCross BlueShield of North Carolina (11/07/25)
    - Related Jobs

  • Medical Director, Nat'l OP Medicare

    Humana (Atlanta, GA)
    …review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... part of our caring community and help us put health first** The Medical Director relies on medical background...and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will… more
    Humana (11/07/25)
    - Related Jobs

  • Account Rep, Medicare

    Molina Healthcare (Essex, MA)
    …2+ years Medicare , Medicaid, managed care or other health / insurance related sales experience **Required License, Certification, Association** Active, ... increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients...unrestricted Life & Health (Disability) Agent license **Preferred Education** AA degree **Preferred… more
    Molina Healthcare (11/24/25)
    - Related Jobs

  • Specialist, Community Engagement Medicare…

    Molina Healthcare (Oshkosh, WI)
    …SKILLS & ABILITIES:** 2+ years Medicare , Medicaid, managed care or other health / insurance related sales experience To all current Molina employees: If you ... for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved… more
    Molina Healthcare (10/12/25)
    - Related Jobs

  • Counsel

    WTW (Philadelphia, PA)
    … laws, Medicare , and/or experience in the employee benefits or health insurance industries. The candidate must be comfortable working directly with ... prior in-house experience a plus but not required. + Employee benefits, Medicare , health insurance , ERISA and/or regulatory background preferred. + Strong… more
    WTW (11/18/25)
    - Related Jobs

  • Medicare Outside Sales - Spanish Required

    Fallon Health (Springfield, MA)
    …and inspiring hope_ , we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the ... Medicare benefits, including prescription drug coverage. At Fallon Health , we believe our individual differences, life experiences, knowledge, self-expression… more
    Fallon Health (11/17/25)
    - Related Jobs

  • Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Washington, DC)
    …you will provide balanced comprehensive, information and analysis of complex policies regarding Medicare , Medicaid, and private health insurance programs and ... Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare... Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation, Office… more
    Centers for Medicare & Medicaid Services (11/22/25)
    - Related Jobs

  • Program Area Director - Applied Health Care…

    NORC (Washington, DC)
    …supporting publications, presentations, and successful evaluation projects. + Policy expertise in Medicare , Medicaid, and private health insurance - ... on research design, methodology, data analysis, and interpretation for Medicare and Medicaid demonstration evaluations and health ...include, but are not limited to: + Generously subsidized health insurance , effective on the first day… more
    NORC (11/14/25)
    - Related Jobs

  • Associate Actuary, Analytics/Forecasting

    Humana (San Juan, PR)
    …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing ... part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts...role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside… more
    Humana (11/05/25)
    - Related Jobs

  • Sr. Manager Compliance

    Serco (Herndon, VA)
    …matter expertise in federal health program implementation (particularly the Health Insurance Marketplace, Medicare , Medicaid and/or CHIP), program ... and processes, or other federal health programs (such as Medicaid, Children's Health Insurance Program or Medicare ) and private health insurance … more
    Serco (11/25/25)
    - Related Jobs