- Corewell Health (Grand Rapids, MI)
- …the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare members to improve medication adherence to cholesterol, diabetic, ... Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist, will engage with Medicare ...understanding and improve member experience + Coordinate with other health plan staff to improve health outcomes.… more
- Highmark Health (Buffalo, NY)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and...of user interfaces, predicative analytic tools, and other population health management tools endorsed by Highmark. + Independently and… more
- CVS Health (Hartford, CT)
- …+ 12+ years of progressively responsible finance/actuarial/operational leadership experience in health insurance or healthcare consulting, with at least 2+ ... At CVS Health , we're building a world of health...and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is… more
- CVS Health (Albany, NY)
- … in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health 's unrivaled ... the management and organization of plan activities at the health plan as it relates to the Medicare...internal and external clients is required. + Knowledge of insurance regulatory and contractual requirements. + Knowledge of value… more
- Humana (Helena, MT)
- …or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice ... materials, internal teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage… more
- CVS Health (Pierre, SD)
- …MAPD/DSNP product offerings + Ability to pass, on an annual basis: + American Health Insurance Plans (AHIP) + Continued Education (CE's) + Product Certification ... an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part...1 to 2 years demonstrated sales experience + Active Health insurance license or willingness to obtain… more
- CenterWell (Boston, MA)
- …+ Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance . + ... or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- MVP Health Care (Schenectady, NY)
- …combination of education and related experience. + Active NYS Accident & Health Insurance License (must maintain continuous licensure). + Valid driver's ... At MVP Health Care, we're on a mission to create...continuous improvement. To achieve this, we're looking for a ** Medicare Field Sales Representative** to join #TeamMVP. This is… more
- Medical Mutual of Ohio (OH)
- …of Ohio._** Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....million Ohioans. We're not just one of the largest health insurance companies based in Ohio, we're… more
- McLaren Health Care (Flint, MI)
- …Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ ... We are looking for a Quality Administrator Medicare , to join us in leading our organization...Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of… more