- Humana (Miami Lakes, FL)
- …**Use your skills to make an impact** **Required Qualifications** + **Active Health Insurance License** required. + **Must reside in** **Miami-Dade County.** ... on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . + Prior experience **selling Medicare products**… more
- Health Care Service Corporation (Chicago, IL)
- …bids. **Required Job Qualifications:** + Bachelor degree and 6 years experience in health care, health insurance , or strategic consulting environment OR ... that will invest in your professional development. **Job Summary** The Medicare Advantage Bid Optimization Principal Divisional Strategy Consultant will support MA… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue… more
- BrightSpring Health Services (Bowling Green, KY)
- …or experience with direct sales and accountmanagement preferred. + Tennessee/Kentucky State Health Insurance License required. + Experience working with the ... and account management experience, a KY or TN State Insurance License (or willingness to quickly get one), and...Abilis Health Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan… more
- Southeast Health (Dothan, AL)
- …Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job ... of support services in connection to the day-to-day operations in a health care environment; + Maintains working knowledge of regulatory guidelines for billing;… more
- CVS Health (Austin, TX)
- …**Required Qualifications** + 5+ years of work experience supporting business processes in the health or drug insurance industry. + 5+ years of work experience ... At CVS Health , we're building a world of health...each and every day. **Position Summary** Located within the Medicare Stars Program Management team, in this individual contributor… more
- University of Southern California (Los Angeles, CA)
- …with health data, including large administrative healthcare claims data from Medicare or private health insurance plans. Experience with HCPCs, ... existing programs under one umbrella-the Leonard D. Schaeffer Center for Health Policy & Economics (https://healthpolicy.usc.edu/) and the Leonard D. Schaeffer… more
- Elevance Health (AR)
- Provider Network Management Director ( Medicare Network Build) JR167138 **Preferred Location** : Commuting distance to the Little Rock, Arkansas office. **Hybrid 2:** ... through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital-based… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …recommendations to inform effective member and provider outreach strategies to improve health care outcomes and consumer experience among Medicare population. + ... member of the Government Programs Star Performance team, the Medicare Stars Analyst provides ongoing analytic support to the...analytic support to the development and execution of the health plan's best in class 5-star strategy. In collaboration… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Washington DC or any state in the US (except Hawaii).** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed ... analysis indicates which medical procedures/services maybe 'Routine Cost' and billable to patient insurance and which should be billed to the study sponsor. The … more