- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures sales success. This position is responsible for cultivating and ... brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, and internal regulations. This highly… more
- Erickson Living (Tinton Falls, NJ)
- …We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The HIRM is the professional insurance resource to ... matters pertaining to the Erickson Advantage Health Plan and insurance matters in general. Erickson Advantage, the health plan...5 out of 5 stars from the Centers for Medicare and Medicaid Services, for 6 consecutive years. This… more
- Bozeman Health (Bozeman, MT)
- …Credit Balance Analyst is responsible for processing refunds for third party insurance , Medicare , Medicaid, and Government-Assisted Programs; for both hospital ... will also be responsible for incoming refund request letters from the insurance company. Candidate will be responsible to research and validate refund request.… more
- Humana (San Juan, PR)
- …represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare members. The Call Center Representative 2 strives to provide the ... applying to other Humana opportunities outside of Individual or Group Medicare . **Required Qualifications** + **Must** **currently** **reside in Puerto Rico.** +… more
- Humana (Concord, NH)
- …a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app hydrated via ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Centene Corporation (Charleston, WV)
- …ASA designation and are looking to continue growing their actuarial career in ** Medicare financial forecasting, actuarial analyses, and bid support** . **ASA or FSA ... preferred for bid certification eligibility. **Position Purpose:** Produce quarterly Medicare financial forecasts. Conduct analysis, pricing and risk assessment to… more
- Centene Corporation (Trenton, NJ)
- …Purpose:** Responsible for the growth and performance of the assigned Medicare region to meet membership, pre-tax earnings, quality, network performance, provider ... and external stakeholders to become a thought leader in support of the Medicare product in the local market communities. + Identify the appropriate strategic… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …your true colors to blue. The Role The Clinical Pharmacist, Medicare Clinical Programs is responsible for providing comprehensive medication management services ... support care management with identifying and resolving drug-related problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in… more
- Centene Corporation (Clayton, MO)
- …will provide Executive Assistant support to the Chief Executive Officer of Medicare leader. Responsible for leading and providing executive level support for the ... Chief Executive Officer of Medicare in partnership with multiple internal partners to ensure...offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid… more