• Medical Director - National Medicare

    Humana (Carson City, NV)
    …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid,… more
    Humana (09/04/25)
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  • Medicare Billing Specialist

    Robert Half Accountemps (Fort Wayne, IN)
    Description Are you an experienced Medicare Billing Specialist with expertise in home health billing? Robert Half is assisting a valued client in Fort Wayne, ... Indiana, in finding a skilled professional to join their team . This is a temp-to-perm opportunity, providing the potential for long-term career growth with a… more
    Robert Half Accountemps (08/28/25)
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  • Medicare Field Sales Representative

    MVP Health Care (Schenectady, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a ** Medicare Sales Representative** to join #TeamMVP. This is the opportunity for you ... and celebrating diverse perspectives, backgrounds, and experiences within our team + Competitive compensation and comprehensive benefits focused on well-being… more
    MVP Health Care (09/05/25)
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  • Nurse Allocator Medicare

    Sedgwick (Richmond, VA)
    …MAY INCLUDE** + Contacts providers and attorneys to obtain clarification of documentation needed to support the preparation of Medicare Set-Aside allocations. ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Nurse Allocator Medicare **PRIMARY PURPOSE OF THE ROLE:** To perform provider outreach, specialized… more
    Sedgwick (08/29/25)
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  • Medicare Service Advocate

    CVS Health (Phoenix, AZ)
    …Advocacy Center. The Member Advocacy Center (MAC Team ) is an elite team in Medicare Stars that conducts various high touch omnichannel outreach campaigns ... benefit usage and education, and claims, including but not limited to; medical , dental, prescriptions, and value-added items and services. The service advocate will… more
    CVS Health (08/31/25)
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  • Medicare Biller

    TEKsystems (Baltimore, MD)
    TEKsystems is hiring a Medicare Biller to work for a client located in the Baltimore, Maryland area. These positions will offer an ONSITE schedule for both training ... and normal shift. Qualifications -Must have at least 2-3+ years of Medicare Billing experience -Must have knowledge of claim submission/denials process -EPIC… more
    TEKsystems (09/05/25)
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  • Manager, Senior Health Clinical Quality…

    Amazon (San Francisco, CA)
    …Quality, this role will be responsible for clinical quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ... We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical . Reporting directly to the National Leader for Clinical… more
    Amazon (08/27/25)
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  • Un-Licensed Medicare Telesales Supervisor-…

    BroadPath Healthcare Solutions (Kapolei, HI)
    …**Lead With Purpose - Make an Impact in Healthcare Sales** **Telesales Supervisor - Medicare Sales Team ** **Location: The Hive, powered by BroadPath in Kapolei, ... leadership skills to the next level? Join our growing team as a Telesales Supervisor based out of The...of licensed sales agents who help consumers enroll in Medicare Advantage and Prescription Drug Plans. This is your… more
    BroadPath Healthcare Solutions (08/14/25)
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  • Provider Service Rep (Commercial…

    TEKsystems (Rochester, NY)
    TEKsystems' client in the Rochester, NY area is hiring 30+ commercial and medicare insurance customer service agents on a contract basis. This will be a 100% remote ... wrap times and take notes during calls for accurate documentation + Continuously develop understanding of all lines of...customer service or call center environment + Familiarity with Medicare and commercial insurance is a plus + Ability… more
    TEKsystems (09/04/25)
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  • Appeals Analyst - Medicare

    BlueCross BlueShield of North Carolina (NC)
    …to process appeals, coding disputes and grievances. Ensure timeliness, accurate documentation , and efficiency in all work to comply with applicable legislative ... + Analyze, interpret, and explain health plan benefits, policies, procedures, medical terminology, coding and functions to members and/or providers. + Regularly… more
    BlueCross BlueShield of North Carolina (09/05/25)
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