- MVP Health Care (Schenectady, NY)
- Leader, Medicare Field Sales Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2531 Tuesday, April 8, 2025 At MVP Health ... improvement. To achieve this, we're looking for a **Leader, Medicare Field Sales** to join **\#TeamMVP** . This is...adheres to CMS regulations and corporate compliance policies. + Review applications in CRM (Dynamics 365) to ensure data… more
- Humana (Oklahoma City, OK)
- …caring community and help us put health first** Are you passionate about the Medicare population, looking for a role in management with the ability to directly ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales motivates and drives a team of ...protection. Please be aware that applicants selected for leader review may be asked to provide their social security… more
- University of Rochester (Rochester, NY)
- …sterilization/hysterectomy consent form for compliance if missing from EMR. + Compliance + Review Medicare for MSP questions and validations. + Ensure compliance ... missing PCP, and incorrect effective dates for newborn and NICU cases. + Review each Maternity admission for insurance history by utilizing the hospital system along… more
- Humana (Morganton, NC)
- …exceed 118K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability ... as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health plan products...protection. Please be aware that applicants selected for leader review may be asked to provide their social security… more
- Select Medical (Canonsburg, PA)
- …**Responsibilities** + Review and manage open secondary claim balances where Medicare is the primary or secondary payer. + Investigate claims overdue by 60 ... **Overview** **Secondary to Medicare Account Representative** **Location:** Canonsburg, PA | **Company:**...Medical / NovaCare Rehabilitation is hiring a Secondary to Medicare Account Representative to join our dynamic and fast-paced… more
- Fallon Health (Worcester, MA)
- …in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare benefits, including prescription ... be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Learn more...providers and office staff and may lead care plan review with providers and care team as applicable +… more
- UCLA Health (Los Angeles, CA)
- Description As the Program Manager of Medicare Advantage Marketing, you will provide tactical support for implementing innovative marketing strategies and plans for ... New Century Health Plan's Medicare Advantage Growth Office. This position will play a...vendors to create effective marketing solutions. + Oversee the review and approval process for all prospect, member, and… more
- USAA (San Antonio, TX)
- …seeking a talented **Life Special Investigations Unit Investigator I (Mid-Level)** to review , analyze, and investigate life, health, and annuity claims to ensure ... and other agencies as appropriate. As a Mid-Level Life SIU Investigator for ** Medicare Supplement Fraud, Waste, and Abuse** you will support the Life Special… more
- Molina Healthcare (Dayton, OH)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate...to practice and free of sanctions from Medicaid or Medicare . **PR** **E** **FE** **R** **RED ED** **U** **C**… more
- CVS Health (Albany, NY)
- …will play an instrumental role in helping to strengthen our Medicare Telesales organization. Our Implementation Manager will be responsible for coordinating ... further optimization, analyze progress of initiatives to implementation, coordinate routine review of business processes and suggest new strategizes based on risk… more
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