• Case Manager, RN ( Medicare - Multiple…

    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
    Excellus BlueCross BlueShield (11/26/25)
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  • Clinical Pharmacist, Medicare Clinical…

    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
    Blue Cross Blue Shield of Massachusetts (11/19/25)
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  • Provider Network Management Director…

    Elevance Health (AR)
    Provider Network Management Director ( Medicare Network Build) JR167138 **Preferred Location** : Commuting distance to the Little Rock, Arkansas office. **Hybrid 2:** ... Primary focus of this role is contracting and negotiating contract terms for ** Medicare , Medicaid,** and **ACA programs** . Deals with primarily the most complex… more
    Elevance Health (10/30/25)
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  • Pharmacy Support Associate, Medicare

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …work collaboratively with Pharmacists to provide high-touch, concierge-level pharmacy services to Medicare members. This role focuses on outreach to members who have ... Education and Experience: + Minimum 2-3 years of customer/member service experience + Medicare Part D and/or Pharmacy experience preferred + BS/BA or AS/AA degree in… more
    Blue Cross Blue Shield of Massachusetts (11/19/25)
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  • Health Plan Product Manager - Medicare

    Sanford Health (MN)
    …teams to assess market opportunities, determine financial viability, and evaluate sales potential. Maintains a strong understanding of marketing strategies including ... mobile applications, social media, and SEO/SEM to support the Health Plan's digital engagement and overall marketing outreach efforts. Participates in and leads cross-functional initiatives that support Product Development goals, including product performance… more
    Sanford Health (09/23/25)
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  • Pharmacist

    Fresh Encounter (Anderson, IN)
    …+ Following recall protocol + Comply with the legal requirements for pseudoephedrine sales + Comply with Medicare Durable Medical Equipment (DME) guidelines + ... Medical Education (CME) Fraud, Waste, and Abuse + Properly documenting requirements for Medicare Durable Medical Equipment (DME) + Maintaining a safe and clean work… more
    Fresh Encounter (10/05/25)
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  • Account Executive Healthcare / Sales

    Fallon Health (Lowell, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:** ... This position requires that the employee achieves personal referral/ sales /outreach and program goals for the Summit ElderCare PACE program. The employee will manage… more
    Fallon Health (11/04/25)
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  • Senior National Account Sales Lead…

    Nestle (Bridgewater, NJ)
    …and grow referral sources. * Collaborate with cross-functional teams including sales , marketing, legal/compliance and medical affairs to align strategies with ... Minimum of 7+ years in healthcare business to business sales with at least five years in national or...the HME/DME market and reimbursement processes, including Medicaid, Traditional Medicare , Medicare Advantage and value based care.… more
    Nestle (11/18/25)
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  • Sales and Community Liaison

    BrightSpring Health Services (Bowling Green, KY)
    …Plan Overview * Abilis Health Plan was formerly Signature Advantage* Our Sales and Community Liaison is a relationship-driven field representative supporting growth, ... educational and social events to promote the plan. . Sales Support & Communication o Collaborate with assigned Account...Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original… more
    BrightSpring Health Services (10/31/25)
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  • Specialty Sales Representative, Immunology

    Grifols Shared Services North America, Inc (Albany, NY)
    …than 110 countries and regions. Overview: Primary responsibility of the Specialty Sales Representative (SSR) is to represent the Grifols plasma portfolio with ... appropriate) and collaborating with key opinion leaders. Position requires strong sales and clinical expertise, business acumen and stakeholder relationships. The… more
    Grifols Shared Services North America, Inc (11/27/25)
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