• Utilization Management Manager, Medicare…

    UCLA Health (Los Angeles, CA)
    …can do all this and more at UCLA Health . As a Manager for Medicare Advantage Utilization Management , you'll provide direct management to a team of UM ... coordinators and nurses. You'll work closely with Medicare Advantage leadership to plan , execute, and manage..., and concurrent review ACM/CCM preferred + Knowledge of Health Plan , DMHC, CMS, HIPPA and NCQA… more
    UCLA Health (03/04/25)
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  • Medicare Advantage - Contact Center…

    UCLA Health (Los Angeles, CA)
    …of Medicare Advantage program rules, regulations, preferred + Working knowledge of health plan processes such as eligibility verification and health ... This role will be responsible for supporting the day-to-day management of the Medicare Advantage department. You...working knowledge of Microsoft Excel, PPT, and Word UCLA Health welcomes all individuals, without regard to race, sex,… more
    UCLA Health (04/09/25)
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  • Medicare Advantage Risk Adjustment…

    UCLA Health (Los Angeles, CA)
    …with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve health plan goals and KPIs + Presenting and managing all risk adjustment ... Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will...programs offered by the health plan + Act as a consultant… more
    UCLA Health (04/24/25)
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  • Pharmacy Benefits Specialist - Full Time…

    Henry Ford Health System (Rochester Hills, MI)
    …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... Exciting opportunity to join Henry Ford Health as a Pharmacy Benefits Specialist. Make an...an impact on patient care and contribute to Pharmacy Advantage success. GENERAL SUMMARY: Eligible for $2,500 Sign on… more
    Henry Ford Health System (04/30/25)
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  • Senior Actuary - Medicare Advantage

    CVS Health (Chicago, IL)
    At CVS Health , we're building a world of health...seeking a Senior Actuary to join the Group Medicare Advantage Actuarial team to assist with Part C pricing. ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
    CVS Health (04/20/25)
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  • Overland Advantage Product Specialist

    Wells Fargo (Los Angeles, CA)
    …for an overview of the following benefit plans and programs offered to employees. + Health benefits + 401(k) Plan + Paid time off + Disability benefits + ... **About this role:** Wells Fargo is seeking an Overland Advantage Product Specialist (Principal Strategic Investment Specialist) who will cultivate strong internal… more
    Wells Fargo (04/19/25)
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  • Inside Sales Representative

    Advantage Pro Services (Houston, TX)
    Company Overview At Advantage Pro Services, we foster a culture built on continuous learning, communication, and teamwork at every level of our organization. Our ... ensuring proper documentation of interactions. + Quoting and Agreement Management : Provide quotes for designated services, including Gutter Cleaning, Window… more
    Advantage Pro Services (02/13/25)
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  • Safety Manager with Clearance

    Advantage SCI (Washington, DC)
    …will assist our government customer in the implementation of a comprehensive Occupational Health and Safety program, responsible to plan , and evaluate the safety ... Federal Occupation of Health , etc.). concerning environmental health and safety issues and advise management ...to 15 pounds occasionally. Noise level: Low to moderate Keyword: Health and Safety Specialist From: Advantage more
    Advantage SCI (02/21/25)
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  • Medicare Sales Account Representative

    BrightSpring Health Services (Nashville, TN)
    Advantage , an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) ... Overview Seeking an Account Representative for our Signature Advantage Plan who will work with senior...With a dedicated nurse practitioner leading a personalized care plan , we strive to improve the health more
    BrightSpring Health Services (04/03/25)
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  • Health Solutions Assistant Vice President…

    AON (New York, NY)
    …producers and account executives to secure new client relationships as well as the management of ongoing US health and benefits client relationships and delivery ... sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-LR1 #LI-HYBRID 2561227 Health...to secure new client relationships as well as the management of ongoing US health and benefits… more
    AON (05/01/25)
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