- Fallon Health (Worcester, MA)
- **Overview** **About Fallon Health :** Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. ... For 45 years we have been improving health and inspiring hope in the communities we serve....with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider… more
- Walworth County (Elkhorn, WI)
- …and assistance with set-up/planning as needed. Perform home visits to home bound consumers regarding SeniorCare or Medicare Part D issues, including ... Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply ...Elkhorn, WI Job Type Casual Job Number 2021-00139 Department Health & Human Services Division Aging & Disability Resource… more
- Fallon Health (Worcester, MA)
- …working with a diverse population, that may also be Non-English speaking, required + Home Health Care experience preferred **Fallon Health provides equal ... Medicare benefits, including prescription drug coverage. At Fallon Health , we believe our individual differences, life experiences, knowledge, self-expression… more
- Humana (St. Augustine, FL)
- … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... our consumers. **_Face to face interactions in prospective members' home are a requirement for this position._** **Use your...help people with Medicare , or both Medicare and Medicaid, achieve their best possible health… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Are you passionate about the Medicare population, looking for a role in management with ... Medicare Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health...provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work… more
- Humana (Warrenton, MO)
- …field sales community events, as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health plan products and educate ... part of our caring community and help us put health first** Total compensation package (base pay +commission with...on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
- Humana (Topeka, KS)
- … first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
- Molina Healthcare (Dayton, OH)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services… more
- UPMC (Pittsburgh, PA)
- …assessments that include the medical, behavioral, pharmacy, and social needs of the member. Review UPMC Health Plan data for services the member has received and ... care coordination? Check out this fantastic new opportunity! UPMC Health Plan is hiring a full-time Telephonic Care Manager...hiring a full-time Telephonic Care Manager to support the Medicare line of business within the Allegheny Care Management… more
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