• Executive Director, CFO - Aetna Medicare

    CVS Health (Hartford, CT)
    …all with heart, each and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial ... + Serve as the chief financial partner to the Medicare Part D and Medicare Supplement business leadership teams. + Translate enterprise strategy into… more
    CVS Health (11/22/25)
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  • Medicare Billing Specialist

    Insight Global (Pleasanton, CA)
    Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for the ... accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with Medicare more
    Insight Global (11/21/25)
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  • Director, Actuarial Services - Medicare

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** Join our team as Director, Actuarial Services - Medicare Pricing and lead our Medicare pricing function for all Blue Cross NC Medicare ... a team of actuaries responsible for pricing, forecasting, and strategic support of Medicare Advantage, Medicare Supplement, and Part D (PDP) products. + Oversee… more
    BlueCross BlueShield of North Carolina (11/07/25)
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  • Medicare Advantage Quality Consultant

    Highmark Health (Buffalo, NY)
    …models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office ... based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value… more
    Highmark Health (11/06/25)
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  • Sr. Medicare (PPS) Provider Hospital…

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer ... Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to… more
    Humana (10/18/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...Medicaid Services (CMS) and company policies and regulations. The Medicare MAP advisor will develop a presence in the… more
    Centers Plan for Healthy Living (10/14/25)
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  • VP Government Programs - Medicare & Managed…

    Prime Therapeutics (Salem, OR)
    …every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government ... Programs - Medicare & Managed Medicaid is responsible for the development,...of strategic plans that advance Prime's position in the Medicare space. This position has accountability for the … more
    Prime Therapeutics (10/08/25)
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  • Manager, Medicare Compliance

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. This position is ... responsible for leading the implementation and day-to-day management of Medical Mutual's Medicare Compliance Program, which supports both Medicare Advantage and … more
    Medical Mutual of Ohio (09/23/25)
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  • Executive Director, Medicare Part D…

    CVS Health (Hartford, CT)
    …And we do it all with heart, each and every day. Executive Director, Medicare Part D Strategy leader will lead the development and advancement of the organization's ... strategy for Medicare Part D, spanning both the Part D portion of Medicare Advantage-Prescription Drug plans (MA-PD) and standalone Prescription Drug Plans… more
    CVS Health (11/22/25)
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  • Senior Manager, Corporate Compliance…

    CVS Health (Downers Grove, IL)
    …analytical and communication skills to support, manage and develop and execute Medicare and Medicaid compliance programs and processes that promote compliant and ... with internal senior level corporate compliance and business teams that operate Medicare Advantage in a highly complex regulatory environment and highly matrixed… more
    CVS Health (11/21/25)
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