- The Cigna Group (Bloomfield, CT)
- …position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial ... a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with...role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to;… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
- Molina Healthcare (St. Petersburg, FL)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid. This position will provide direct support to the implementation… more
- 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
- Centene Corporation (Queens, NY)
- …Initiatives (VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing ... end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level of knowledge of ... not listed above. + Planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In partnership with the Vice President of Corporate… more
- Wider Circle (Newark, NJ)
- …dynamic boutique insurance agency that's transforming the way people navigate their Medicare benefits! At Ask Claire, we are passionate about empowering underserved ... while growing your career in a thriving, impactful organization. Medicare Sales Representative At Ask Claire, a subsidiary of...communities through our "LOVE, LEARN, GROW" approach. As a Medicare Sales Representative, you'll play a vital role in… more
- Wider Circle (Los Angeles, CA)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....Specialist to join our fast-paced team to connect with Medicare beneficiaries and help them schedule appointments with our… more
- Actalent (Boston, MA)
- Senior Medicare Coverage Analyst As a Senior Medicare Coverage Analyst, you will mentor and train junior staff, ensuring their work aligns with the accuracy ... required in Medicare coverage analysis. You will serve as the expert on Medicare policies, specifically NCD/LCD, and create detailed coverage analyses for… more
- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Group Medicare Inbound Contact Representative 2 represents the company by addressing incoming telephone, ... digital, or written inquiries. The Group Medicare Inbound Contact Representative 2 performs varied activities and...of current associates have to say about the Group Medicare Inbound Contact Representative 2 position by clicking the… more
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