- AmeriHealth Caritas (Detroit, MI)
- …Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Supervisor, Medicare LTSS Operations is responsible for ensuring and improving the ... performance, productivity and efficiency of Medicare LTSS Care Coordination Operations. Under the supervision of...Under the supervision of the Manager LTSS, the Supervisor, Medicare LTSS Operations is responsible to provide operational oversite… more
- 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
- 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
- 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
- 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
- Highmark Health (Charleston, WV)
- …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
- CVS Health (KS)
- …do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant** is a compliance role that supports the compliance program ... activities and deliverables of a Medicare managed care organization. In partnership with - and...and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position… 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
- Humana (Miami Lakes, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...**Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental,… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
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