• AdaptHealth LLC (Orlando, FL)
    …attention to patient care issues. * Maintains working knowledge of Medicare /Medicaid and other third-party payer guidelines related to ventilation. * Electronically ... documents patient care activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards. * Appropriate steps taken to ensure recommendations and orders sent are acknowledged and… more
    Get It 2025 (11/25/25)
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  • Rutland Regional Medical Center (Rutland, VT)
    …disorders. Including ability to complete swallow function studies. * Knowledge of Medicare and other third party payor requirements. * Training in voice evaluation ... and treatment (including pre and post op laryngectomies). * Training in Lee Silverman Voice therapy (preferred). * Training in Vital Stim therapy (preferred). * Basic Microsoft Windows desktop application and navigation skills. Pay Range = $40.66 - $60.09… more
    Get It 2025 (11/25/25)
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  • 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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