- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …or equivalent work experience. + 6-8 years of relevant experience, preferably in health insurance + Medicare Advantage and Prescription Drug Plan experience ... considerations and recommendations We're Looking for : + Excellent knowledge of Medicare Advantage risk adjustment programs and industry trends + Knowledge… more
- Humana (Olympia, WA)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance . + Experience with ... internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand… more
- Ochsner Health (New Orleans, LA)
- …managed care and public programs such as those funded by Medicare , Medicaid, Medicare Advantage , and commercial insurance plans. + Proficiency in using ... public programs such as those funded by Medicare , Medicaid, Medicare Advantage and commercial insurance plans. + Excellent psychotherapeutic skills. +… more
- CNO Financial Group (Carmel, IN)
- …and location. This position is bonus eligible.** The Account Representative - Medicare Advantage Account Representatives is responsible for working with internal ... and external team members in managing our Medicare Advantage carrier relationships and distribution of...+ 3 years of experience in account management. + Insurance Industry Certification desired and will be required. **What… more
- Providence (WA)
- **Description** **Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with serving as ... Quality Program Manager will:** + Develop and implement strategies to improve Medicare Advantage Star Ratings, driving clinical quality indicators (HEDIS Star… more
- WMCHealth (Warwick, NY)
- …+ Obtain Pre-Admission Authorizations and continued stay authorizations with Medicare , Medicare Advantage , Medicaid, and Insurance Programs. + Maintain ... other providers, regulatory agencies, billing agencies, and auditing agencies including Medicare , Medicaid, and third-party billers. + Scans, uploads, and files… more
- BlueCross BlueShield of North Carolina (NC)
- …of degree, 7+ years of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience + Extensive Medicare ... care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We're committed to better health and better health… more
- Trinity Health (Farmington Hills, MI)
- …clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information. Performs all follow-up functions which includes the ... and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting,… more
- WTW (Charlotte, NC)
- …direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... telemarketing or call center settings. + Knowledge of Medicare Advantage , Medicare Supplement, Life Insurance , Prescription Drug Products and Services.… more
- Ochsner Health (Gretna, LA)
- …systems and public programs such as those funded by Medicare , Medicaid, Medicare Advantage , and commercial insurance plans. + Strong interpersonal skills ... necessary to deal effectively and courteously with patients, families, multidisciplinary team members, departmental peers, and community agency personnel. **Job Duties** + Conducts patient assessment interviews, provides referrals and coordinates discharge… more
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