• Associate Eligibility Specialist

    NTT DATA North America (Pittsburgh, PA)
    …accurate and timely customer support to ensure successful member enrollment for Medicare services. The Enrollment Support Specialist will work closely ... overall sourcing strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist ** to join our team in **Pittsburgh, PA** . Associate Eligibility … more
    NTT DATA North America (07/31/25)
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  • Bilingual Medicare Sales - Outreach…

    Wider Circle (Los Angeles, CA)
    …They will maintain high productivity, discipline, and conversion rates to best support Medicare beneficiaries. If you are passionate about serving underserved ... Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with...phone, then come join us in our movement to support the Medicare population. Company Overview At… more
    Wider Circle (06/18/25)
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  • Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance process.… more
    Commonwealth Care Alliance (05/28/25)
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  • Medicare Sales & Enrollment…

    BroadPath Healthcare Solutions (Kapolei, HI)
    …**Fast-track your future.** In just 7 weeks, you'll go from trainee to licensed Medicare Specialist + **Medical and 401(k) benefits** are available after a ... **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in… more
    BroadPath Healthcare Solutions (07/11/25)
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  • Medicare /Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, and provider… more
    Commonwealth Care Alliance (05/31/25)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (Albany, NY)
    …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is eligible for… more
    Staffing Solutions Organization (07/23/25)
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  • Specialist , Appeals & Grievances…

    Molina Healthcare (Omaha, NE)
    …PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and resolving ... with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research… more
    Molina Healthcare (06/26/25)
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  • Medicare Sales & Enrollment…

    BroadPath Healthcare Solutions (Salem, OR)
    **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in ... Learn and Do** + Guide prospective members through their Medicare options with clarity and care + Enroll customers...health insurance exam (we cover costs and provide study support !) + Willingness to work onsite 2x/week post-training for… more
    BroadPath Healthcare Solutions (07/16/25)
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  • Training Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …discovering irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale ... Agents, Benefit Navigators, and Medicare Support Specialists are conducting activities that are in compliance with CMS/DOH and company guidelines by directly… more
    Centers Plan for Healthy Living (07/15/25)
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  • Medicare Annual Wellness Visit Registered…

    SUNY Upstate Medical University (Syracuse, NY)
    …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) ... management, and available wellness resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance. Work closely with… more
    SUNY Upstate Medical University (05/29/25)
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