• Medicare Specialist

    HCA Healthcare (Houston, TX)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medicare Specialist with Parallon, you can be a part of an ... need to succeed in our organization. We are looking for an enthusiastic Medicare Specialist to help us reach our goals. Unlock your potential! **Job Summary and… more
    HCA Healthcare (09/10/25)
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  • Medicare Sales Specialist Hourly…

    CVS Health (Austin, TX)
    …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... specialized team who will focus on educating existing Medicare members on available plan offerings to help meet...Work defined campaigns that are designed to assist Aetna Medicare members holistically find the appropriate Aetna Medicare more
    CVS Health (08/22/25)
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  • Medicare Customer Service Specialist

    Molina Healthcare (San Antonio, TX)
    Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual in either Mandarin or Cantonese are highly desired. This ... and will work 8am to 430pm Pacific Standard Time, Monday through Friday. Medicare Member Engagement Specialists will make outbound welcome calls to our members along… more
    Molina Healthcare (08/31/25)
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  • Specialist , Medicare Member…

    Molina Healthcare (TX)
    …of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, ... database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular… more
    Molina Healthcare (08/29/25)
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  • Specialist , Appeals & Grievances…

    Molina Healthcare (Fort Worth, TX)
    …PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** Responsible for reviewing and resolving member and ... with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research… more
    Molina Healthcare (08/21/25)
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  • Inpatient Coding Denials Specialist

    HCA Healthcare (El Paso, TX)
    …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and… more
    HCA Healthcare (07/26/25)
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  • Billing Specialist

    HCA Healthcare (Mckinney, TX)
    …Do you want to join an organization that invests in you as a(an) Billing Specialist ? At MSO - Comprehensive OB/GYN, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Billing Specialist like you to be a part of our...unbilled alert and comp census reports daily. Work the Medicare 72 hour and Medicaid 24 hour reports to… more
    HCA Healthcare (07/30/25)
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  • Sr. Specialist , Member & Community…

    Molina Healthcare (El Paso, TX)
    **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
    Molina Healthcare (08/24/25)
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  • Pharmacy Services Specialist

    Apex Health Solutions (Houston, TX)
    Position Summary: The Pharmacy services Specialist will assist the Clinical Services staff (pharmacists and technicians) in all aspects of pharmacy operations and ... services including Medicare part D oversight, coverage determination and re-determination (appeal)...to all applicable parties (internal and external). The pharmacy specialist will also work with the compliance department to… more
    Apex Health Solutions (07/19/25)
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  • Provider Enrollment Specialist

    HCA Healthcare (San Antonio, TX)
    …invested over 156,000 hours volunteering in our communities. As a Provider Enrollment Specialist with Parallon you can be a part of an organization that is ... succeed in our organization. We are looking for an enthusiastic Provider Enrollment Specialist to help us reach our goals. Unlock your potential! **Job Summary and… more
    HCA Healthcare (09/10/25)
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