• Manager , Medicare Compliance

    Medical Mutual of Ohio (OH)
    experience in health care compliance required. + At least 5 years of experience in Medicare Advantage preferred. **Technical Skills and Knowledge:** + Strong ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. This position is… more
    Medical Mutual of Ohio (09/23/25)
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  • Senior Product Manager , Medicare

    UCLA Health (Los Angeles, CA)
    …cross-functional initiatives, and ensure product accuracy and compliance throughout the member lifecycle. Key Responsibilities: + Lead end-to-end Medicare ... Description We're seeking a strategic Senior Product Manager to lead the design, development, and implementation...or Marketing + Eight or more years of progressive experience in Medicare Advantage product management, product… more
    UCLA Health (12/04/25)
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  • Sales Manager , Medicare National…

    Molina Healthcare (St. Petersburg, FL)
    **Job Description** **Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in ... the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit that will execute on… more
    Molina Healthcare (11/21/25)
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  • Sr. Manager Medicare Stars Program

    CVS Health (St. Louis Park, MN)
    …all eligible contracts by driving measurable improvements in clinical quality, member experience , medication adherence, and operational performance. **What you ... with internal teams (HEDIS, Clinical Operations, Network, Pharmacy, Product, Member Experience , Data/Analytics, Compliance) to implement evidence-based… more
    CVS Health (11/09/25)
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  • Medicare Member Engagement…

    Molina Healthcare (Warren, MI)
    …+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular ... member to ensure needs are met and member is having a positive plan experience ....manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social… more
    Molina Healthcare (11/13/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …Preferred: + Bilingual with English as a primary language + 3 plus years of, Medicare or Sales experience . + Valid Driver's License and access to personal ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...Health & Accident License Preferred: 3 plus years of, Medicare or Sales experience SCOPE INFORMATION #… more
    Centers Plan for Healthy Living (10/14/25)
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  • Medicare Sales Field Agent…

    Humana (Miami Lakes, FL)
    …Qualifications** + **Active Life and Variable Annuity Insurance License** . + Prior experience **selling Medicare products** . + Experience in **public ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
    Humana (10/04/25)
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  • Senior IT Project Manager - Medicare

    Insight Global (Woonsocket, RI)
    Job Description Insight Global is seeking a Senior Project Manager to support a large health insurance client of ours. This resource will be responsible for taking ... factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable… more
    Insight Global (12/02/25)
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  • Priority Health Medicare Quality Pharmacy…

    Corewell Health (Grand Rapids, MI)
    Medicare Part D benefits and drug coverage to increase understanding and improve member experience + Coordinate with other health plan staff to improve health ... and providers + Perform other duties assigned by the Manager of Medicare Quality or preceptor Qualifications...on occasion Preferred + 1 year of relevant pharmacy experience + 1 year of community pharmacy experience more
    Corewell Health (10/09/25)
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  • Episodic Care Manager - Medicare

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** The Episodic Care Manager is responsible for performing clinical reviews to assess, facilitate, and coordinate the delivery of health care ... Evaluation and Review + Receive assigned cases for varied member services (ie inpatient, outpatient, DME) + Review and...You'll Bring** + RN with 3 years of clinical experience or LPN with 5 years of clinical … more
    BlueCross BlueShield of North Carolina (12/05/25)
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