- Molina Healthcare (Caldwell, ID)
- …+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular ... Social Work, Human Services , or related field. **PREFERRED EXPERIENCE:** Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP. To… more
- Molina Healthcare (Kenosha, WI)
- Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual in either Mandarin or Cantonese are highly desired. ... 8am to 430pm Pacific Standard Time, Monday through Friday. Medicare Member Engagement Specialists will make outbound...be computer-savvy and have a high level of customer service . Previous experience in Medicare , Medicaid, and/or… more
- CVS Health (Salem, OR)
- …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...professionalism and compliance at all times. + Ensure new member acquisition is meeting organizational thresholds in relation to… more
- Commonwealth Care Alliance (Boston, MA)
- …Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, ... standard coding logic and policies (ie . Center for Medicare & Medicaid Services (CMS) & MA...effectively at multiple levels within the company + Customer service orientation; positive outlook, self-motivated and able to motivate… more
- Commonwealth Care Alliance (Boston, MA)
- …Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- Molina Healthcare (Atlanta, GA)
- …by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the member /provider through written and ... 8am-5pm PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** Responsible for reviewing and resolving member … more
- Molina Healthcare (El Paso, TX)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member ... lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs in accordance with… more
- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention ... lines of business ( Medicare , Marketplace, Medicaid) Executes health plan's member and community quality focused interventions and programs in accordance with… more
- Humana (Miami, FL)
- …Bilingual English/ Spanish + Healthcare experience + Strong preference for experience in member services and a call center environment specifically but not ... Specialist / Care Coach 1 assesses and evaluates member 's needs and requirements to achieve and/or maintain optimal...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel,… more
- Molina Healthcare (Dayton, OH)
- Molina Healthcare is hiring a Supervisor, Member Outreach, Training Specialist . This remote role will have a focus on spearheading, facilitating much of the ... Training + Managed Care background and/or is familiar with Medicare and Medicaid. + Process based, + Able to...compliance requirements. + Provide refresher training on new products, services , or processes. + Create training materials such as… more
Recent Jobs
-
Senior Alliance Director, CRE Facilities Management - Industrial & Logistics Sector - Talent Community
- CBRE (Greenville, SC)
-
Senior Electrical Assembler
- Curtiss-Wright Corporation (Monsey, NY)
-
ALB - Airport Electrical Supervisor
- Albany International Airport (Albany, NY)
-
Graduate Medical Education Specialist
- Touro University (Middletown, NY)