• Senior Medicare Medicaid Biller…

    Prime Healthcare (Ontario, CA)
    …actively seeking new members to join our corporate team! Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and ... in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the… more
    Prime Healthcare (05/28/25)
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  • Manager, Senior Health Clinical Quality…

    Amazon (San Francisco, CA)
    …Program Leadership: - Lead initiatives to improve the quality of care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and ... Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical. Reporting directly to the National Leader for… more
    Amazon (08/02/25)
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  • Medicare Sales Account Representative

    BrightSpring Health Services (Louisville, KY)
    …Sales Account Representative/Executive for our Signature Advantage Plan who will work with senior care partners to assist in enrolling new residents and members. You ... will actively market our plan to new senior care partners within a plan service area. We...the plan and providing high quality customer service, providing professional , accurate and timely response to all inquiries regarding… more
    BrightSpring Health Services (07/02/25)
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  • Account Representative Medicare Advantage…

    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 their products. Contributes to building strong relationships while… more
    CNO Financial Group (07/29/25)
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  • Sr Medicare Medicaid Biller Collector

    Prime Healthcare (Redding, CA)
    …their family. For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing ... in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the… more
    Prime Healthcare (07/25/25)
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  • Medicare /MassHealth Sales - Spanish…

    Fallon Health (Springfield, MA)
    …NaviCare program. + Participates in all community outreach activities, such as senior fairs, community events, and elder services professional association events ... area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare ...be made to tactical plans. + Manages their own professional development by seeking advice, training, and coaching from… more
    Fallon Health (05/19/25)
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  • Medicare -Medicaid Pharmacy Director

    Humana (Lansing, MI)
    …Clinical Pharmacy Lead, plans, directs, and monitors all financial, operational, professional , and clinical activities for the purposes of pharmacy program ... for our Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of… more
    Humana (07/24/25)
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  • Medicare D Billing Representative

    BrightSpring Health Services (Arlington, TX)
    …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and State Laws, and applicable professional … more
    BrightSpring Health Services (07/23/25)
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  • Senior Compliance…

    Humana (Salt Lake City, UT)
    …a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. ... The Senior Compliance Professional work assignments involve moderately complex to complex issues...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/02/25)
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  • Senior Contracting Compliance…

    Mount Sinai Health System (New York, NY)
    …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance ( Professional Billing) Analyst who will primarily ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...be responsible for tracking, trending, and analyzing professional billing (PB) contract compliance issues. This… more
    Mount Sinai Health System (07/09/25)
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