Medicare Advantage Provider jobs

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Oct 20 Care Consultant - Medicare Advantage H&P's Locumtenens.com Connecticut

history and physical evaluations on Medicare Advantage members. These evaluations ... are an optional benefit to the Medicare Advantage plan members and are designed to... more

Oct 20 Flexible Medicare Advantage Opportunity Locumtenens.com Maryland

evaluations of seniors insured under the Medicare Advantage plans that we represent. We will provide you with a pre-populated, patient-specific form for each evaluation with the... more

Oct 20 Arkansas Licensed Physicians – Medicare Advantage Assessment Opportunity ($4000 weekly) Locumtenens.com Arkansas

assessments for seniors insured under the Medicare Advantage plans that we represent ... > * Pre-scheduled H&P in home w/Medicare Advantage Members > * Airfare, Hotel, Rental... more

Oct 19 Medicare Advantage History and Physical, Nationwide work Available, Board Cert Not Required Locumtenens.com Idaho

visit to perform a History & Physical on Medicare Advantage members. Some key items about the job are listed below. Your overall purpose is to make an objective observation and... more

Oct 19 Medicare Advantage History & Physical, LOUISIANA Statewide Work Locations Available! Start ASAP once Credentialed Locumtenens.com Massachusetts

visit to perform a History & Physical on Medicare Advantage members. Some key items about the job are listed below. Your overall purpose is to make an objective observation and... more

Oct 19 LITTLE TO ZERO RISK, EARN INCOME DOING HISTORY & PHYSICAL with Medicare Advantage members, NATIONWIDE WORK AVAILABLE NOW! Locumtenens.com Louisiana

visit to perform a History & Physical on Medicare Advantage members. Some key items about the job are listed below. Your overall purpose is to make an objective observation and... more

Oct 19 Medicare Advantage Health Evaluations, Easy Credentialing, Available ASAP in Most Locations! Earn over $5,000 in One Week! Locumtenens.com Alabama

visit to perform a History & Physical on Medicare Advantage members. Some key items about the job are listed below. Your overall purpose is to make an objective observation and... more

Oct 19 Earn up to $5,700/Week No Prescribing! No Treatment! History & Physicals for Medicare Advantage Health Plan! Various Locations! Locumtenens.com Tennessee

visit to perform a History & Physical on Medicare Advantage members. Some key items about the job are listed below. Your overall purpose is to make an objective observation and... more

Oct 19 Community Liaison Medicare Ad Visiting Nurse Service of New York New York City, NY

communities served by VNSNY about Medicare Advantage Special Needs Plans and the ... Bachelors Degree preferred.Experience: Minimum two years of managed Medicare and/or Medica... more

Oct 18 Payment Configuration Analysts MEDICAID/ MEDICARE | Provider WellPoint Roanoke, VA

competitive advantage as an innovator in the Medicare/ Medicaid spaceall while still ... /Demonstrated knowledge and experience in the areas listed for the Provider Reimbursement... more

Oct 18 Field Sales & Service Rep (Medicare) - Alameda/Santa Cla WellPoint Pleasanton, CA

*Field Sales & Service Rep (Medicare) - Alameda/Santa Clara counties area - 94600* The ter ... Experience selling Medicare/Medicare Advantage products is highly preferred Exceptional or... more

Oct 18 Director Provider Relations (Cerritos WellPoint Los Angeles, CA

provider communication plans. * Oversees Provider Relations functions, including ... provider relations, and managed care and Medicare Advantage plans and regulations; or... more

Oct 18 Medicare Director Careoregon Portland, OR

responsible for all aspects of the Medicare Advantage line of business. This position, ... position requiring advanced knowledge of Medicare Advantage regulations. Master’s degree... more

Oct 16 Medical Director - Commercial Plan, Medicare Advantage Nexus Healthcare Executive Search Little Rock, AR

Committee in a commercial environment. Medicare Advantage experience is a plus. ... experience is required. Medicare Advantage experience is a plus. M.D. or D.O. more

Oct 15 Field Sales & Service Rep (Medicare) Spanish preferred - Passaic County NJ territory - 94933 Anthem Blue Cross Blue Shield Passaic, NJ

Products include Medicare health products (Medicare Advantage, Medicare Supplemental and ... including but not limited to providers, Medicare advocacy groups, commercial sales,... more

Oct 15 Medicare Retiree Specialist Fbmc Miami, FL

as client/customer advocate by educating Medicare eligible retirees on benefit ... support. Duties: •Educates and counsels Medicare eligible retirees on benefits. more

Oct 15 Medicare Advantage Clinical Pharmacist Catholic Health Initiatives Federal Way, WA

for Medicare Part D Support development of provider/member engagement and outreach ... Medicare Advantage health plans Health maintenance organizations The principles and... more

Oct 14 Field Vice President, Provider Contracting - Central North R Humana Minnetonka, MN

terms and plan requirements; manages provider relationships, identifying ... but not limited to the Provider Database and Provider Directory. Maintain contract... more

Oct 14 Provider Relations Leader Humana Mobile, AL

provide support as it relates to managing Medicare Advantage members. * Develops, ... of healthcare. **Job** *Contracting and Provider Relations* **Title:** *Provider... more

Oct 13 Inside Sales Representative - Medicare Telesales (Stockton, CA)(286497) Kaiser Permanente Stockton, CA

escription Increase enrollment of new Senior Advantage members through the use of ... For KPSA/DPA, sales must be achieved through collaboration with Senior Advantage field sal... more

Oct 11 Director of Government Programs - Compliance and Medicare Co Horizon Blue Cross Blue Shield of New Jersey Newark, NJ

the federal regulatory agency over the Medicare Advantage (MA) and Medicare ... Medicaid, Medicare Advantage and Medicare Part D lines of business including audits or... more

Oct 10 Medical Director – Commercial, Medicare a plus Nexus Healthcare Executive Search Little Rock, AR

executives for Commercial Medicaid and Medicare, Pharmaceutical companies and ... Commercial experience is required. Medicare Advantage experience is a plus M.D. more

Oct 08 MEDICARE COMPLIANCE MANAGER Health Plan of San Mateo South San Francisco, CA

These programs include a Medicare Advantage Special Needs Plan and a Duals ... relative to Medicare managed care, Medicare Advantage Part A and B, Medicare... more

Oct 07 Manager - Provider Network (Medicare Advantage) Blue Cross Blue Shield of Arizona Phoenix, AZ

As our Manager, Provider Network (Medicare Advantage), you will manage the day-to-day ... for Medicare Advantage. Knowledge of Medicare Advantage benefits, premiums, STAR... more

Oct 04 Provider Relations Representative Universal American Syracuse, NY

Medicare Advantage plans to people with Medicare. We partner with providers in ... care organization *A minimum of 3 years' provider relations experience in Medicare or... more

Oct 01 Medicare Claims Representative II Brown & Toland Physicians San Francisco, CA

professional claims for the full risk Medicare Advantage health plans with an ... claims processing based on Medicare policies and payment methodology (e.g. DRG)   Ability... more

Oct 01 Licensed Field Sales & Service Rep (Medicare) - Spanish preferred - Westchester/Mid-Hudson, Albany, NYC, Long Island NY territor Anthem Blue Cross Blue Shield Peekskill, NY

75% of their time. Products include Medicare health products Medicare Advantage ... * Experience selling Medicare/Medicare Advantage products is highly preferred * Exceptiona... more

Sep 27 Medicare Audit Manager Noridian Healthcare Solutions Fargo, ND

the day to day activities of the Medicare Provider Audit and Reimbursement Department. ... is to manage the activities of theMedicare Provider Audit and Reimbursement Department. more

Sep 25 Provider Data Auditor - Great Role in Health Care Reimbursement & Data Management! Fallon Community Health Plan Worcester, MA

Assurance for its HMO, Medicare Advantage and Medicaid products. For more ... of the Provider Data Manager , Provider Reimbursement & Data Management, conducts... more

Sep 25 STARS Risk Adjustment Consultant (Provider Quality) Blue Cross Blue Shield Knoxville, TN

with the Medicare Risk Adjustment team, Provider Quality Team and Provider Relations ... tools with Provider Communications and Provider Quality Team. Implements coaching... more

Sep 24 Contracted Provider Claims Specialist Visiting Nurse Service of New York New York City, NY

Resolves contracted provider claims disputes (CPCD) for VNSNY CHOICE Medicare Advantage (M ... in health care, preferably in a Claims/Provider Relations Department in a Managed Care... more

Sep 23 Field Sales & Service Rep (Medicare) Bilingual Spanish/Chinese preferred - San Francisco territory - 94458 WellPoint San Francisco, CA

Field Sales & Service Rep (Medicare) Bilingual Spanish/Chinese preferred - San Francisco t ... * Experience selling Medicare/Medicare Advantage products is highly preferred * Exceptiona... more

Sep 22 Medicare Product Specialist - Sales Amida Care New York City, NY

position must enroll eligible leads into the Medicare Advantage plans. Prospects must use all necessary resources to meet the minimum enrollment goal of new members, using... more

Sep 11 Provider Data Specialist Alignment Healthcare Cerritos, CA

Healthcare. CCHP is a Cerritos-based Medicare Advantage HMO. CCHP offers ... will maintain the data integrity of CCHPs provider database. The Provider Data... more

Sep 04 AvMed Manager, Medicare Reporting AvMed Miami, FL

the successful management of the Medicare Advantage product. The Manager is also ... the senior level management of the Medicare Advantage product. * Prepare timely and... more

Sep 03 STAR Medicare Program Manager Universal American Houston, TX

Medicare Advantage plans to people with Medicare. We partner with providers in ... in a healthcare environment preferred; Medicare, Claims or Medical Management... more

Aug 26 Field Sales & Service Rep (Medicare) Bilingual - Fresno/Madera/Kings Counties WellPoint Fresno, CA

Field Sales & Service Rep (Medicare) - Fresno/Madera/Kings Counties, CA - 91858 The territ ... * Experience selling Medicare/Medicare Advantage products is highly preferred * Exceptiona... more

Aug 14 Manager, Medicare Compliance AmeriHealth Philadelphia, PA

regulations and guidelines for Medicare Advantage and Medicare-Medicaid Plan ... of Medicare Advantage, Original Medicare and Medicare grievance and complaint... more

Jul 01 Director- Medicare Advantage Performance & S.T.A.R.S. 14-199 Medical Mutual Cleveland, OH

Director- Medicare Advantage Performance S.T.A.R.S. 14-199 Job Title: Director- Medicare ... Date: 06/30/2014 Job Description: Director- Medicare Advantage Performance STARS Reports... more

Mar 12 Seeking Physicians for Flex Provider Opportunities! Matrix Medical Network Florence, SC

is dedicated to helping in the care of Medicare Advantage plan members. Our success ... Board CertifiedCurrently not enrolled in the Medicare Opt-Out programTravel Requirements:... more

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