Medicare Advantage Provider jobs

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Oct 22 Medicare Product Specialist - Sales (Bi-lingual) 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

Oct 21 Customer Service Rep. II - Medicare Health Plan APAC Customer Services Houston, TX

organization) environment with CMS Medicare Advantage Plans required. Five or more years experience strongly preferred. Knowledge of medical terminology, insurance claims/plans... 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 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 Provider Relations Representative Universal American Houston, TX

Medicare Advantage plans to people with Medicare. We partner with providers in ... provider community in state. ?Knowledge of Medicare and how it is reimbursed. Skills:... 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 01 Licensed Field Sales & Service Rep (Medicare) - Spanish preferred - Westchester/Mid-Hudson, Albany, NYC, Long Island NY territor Anthem Blue Cross Blue Shield Yonkers, NY

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

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

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

More Job Postings from the Web
Oct 23 Medicare Advantage History & Physical, LOUISIANA Statewide Work Locations Available! Start ASAP once Credentialed Locumtenens.com New Jersey

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 23 Medicare Advantage Financial Analyst II - Southfield Job Health Alliance Plan Southfield, MI

for the Medicare Advantage program. Responsibilities would include ... particularly with Medicare Advantage or Medicare Prescription Drug (Part D)... more

Oct 23 LITTLE TO ZERO RISK, EARN INCOME DOING HISTORY & PHYSICAL with Medicare Advantage members, NATIONWIDE WORK AVAILABLE NOW! Locumtenens.com Kentucky

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 23 Bilingual Territory Development/Provider Engagement Rep( Medicare) Brooklyn, Staten Island, Queens, Long Island territory - 96063 AMERIGROUP New York

Territory Development/Provider Engagement Rep - Medicare - 96063 Brooklyn, Staten Island, ... coalitions and promotes awareness of AGPs Medicare Advantage products. 2.Builds and... more

Oct 23 Benefit Consultant - Medicare WellCare New York City, NY

and enrolls eligible leads into the Medicare Advantage plans. Meets the minimum enrollment ... and Certifications: * Required Other Medicare Sales Certification and... more

Oct 23 Bilingual Territory Development/Provider Engagement Rep( Medicare) Brooklyn, Staten Island, Queens, Long Island territory WellPoint New York

Territory Development/Provider Engagement Rep - Medicare - 96063 Brooklyn, Staten Island, ... coalitions and promotes awareness of AGPs Medicare Advantage products. 2.Builds and... more

Oct 22 Coordinator Medicare Care Management - Network Health Ministry Health Care Menasha, WI

Health Care, is looking for a Coordinator Medicare Care Management, who is an advocate ... Provides case management services to Medicare Advantage dual eligible Special Needs Plan... more

Oct 22 Care Services Coordinator (Navigator) - Growing Elder Care Program! - Great Role in Nationally Recognized Medicare Program and Growing Health Care Org! Fallon Health Worcester, MA

Assurance for its HMO, Medicare Advantage and Medicaid products. For more ... solutions such as NaviCare, a Medicare Advantage Special Needs Plan and Senior Care... more

Oct 17 Medicare Advantage Clinical Pharmacist Catholic Health Initiatives Federal Way, WA

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

Oct 16 Medicare Stars Market Leader Humana Des Peres, MO

Systems, primarily for Medicare Advantage plans (STARS). We’reseeking an individual ... Rating Program for Medicare Advantage plans is essential Ability to effectively... more

Oct 16 Customer Service Representative I (Medicare) General Dynamics Information Technology Coralville, IA

eligibility including knowledge regarding Medicare Advantage, Medigap and service ... responsible for disseminating general Medicare information. Disenrollment, social... more

Oct 15 Assistant General Counsel - Medicare Advantage and Healthcare Regulatory fraud and abuse experience REQUIRED! DaVita Denver, CO

integrated care, Medicare Advantage Agreements, HCC-RAF Coding regulatory and related issues, managed care, management services agreements, physician relationships, regulatory,... more

Oct 15 Medicare Advantage Clinical Pharmacist Alegent Creighton 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 15 Medicare Captive Sales Insurance Agent- (Bilingual Preferred) TELECOMMUTER AmeriHealth Philadelphia, PA

including full-risk Medicaid and Medicare programs, management and administrative ... is responsible for growing Medicare Advantage enrollment volume by targeting Medicare... more

Oct 14 Marketing Affiliation and Partnership Program Manager Medicare Part D CVS Caremark Solon, OH

relationships that ensure growth of the Medicare Part D products in those ... constituents. Preferred Qualifications *Medicare Part D or Medicare Advantage... more

Oct 13 Senior Actuarial Analyst- Medicare Blue Shield of California El Segundo, CA

Job Details Provides Actuarial Dept with provider negotiation support, network ... Advantage, Prescription Drug Plans and Medicare Supplement products. more

Oct 13 Medicare Advantage Sales Representative Health Partners Plans Philadelphia, PA

Representative is responsible for growing Medicare Advantage enrollment while adhering ... the Medicare review/approval process of their enrollment application, timing of... more

Oct 10 Director of Government Programs - Compliance and Medicare Compliance Officer 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 08 Medicare Advantage Program Coordinator W3r Consulting Detroit, MI

Medicare Advantage Program Coordinator Responsibilities 1. Coordinate with business and ... Collect, document and report member/provider feedback from various sources regarding satis... more

Oct 07 Medicare Advantage Financial Analyst II - Southfield Job Henry Ford Health System Southfield, MI

*2. Support the Monthly Medicare Advantage Encounter Data reporting process ... 8. Support as needed the Medicare Advantage Risk Adjustment Department on health... more

Sep 29 Case Manager - Health Solutions/Medicare Advantage - Telephonic (Memorial City) Memorial Hermann Texas

and Local Coverage Determinations and Medicare Managed Care Manual. 5. Experience working with the senior and/or disabled population. 6. Strong clinical background in nursing or... more

Sep 19 Pharmacy Medical Director Physician Medicare Advantage and Prescription Drug Plans CIGNA Nashville, TN

(PDP) including Medicare Advantage Prescription Drug Plans (MAPDP). 100% administrative ... Assists in working with other divisions for managing Medicare/Medicaid, as applicable, req... more

Sep 15 Medical Senior Director Illinois Market (Medicare Advantage Medicaid Dual MMAI) CIGNA Chicago, IL

is Medicare Advantage plans. HealthSpring, a Cigna company, currently owns and ... Medicare Advantage plans in Alabama, Delaware, Florida, Georgia, Illinois,... more

Sep 12 Appeals and Grievance Coordinator – University Healthcare Advantage (UHCA) University Healthcare Alliance Richmond, CA

grievances for University HealthCare Advantage (UHCA). He/she will be responsible for ... Degree or equivalent experience * Medicare Advantage Health plan experience,... more

Sep 10 Medicare Sales Representative, Community Plan - New York (P) UnitedHealth Group New York City, NY

of New York * Experience selling Medicare Advantage or Dual -Eligible products highly required * Strong and successful background in selling Medicaid products is preferred *... more

Aug 25 Customer Service Representative I (Medicare) General Dynamics Coralville, IA

eligibility including knowledge regarding Medicare Advantage, Medigap and service ... responsible for disseminating general Medicare information. Disenrollment, social... more

Aug 07 Medicare Claims Representative II Brown & Toland Physicians San Francisco, CA

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

Jul 24 Nurse Practitioner - Specialty - Medicare Advantage (2642) Affinity Health System Menasha, WI

with the member’s Primary Care Provider - improving coordination, continuity, accessibility and appropriate utilization of health care services. Job Requirements:? Masters... 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

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