Medicare Advantage Provider jobs

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Featured Job Postings from the Web
Jul 28 Medicare Enrollment/Customer Service Representative Healthcare Support Staffing Nashville, TN

Customer Service Representative Position Summary: Are you an experienced Customer Service Representative in the Greater Nashville, TN area looking for a new opportunity with a... more

Jul 24 Nurse Case Manager (RN) in Raynham area - Bilingual Highly preferred - for Growing Elder Services Medicare Program Fallon Community Health Plan Raynham, MA

Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For ... senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and... more

Jul 24 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

Jul 23 Sales Representative/Medicare Sales Representative Glc Chicago, IL

is seeking a Sales Representative to sell Medicare services and products, and build ... eligible individuals in the Medicare Advantage Private Fee for Service (PFFS),... more

Jul 07 Marketing & Communications Specialist - Medicare Programs Sjhs System Office Irvine, CA

subject matter expert regarding Medicare and Medicare Advantage programs, election ... Medicare Advantage product sales. • Ability to manage marketing leads and reporting •... more

Jun 28 Nurse Case Manager (RN) for Growing Elder Services Medicare Program Fallon Community Health Plan Worcester, MA

Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For ... senior care solutions such as NaviCare, a Medicare Advantage Special Needs Plan and... more

May 14 Physician Flex Providers needed in Arizona! Matrix Medical Network Kingman, AZ

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

Mar 28 RN Clinical Manager - Holyoke - Growing Medicaid/Medicare Program! Fallon Community Health Plan Holyoke, MA

for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more ... a plus.Experience caring for MassHealth and Medicare Enrollees who are diagnosed with... more

Mar 12 Seeking Physicians for Flex Provider Opportunities! Matrix Medical Network Martinsburg, WV

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
Jul 30 Flexible Medicare Advantage Opportunity Locumtenens.com Wisconsin

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

Jul 30 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

Jul 30 Medicare Benefit Consultant - Licensed Insurance Agent - Linn County Meridian Health Plan Iowa

enrolling seniors in the Meridian Medicare Advantage plan; and presenting plan ... vehicle. Must have a minimum of one year Medicare Advantage sales experience. Must have... more

Jul 30 Medicare Enrollment Rep Healthcare Support Staffing Tampa, FL

center experience * Experience with Medicare * Enrollment experience Want More Information? Interested in hearing more about this great opportunity? Reach out to Jon Danko at... more

Jul 30 Arkansas Licensed Physicians – Medicare Advantage Assessment Opportunity ($4000 weekly) Locumtenens.com Arkansas

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

Jul 30 Field Sales & Service Rep (Medicare) - 90772 - Orange County AMERIGROUP Costa Mesa, CA

can imagine. Field Sales & Service Rep (Medicare) - 90772 - Orange County, CA The ... Experience selling Medicare/Medicare Advantage products is highly preferred •... more

Jul 29 Benefit Consultant - Medicare (Hartford County WellCare New Haven, CT

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

Jul 29 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

Jul 28 RN Case Managment Coordinator- Non Advantage ProMedica HR Side Maumee, OH

Non-Advantage. The Case Manager for the non- Advantage lines assess, plan, implement, ...  Monitors utilization and evaluates outcomes.  Assess all referred "HMO/Advantage" members... more

Jul 26 RN Nurse Medical Mgmt I, II, Sr - Medicare Advantage - 90541 WellPoint Middletown, NY

This position will support the Medicare Advantage business. Responsible for ... required. * AS/BS in nursing preferred. * Medicare experience preferred. * Managed care... more

Jul 26 Medicare Membership Retention Specialist Health Net of Arizona Tempe, AZ

group, individual, Medicare (including the Medicare prescription drug benefit commonly ... plans available in the Health Net of Arizona Medicare Advantage service area. * Promotes... more

Jul 25 Medicare Membership Retention Specialist Health Net Tempe, AZ

group, individual, Medicare (including the Medicare prescription drug benefit commonly ... in the Health Net of Arizona Medicare Advantage service area. * Promotes the... more

Jul 25 Financial Consultant - National Medicare Finance (2-month contract) Enclipse Oakland, CA

FINANCIAL CONSULTANT - NATIONAL MEDICARE FINANCE Duration: 2-month contract Location: ... for Medicare and Medicaid Services (CMS) Medicare Advantage Part C, Part D, Meaningful... more

Jul 24 Clinical Quality Consultant - Medicare S Department of Workforce Services Provo, UT

provider group structure and characteristics,provider group- provider office operations ... financial analytical background within Medicare Advantage plans (Risk... more

Jul 24 Business Information Consultant or Consultant Sr. - 85406 Medicare Advantage Risk Adjustment, SAS SQL WellPoint Milwaukee, WI

level of complexity. Experience with Medicare Advantage Risk Adjustment, submission ... languages preferred. * Experience with Medicare Advantage Risk Adjustment, RAPS and... more

Jul 24 Not Working? Retired? Between Jobs? Medicare Advantage Insurance Health Eva... Censeohealth Kentucky

Evaluations o CMS has said that any Medicare eligible population should have ... discuss with their primary care physician o Medicare Advantage premiums are risk adjusted... more

Jul 24 RN Nurse Medical Mgmt I, II, Sr - Medicare Advantage - 90541SY WellPoint Waukesha, WI

This position will support the Medicare Advantage business. Responsible for ... required. * AS/BS in nursing preferred. * Medicare experience preferred. * Managed care... more

Jul 19 Inside Sales Representative - Medicare Telesales (Stockton, CA)(256929) Kaiser Permanente Stockton, CA

enrollment of new Senior Advantage members through the use of ... Name: Medicare Telesales Travel : No Job Eligible for Benefits: Yes External... more

Jul 17 Manager of Eligibility and Enrollment - Medicare Advantage Plan Memorial Hermann Texas

or member services; commercial and Medicare experience preferred. 3. ... related to beneficiaries in Medicare Advantage products including receipt,... more

Jul 14 Medicare Risk Adjustment Manager Oregon's Health Co-op Portland, OR

executing risk adjustment programs for the Medicare Advantage product line. This ... Thorough understanding of Medicare Advantage risk adjustment regulations and requirements... more

Jul 11 CMO- Medisun dba/ Blue Cross Blue Shield of AZ Advantage- Solomon Page Group Phoenix, AZ

Arizona, the premier payer and the premier provider jointly own a Medicare Advantage ... Medicare Advantage/senior products and other government programs experience is a strong pl... more

Jul 05 Provider Coder Trainer/Healthcare Market Consultant - Central UnitedHealth Group Orlando, FL

focused on improving the quality of care for Medicare Advantage Members. Train providers ... Managed Care, Sales, Provider Network, Medicare, Medicare Risk Adjustment Diversity... more

Jul 02 Medicare Broker Relationship Manager Evolent Health Dayton, OH

that is responsible for growth of Medicare Advantage plans in the greater Miami Valley ... of relevant sales experience in the Medicare Advantage space, preferably within the... 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 ... Job Description: Director- Medicare Advantage Performance STARS Reports... more

Jun 25 Eligibility Analyst Senior Associate (Medicare Advantage Specialist) CIGNA Phoenix, AZ

in CIGNA's Medicare Advantage plans. Procedures include but are not limited to, ... in CIGNA's Medicare Advantage plans. Collaborates with Sales Representative to... more

Jun 25 Medicare Advantage Financial Analyst I - Southfield Job Henry Ford Health System Southfield, MI

discrepancies between HAP and CMS for HAP's Medicare Advantage enrollees, particularly ... to management. 7. Support the Medicare Advantage Premium Reconciliation Department... more

Jun 18 Bilingual (Spanish) Licensed Insurance Agent- Medicare Advantage program Connextions Orlando, FL

Insurance Agent * Comply with insurance, Medicare and state sales, marketing and ... using CMS (Center for Medicaid and Medicare Services) guidelines as applicable. *... more

May 19 Provider Network Contracting Specialist Avesis Owings Mills, MD

insurance services in the Commercial, Medicare Advantage, and Medicaid space. We ... for a health insurance company. Vision provider contracting experience a plus... more

May 18 Medicare Strategy Director Cognizant Boston, MA

Director of Medicare Strategy Job Responsibilities Responsible for Business Unit ... development for Medicare products including Medicare Advantage, Medicare Prescription... more

Apr 28 Medicare Advantage Program Coordinator W3r Consulting Detroit, MI

Medicare Advantage Program Coordinator Responsibilities1. Coordinate with business and ... Collect, document and report member/provider feedback from various sources regarding satis... more

Feb 20 Business Solutions Manager - Medicare Advantage DST Systems Birmingham, AL

role providing guidance specific to our Medicare Advantage (MA) call center product. ... center perspective. Knowledge with Medicare Advantage as it relates to the healthcare... more

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