Medicare Advantage Provider jobs

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Apr 07 Attending Physician-Medicare Advantage Health-Risk Assessments Censeohealth Chicago, IL

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

Apr 07 Account Sales Manager - Medical Doctors - Paid by Medicare for Seniors Oak Street Health Chicago, IL

(The additional benefits are underwritten by Medicare’s shared savings programA patient DOES NOT need to make any commitment or other shift to receive an initial physical exam... more

Apr 04 Manager of Enrollment Operations - Medicare Advantage DST Systems Birmingham, AL

processing experience, primarily for Medicare and Medicare Advantage. They must ... Prefer management/leadership experience in Medicare enrollment.Desired Skills: Post-second... more

Apr 04 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

Apr 04 Provider Solutions Executive DST Systems Birmingham, AL

senior manager or consultant to risk-bearing provider entities (e.g. accountable care ... participating in commercial managed care, Medicare Advantage, and/or managed Medicaid... more

Apr 03 Care Services Coordinator - Navigator (Spanish preferred) - Medicare Program Fallon Community Health Plan Worcester, MA

Assurance for its HMO, Medicare Advantage and Medicaid products. For more ... from Fallon Community Health Plan. Medicare Advantage contracts between the federal... more

Apr 03 Care Services Coordinator - Navigator - Medicare Program Fallon Community Health Plan Worcester, MA

Assurance for its HMO, Medicare Advantage and Medicaid products. For more ... from Fallon Community Health Plan. Medicare Advantage contracts between the federal... more

Apr 02 Supervisor, Provider Relations Senior Whole Health Cambridge, MA

WHOLE HEALTH (SWH) is a rapidly growing Medicare Advantage Special Needs Plan, ... Managed Care, Provider Relations, Network Development, Medicare, Medicaid,... more

Apr 01 Medicare Benefit Consultant - Licensed Insurance Agent - Genesee County Meridian Health Plan Genesee, MI

enrolling seniors in the Meridian Medicare Advantage plan; and presenting plan ... High School Diploma. Meridian Medicare Sales Certification and Recertification (as... more

Apr 01 Manager, Provider Reimbursement & Database Management Fallon Community Health Plan Worcester, MA

Assurance for its HMO, Medicare Advantage and Medicaid products. For more ...  Assists with training of the Provider Reimbursement staff. Responsibilities... more

Apr 01 Medicare Benefit Consultant - Licensed Insurance Agent - Tazewell County Meridian Health Plan Morton, IL

enrolling seniors in the Meridian Medicare Advantage plan; and presenting plan ... presentations, community and provider education sessions and social service outreach... more

Apr 01 Medicare Benefit Consultant - Licensed Insurance Agent - McHenry County Meridian Health Plan Rockford, IL

enrolling seniors in the Meridian Medicare Advantage plan; and presenting plan ... High School Diploma. Meridian Medicare Sales Certification and Recertification (as... more

Mar 28 Medical Director - Growing Personalized MediCare Program (NaviCare) - Great Physician Leadership Role! Fallon Community Health Plan Worcester, MA

Assurance for its HMO, Medicare Advantage and Medicaid products. For more ... from Fallon Community Health Plan. Medicare Advantage contracts between the federal... more

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

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

Mar 28 Attending Physician - Medicare Advantage Health-Risk Assessments Censeohealth Hartford, CT

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

Mar 26 Medicare Secondary Payer (MSP) Financial Operations Team Lead/Su CGI Cleveland, OH

Medicare Secondary Payer (MSP) Financial Operations Team Lead/Supervisor CGI Federal, a wh ... Our objective is to hire a Medicare Secondary Payer Team Lead/Supervisor responsible for m... more

Mar 20 Seeking Physicians for Flex Provider Opportunities! Matrix Medical Network Ocala, FL

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 20 Director, Provider Relations Physician Partners Ocala, FL

our partners• Develop and manage provider contracting efforts and partnerships to ... preferred• Working knowledge of Medicare Advantage program elements strongly... more

Mar 14 Provider Contracts Manager II Molina Healthcare North Charleston, SC

visible providers.* Advises Network Provider Contract Coordinators and ... in Managed Care (including Medicaid, Medicare/Medicare Advantage and other State... more

Feb 26 Controller - National Medicare and Medicaid Finance(216671) Kaiser Permanente Oakland, CA

practice. Description The National Medicare Finance (NMF) Controller is the financial ... function reports Medicare Advantage, Part D, HMO and Hospital Cost Report Revenue,... more

More Job Postings from the Web
Apr 15 Medicare Sales Rep Humana Ridgeland, MS

Sales Representative Assignment: Medicare Sales Location: Ridgeland, ... eligible individuals in the Medicare Advantage Private Fee for Service (PFFS), Medicare... more

Apr 15 Benefit Consultant - Medicare WellCare New York, NY

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

Apr 15 Accountable Care Solutions Medicare Product Manager (Work at Home) Aetna Plainsboro, NJ

and member experience for Aetna Medicare Advantage ACOs (Accountable Care ... with Aetna Network Care Management/Medicare Advantage Medical Management to... more

Apr 14 RVP Medicare Growth-East Region-(82683) AMERIGROUP Iselin, NJ

for P&L and profitable membership growth for Medicare business within the East Region (CT, ... a managed care environment and/or 3+ years Medicare advantage experience; or any... more

Apr 14 RVP Medicare Growth-East Region-(82683) WellPoint Iselin, NJ

for P&L and profitable membership growth for Medicare business within the East Region (CT, ... a managed care environment and/or 3+ years Medicare advantage experience; or any... more

Apr 11 Associate Director of Compliance for Medicare Provider Sales Nationwide) UnitedHealth Group California

Director of Compliance for Medicare Provider Sales (Nationwide) Job Description ... Advantage sales agencies licensed to sell Medicare Advantage products. Ideal candidates... more

Apr 10 Medicare Advantage Financial Analyst II (Southfield) Job Henry Ford Health System Southfield, MI

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

Apr 09 Case Manager RN Medicare Florida Blue Tampa, FL

Tampa, FL Job Description Case Manager RN- Medicare-4372 Description *** Opportunity ... not limited to the following: • Focus on Medicare Advantage Membership: • To close gaps... more

Apr 09 Analyst II - Actuarial, Medicare Advantage Premera Blue Cross Mountlake Terrace, WA

as but not limited to Medicare Advantage provider reimbursement and risk sharing ... about.*Job Title:* Analyst II - Actuarial, Medicare Advantage*Job ID:* 8234*Location:*... more

Apr 09 Medicare Advantage Financial Analyst III Henry Ford Health System - Hfhs Southfield, MI

HenryFord.com.# General Summary:Assist the Medicare Advantage (MA) Risk Adjustment ... particularly with Medicare Advantage programs is strongly... more

Apr 09 Flexible Medicare Advantage Opportunity Locumtenens.com Idaho

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

Apr 09 Nurse Practitioner - Specialty - Medicare Advantage (2642) Affinity Health System Menasha, WI

Nurse Practitioner - Specialty - Medicare Advantage (2642)Department: Affinity Housecalls ... collaboration with the member-s Primary Care Provider - improving coordination,... more

Apr 08 HFHP Medicare Sales Specialist FT PC13050 Health First Rockledge, FL

and quality standards for Medicare Advantage Risk Adjustment, HEDIS and Care ... disciplines including providers, IT, Medicare Finance, Operations, Medical... more

Apr 08 Attending Physician-Medicare Advantage Health Censeohealth Chicago, IL

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

Apr 08 Work At Home Provider Enrollment Customer Service Position Broadpath Healthcare Solutions Dallas, TX

***You MUST have background and experience in Medicare Advantage and/or Provider Enrollmen ... so call volume from Providers is high. Provider general duties include but are not... more

Mar 24 Associate Director of Compliance for Medicare Provider Sales Healthcare Performance Improvement Company Los Angeles, CA

Organizations (FMO) or Medicare Advantage sales agencies licensed to sell Medicare ... sales functions- Understanding of Medicare Advantage plans preferred- Understanding of... more

Mar 09 Medicare Advantage Financial Analyst III Henry Ford Health System Southfield, MI

environment, particularly with Medicare Advantage programs is strongly preferred* ... Summary:Assist the Medicare Advantage (MA) Risk Adjustment... more

Feb 22 Analyst II Actuarial Medicare Advantage Premera Blue Cross Mountlake Terrace, WA

membership, administrative costs, and provider reimbursement and performance as ... concepts and terms 2. Experience in Medicare or Medicare Advantage 3. Experience... more

Jan 30 Product Consultant - Medicare Advantage Pittsburgh, PA

within the assigned product line - Medicare Advantage. Provide oversight on ... preferred * Prior work experience with Medicare Advantage products Highmark is an... more

Nov 25 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

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