Medicare Advantage Provider jobs

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Aug 18 Sales Representative - Medicare Humana Syracuse, NY

and enroll eligible individuals in the Medicare Advantage Private Fee for Service ... Location:* US-New York-Syracuse *Role:* Medicare *Req ID:* 128489 *Work Environment... more

Aug 18 Manager Risk Adjustment Data Operations - Medical Claims - Medicare Futuretech Staffing Long Beach, CA

related to data submission for Medicare Advantage, MMP, and Marketplace risk ... Claims, SOX, Encounter Processing, Medicare Risk, Adjustments, CDM, RAPS, Trizetto,... more

Aug 18 Sales Representative - Medicare - Santa Clara / Sacramento / Hayward Humana Torrance, CA

and enroll eligible individuals in the Medicare Advantage Private Fee for Service ... *Primary Location:* US-CA-Torrance *Role:* Medicare *Req ID:* 128178 *Work Environment... more

Aug 17 Plan & Provider Coordinator (Acute Health) Centene Tucson, AZ

with AHCCCS health plans, Medicare Advantage plans and other funding sources ... 2+ years of experience in behavioral health, medical health, Medicaid and/or Medicare expe... more

Aug 17 Provider Development CoE Strategic Consultant Humana Hollywood, FL

Strategic Consultant **Assignment: **Provider Development **Location: ... Degree * Comprehensive knowledge of Medicare Advantage products * Highly... more

Aug 17 Provider Group Engagement Manager - Richmond Humana Glen Allen, VA

## Description **Role:** Provider Group Engagement Manager **Assignment:** Senior Products ... partnered with Humana in formal Medicare Advantage Quality Improvement Programs with... more

Aug 16 Strategic Consultant - Provider Strategies Humana Louisville, KY

- Provider Strategies # Assignment: Medicare Segment Support ... Capsule** **This role supports the Humana Medicare Advantage Prescription Drug (MAPD)... more

Aug 16 Field Sales & Service Rep (Medicare) - Fresno/Madera/Kin WellPoint Fresno, CA

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

Aug 15 Provider Engagement Consultant Humana Houston, TX

to manage the health of Humana's Medicare Advantage population and increase their ... long-term provider-client relationships with provider representatives, subscribers,... 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

Aug 13 Provider Network Consultant - Overland Park Humana Shawnee Mission, KS

whole. **Assignment Capsule** As a Medicare Provider Operations consultant you will: ... * Manage referral logic for Medicare Advantage plans * Use your claims knowledge... more

Aug 12 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 12 Insurance Agent/Medicare Sales Representative (Bilingual-English/Spanish) Glc Associates New York City, NY

is seeking a SalesRepresentative to sell Medicare services and products, and build ... and enroll eligible individuals in the Medicare Advantage Private Fee for Service... more

Aug 10 Pharmacy Consultant - Medicare Segment Support Humana Minneapolis, MN

Pharmacy Consultant **Assignment:** Medicare Pharmacy Segment Support ... Capsule** This role supports the Humana Medicare Advantage Prescription Drug (MAPD)... more

Aug 09 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

Aug 09 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

Aug 06 Vice President, Medicare UPMC West Mifflin, PA

of Medicare to oversee performance of the Medicare product, strategic direction, and ... annual bid and benefit design for a Medicare Advantage line of business Proven... more

Aug 06 Field Sales & Service Rep (Medicare) - 90772 - Orange County WellPoint Los Angeles, CA

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

Aug 02 Nurse Case Manager (RN) for Growing Elder Services Medicare Program Fallon Community Health Plan Worcester, MA

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

Aug 02 Community Liaison Medicare Ad Visiting Nurse Service of New York Brooklyn, NY

communities served by VNSNY about Medicare Advantage Special Needs Plans and the ... Experience: Minimum two years of managed Medicare and/or Medicaid sales experience with Hi... more

Jul 31 Clinical Quality Consultant - Medicare STARS - CA Telecommute UnitedHealth Group Los Angeles, CA

group structure and characteristics, provider group/ provider office operations ... analytical background within Medicare Advantage plans (Risk Adjustment/STARS... more

Jul 31 Call Center Sales Director-Medicare Programs Lucas Group Charlotte, NC

TITLE: Call Center Sales Director-Medicare Advantage SUMMARY Outstanding opportunity ... for Inbound pre-sales calls regarding Medicare options. Med Advantage, Medicare... more

Jul 29 Medicare Benefit Consultant - Licensed Insurance Agent - Genesee County Meridian Health Plan Genesee, MI

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

Jul 29 Medicare Benefit Consultant - Licensed Insurance Agent - Polk County Meridian Health Plan Des Moines, IA

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

Jul 29 Medicare Benefit Consultant - Licensed Insurance Agent - Scott County Meridian Health Plan Davenport, IA

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

Jul 29 Medicare Benefit Consultant-Cook County-Licensed Agent Meridian Health Plan Chicago, IL

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

Jul 29 Medicare Benefit Consultant-Winnebago County-Licensed Agent Meridian Health Plan Chicago, IL

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

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 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 27 Director Provider Relations Santa Ana, CA

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

Jul 25 Care Services Coordinator (Navigator) – Growing Medicare/Elder Services 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

Jul 24 Call Center Sales Director-Medicare Programs Lucas Group - Search Charlotte, NC

for Inbound pre-sales calls regarding Medicare options. Med Advantage, Medicare ... also important. Experience with Med Advantage, Medicare Supplement, and or CMS is... more

Jul 24 Manager Social Security and Medicar Wells Fargo Missouri

The Social Security/Medicare specialist will report to the Director of Life Event Services ... benefits; health care alternatives pre-Medicare along with the Medicare Advantage (Part... 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 07 Compliance Auditor-Medicare 14-224 Medical Mutual Cleveland, OH

Compliance Auditor-Medicare 14-224 Job Title: Compliance Auditor-Medicare 14-224 Job Type: ... products, specifically Medicare Advantage program regulations, and Statutory Requirements... more

Jul 07 Sr. Manager Provider Relations and Education Catholic Health Initiatives Minneapolis, MN

of STAR rating impacts asit relates to Medicare Advantage. The Senior Manager will ... Plan Servicesincluding but not limited to Medicare, Medicaid and commercial... more

Jul 05 Clinical Quality Consultant - Medicare STARS - Utah Telecommute UnitedHealth Group Salt Lake City, UT

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

Mar 28 RN Clinical Manager - Holyoke - 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 cond... 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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