Medicare Advantage Provider jobs

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Featured Job Postings from the Web
Aug 29 Medicare Enrollment Specialists Healthcare Support Staffing Tampa, FL

Specialist with a background working with Medicare members, looking for a new job ... a minimum of 40 words per minute Medicare Advantage Enrollment and Disenrollment... more

Aug 23 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

Aug 19 Nurse Practitioner - RN - NP - Certified Np Advantage Union, NJ

- CERTIFIED:NP Advantage, a leading provider of nurse practitioner services ... (CWS), have a current DEA, CDS, and Medicare provider numbers. Your ability to... 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 01 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

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 South Carolina

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
Sep 02 Flexible Medicare Advantage Opportunity Locumtenens.com Massachusetts

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

Sep 02 Provider Educator APS Healthcare Charleston, WV

Medicare Advantage plans to people with Medicare. We partner with providers in ... as necessary regarding provider concerns. Provider Educator also provides orientation... more

Sep 02 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

Sep 02 Field Sales & Service Rep (Medicare) - Penobscot and Bangor Maine territory, 91577 AMERIGROUP Maine

Products include Medicare health products (Medicare Advantage, Medicare Supplemental and ... limited to providers, Medicare advocacy groups, commercial sales, …) • Complete other... more

Sep 02 Director, Medicare, Payer Strategy and Operations Evolent Health Arlington, VA

design and operational readiness for Medicare Advantage products, including Part C ... experience in government programs and Medicare Preferred Advanced written and verbal... more

Aug 30 Benefit Consultant - Medicare WellCare Health Plans Atlanta, GA

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

Aug 29 Medicare Advantage Medical Coder/Abstract Analyst II - Southfield Job Henry Ford Health System Southfield, MI

claim/encounter diagnosis information for provider medical records, audits, and other special projects. *7. Participate in continuing education activities to improve knowledge of... more

Aug 27 Benefit Consultant - Medicare WellCare Savannah, GA

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

Aug 26 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

Aug 25 Medicare Sales Representative, Community Plan - New Jersey Telecommuter! UnitedHealth Group Toms River, NJ

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

Aug 23 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 21 Health Plan Field Representative - Medicare L.A. Care Health Plan Los Angeles, CA

targeting the L.A. Care's Medicare Advantage product line related to the Star ... will also provide Medicare Advantage enrollment support as needed. more

Aug 21 Corporate Learning Facilitator (Medicare) Trainer Molina Healthcare California

Medicare Part C and Part D benefits within Medicare Operations to meet or exceed ... from Molina Medicare. Knowledge/Skills/Abilities • Knowledge of Medicare Advantage... more

Aug 19 Field Sales & Service Rep (Medicare) - Penobscot and Bangor Maine territory WellPoint Maine

Products include Medicare health products (Medicare Advantage, Medicare Supplemental and ... limited to providers, Medicare advocacy groups, commercial sales, …) • Complete other... more

Aug 18 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

Aug 15 Medicare Ouside Sales Representative Kelly Services Woodland Hills, CA

Our client, a Statewide provider of Medicare health insurance, is looking for several ... requires 2-4 years sales experience in Medicare Advantage sales. Important... 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 12 Pharmacy Medical Director 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

Aug 08 Pharmacy Medical Director - Medicare Advantage Plans Pharmacists Association Nashville, TN

Drug Plans (PDP) including Medicare Advantage Prescription Drug Plans (MAPDP). ... REQUIREMENTSExperience with Medicare, Appeals, STARS and... more

Aug 07 VP, Medicare Strategic Allianc Aetna Plano, TX

Medicare products (i.e., Medicare Advantage, Medicare Supplement, PDP, and Medicare ... Years Functional - Management/Management - Medicare/7-10 Years Functional -... more

Jul 31 Nurse Case Manager (RN) for Growing Elder Services Medicare Program Fallon Health 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

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 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 Medicare Star Ratings Coordinator Meridian Health Plan Michigan

of strategic programs focused on Medicare Star Ratings continuous ... projects is preferred. Familiarity with Medicare Advantage reimbursement structures,... 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 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 08 Medicare Director Oregon's Health Co-op Portland, OR

responsible for all aspects of the Medicare Advantage line of business. This position, ... advanced knowledge of Medicare Advantage regulations. Master���s degree and... 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 27 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

Jun 05 Sr. Manager Provider Relations and Education Alegent Creighton 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

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

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