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Working knowledge in any of the following areas: Medicare Advantage, Medicare Shared Savings Program (MSSP), Managed Medicaid and DSRIP, Commercial HIX, managed care regulations, quality reporting, care management, population management, ACO strategy implementation and operations, and supporting providers in risk-based contracts.
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Health care regulatory knowledge focusing on Fraud, Waste, and Abuse; knowledge of Value-based care, Medicare Advantage Organizations, ACO REACH and MSSP programs is required. Juris Doctor and a member in good standing of a state bar association (or Registered In House Counsel with the CA Bar.
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The Vice President of Quality will serve as the single owner/single point of accountability for Aledade's Medicare Advantage Stars goals, including maintaining and executing on the strategic roadmap and providing vision and subject matter expertise for scalable, tech enabled workflow/product development and curriculum support for Medicare Advantage Stars goals.
Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Oversee Medicare Advantage and Accountable Care Organization data analyses. Medicare Advantage background strongly preferred. A leader in value-based care solutions is looking to hire a seasoned FSA to help lead the actuarial unit.
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As the Vice President of Payer Contracting Strategy within the Business Development team, you will lead and execute the Company's payer contracting strategy, including, but not limited to, Commercial, Medicare Advantage, and Medicaid plans, and oversee the development of new initiatives to enhance payer value and alignment for value-based care programs.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Quickly grasp new concepts and product offerings, such as Major Medical, Medicare Advantage, Medicare Supplement, Prescription Drug Plans, and other ancillary health products. As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access to best-in-class paid training, and potentially the opportunity to move into a leadership role.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Medicare agents - sell Medicare Advantage, Medicare Supplement and PDP from home this AEP! Assurance is looking for licensed and experienced insurance sales agents to help Medicare beneficiaries find the plan that is right for them.
Work from homeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Medicare knowledge required with minimum of one year of Medicare sales and one Annual Enrollment Period preferred. As an Advocate Agent I, you'll serve as a trusted expert on all things Medicare insurance-related and have access to the nation's best carriers (Humana, Anthem, UnitedHealthcare & more.
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Must have 3 years of Medicare Advantage, Medicare Supplement and PDP sales. The Field Sales Representative (FSR) position must clearly and fully explain the benefits and requirements of the products, so member expectations are consistent with plan provisions.
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Prominence Medicare Advantage is seeking a data-driven Telephonic Sales Manager to join the Medicare Sales Team, to level up our Telesales team, increase lead conversion and transform how we manage our lead data.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
Up to $20.55 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Working toward relevant host systems certifications preferred, such as: A Security, Linux , VCP, CCA, HP ASE, MCP, MCTS, IBM Certified System Administrator (AIX, iSeries, WebSphere) and/or VMWare System Certification.
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Experience in a Medicare Advantage or an accountable care environment is a plus but not required. We take care of our team so they can focus directly on providing comprehensive care to our Medicare senior patient population.
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Strong understanding of health plan, healthcare provider & vendor contracting and regulatory requirements, ideally in a PACE, Medicare Advantage (MAPD), or Medicare Prescription Drug Plan (PDP) organization.
$95,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, Nevada and Texas.
$38.61 - $61.78 an hourExpandApply NowActive JobUpdated 10 days ago
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