- UpvoteDownvoteShare Job
- Suggest Revision
You will be responsible for providing plan members with personalized, coordinated health care that improves quality of life and prevents unnecessary hospital visits. We own nursing homes, health plans for Medicare beneficiaries living in long-term care facilities, as well as divisions offering psychiatric care, home health, hospice, rehabilitation and specialty pharmacy services.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Health and life insurance, short-term disability and retirement plan. The group is passionate about preventative medicine, strongly recommending Medicare wellness exams, annual physicals, well-woman exams, immunizations and regular screenings for cancer, diabetes and heart disease.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Responsible for overseeing and coordinating all clinical aspects of the health plan, including medical and pharmacy management, utilization review, and initiatives to ensure care and services provided align with evidence-based guidelines and best practices.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Participates in conferences or teleconferences with the Clinical Director, Patient Care Manager, and/or home health clinicians regarding identified OASIS, utilization, or plan of care inconsistencies.
Full-timeExpandUpdated 10 days ago - UpvoteDownvoteShare Job
- Suggest Revision
If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
$20 - $30 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Three years recent Pharmacy Technician experience in a pharmacy that includes familiarity with pharmacy benefits, pharmacy claims, and working with difficult customers in person and via telephone; or three years Prior Authorization and pharmacy benefit experience at a pharmacy benefit company or health plan outside of HealthPartners/GHI.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
CommuniCare Advantage , a member of CommuniCare Health Services , is currently recruiting an experienced Sales Representative for our Medicare Advantage plan. Successful candidates will use a consultative sales approach to encourage enrollment in a Communicare Medicare plan by presenting product options to prospective members, while understanding and complying with Medicare regulations and company policies.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) Medicare/Medicaid participation; (5) Billing and collection of professional fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Communicate state plan amendments and negotiate with regional and national representatives from the Centers for Medicare and Medicaid Services (CMS) regarding coverage, provider qualifications, and reimbursement methodologies.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
One to one patient care in a home environment Execution of physicians prescribed plan of care and compliant documentation of care provided in system of record Administration of prescribed medication, treatments and therapies Patient assessments, coordination of care Health promotion, teaching, and training of family members.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The strategic plan is changing the way we provide care and improving the health and experience of our patients; we are looking for smart, committed, compassionate people who want to be part of making our vision of better health and equity a reality.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Five of Mission Hospital McDowell’s primary care practices have been recognized by the Centers for Medicare & Medicaid Services as Rural Health Clinics. Mission Hospital McDowell is a member of Mission Health, an operating division of HCA Healthcare.
ExpandUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Identifies key policy issues and debates facing CVS Health’s Medicare Part D and other PBM business, collaborates with business leaders to understand business priorities; develops, recommends, and gains approval of CVS Health policy positions on these issues.
Full-timeExpandApply NowActive JobUpdated Today
medicare health plan jobs
FEATURED BLOG POSTS
How to Respond to a Recruiter Through Email? (Tips & Examples)
Rather than wading through an endless list of open roles, wouldn’t it be nice if relevant job opportunities come to you?
How to Reject a Candidate Professionally
When deciding on how to reject a candidate, your first question may be
How Does Salary Pay Work? (Compared to Hourly Pay)
At the bottom of each job advertisement, companies label a role as salaried or hourly. Both methods will get you paid (yay), but each in very different ways. So, it's essential to figure out how does salary pay work? While employees paid by the hour are paid based on how long they work, employers pay salaried employees a fixed amount.
The Quiet Quitting Phenomenon
The term, quiet quitting, was coined in 2009, but only now is it gaining traction as young Millennials and Gen Z workers are experiencing record levels of burnout. With the pandemic and the state of the economy, young employees are feeling the pressure. So, quiet quitting comes into effect when that pressure is exasperated by work stress and no managerial support.
How Does Salary Range Work (With Examples)
What are your salary expectations? Do you know? Establishing a salary that compensates you fairly and keeps you happy at work can feel like taking a shot in the dark. And employers sure don’t make learning budgets easy!
Guide to Hiring a Teenager
Teenagers are full of life. They bring energy and adaptability that may be hard to get from older workers, but does that mean that hiring teens is beneficial? Well, it depends. As you debate whether or not you should integrate teenagers into your workforce, there are some things that you should know first.
How to Re-apply for Your Old Job Professionally
Have you recently started a new job only to find that you miss your old one? Maybe you didn’t realize how good you had it, and now you regret leaving. Don’t worry. You’re not the first person to feel this way, and you might even be able to return to your old job if you play your cards right.