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The Medicare Sales Representative ensures that Communicare Medicare Advantage products are the choice for Medicare eligible individuals in their assigned territory. CommuniCare Advantage , a member of CommuniCare Health Services , is currently recruiting an experienced Sales Representative for our Medicare Advantage plan.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Reporting to the SVP, Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership team-driving BCBSMA's purposeful re-entry into the Group Medicare Advantage Market.
$89ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Directs and oversees risk adjustment strategy, including prospective and retrospective chart review and procurement processes; internal and external audits preparation and risk mitigation; data analysis to support risk revenue accruals; CMS encounter data submissions for FBM's Medicare Advantage membership to ensure complete and accurate risk capture.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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A demonstrated working knowledge of Local, State & Federal laws and regulations pertaining to health insurance, investigations & legal processes (Commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.
Full-timeRemoteExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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The role will have responsibility for Group Medicare Advantage and Medicare Supplementary new sales, retention, growth and account management strategies for all market segments, including meeting/exceeding long, medium and short-term objectives.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage. Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company.
$25 - $35 an hourFull-timeExpandApply NowActive JobUpdated 1 month 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, and Nevada.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The programs the AVP will have oversight for include but are not limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models (AAPM); Medicare Advantage; and commercial payer value programs.
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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Identify, understand and communicate plan details to patients with HMO, PPO, EPO, Medicare Advantage and. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties.
Full-timeExpandApply NowActive JobUpdated 4 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. Solid understanding of systems development life cycle (Experience with Agile methodologies a plus)Experience with mobile frameworks (Ionic, Xamarin, Flutter, React Native, etc.
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The SVP, Operations is responsible for providing strategic leadership for and ensuring operational performance of the internal operations team by working with the President, Medicare and other management to establish long-range goals, strategies, plans, and policies.
$300,000 - $350,000 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Experience in health care, health plans, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect.
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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. Physical Therapist Assistant Home Health Care: One year experience in supervised clinical practice in acute care or rehab setting preferred.
Up to $30.21 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form.
Full-timeExpandApply NowActive JobUpdated 10 days ago
medicare advantage jobs Company: Kover
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