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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.
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The Medicare Sales Representative II is involved with health education through the distribution of health ed. In addition, the Medicare Sales Representative II provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.
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AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Medicare Sales Representative This position is 100% remote however candidates must be willing to travel throughout Palm Beach, Florida market.
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The Medicare Policy Analyst will be responsible for a portfolio that includes Medicare payments to hospitals and the 340B drug discount program. The Medicare Policy Analyst serves as a trusted subject matter expert and advisor regarding complex public policy developments in heath equity, health care quality and public health.
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Job Description :Wellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states. Works to develop and deliver high impact interventions, supporting content development and practice transformation embedded capabilities to significantly improve provider performance that drive cost of care and improve HEDIS/Stars where applicable.
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Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
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This role will work on Cost of Care, trend management, value-based care support for STARS/HEDIS and correct coding initiatives with providers as well as strategic growth and innovation initiatives. Experience working with provider groups including practice managers, population health and quality directors on improving STARS/HEDIS or Risk Adjustment performance.
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How you will make an impact:Designs and develops national level interventions leveraging existing tools that will drive performance in value-based care in support of the innovation and execution of corporate clinical interventions.
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Wellpoint, formerly Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
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Coordinates, identifies, and/or initiates significant change MDS’ Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintain PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements.
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Medicare Medical Director Clinical Programs. Designs and develops national level interventions leveraging existing tools that will drive performance in value-based care in support of the innovation and execution of corporate clinical interventions.
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Knowledge in the following areas: Subject matter learning and expert on CMS cost reporting, disproportionate share (DSH), Uncompensated Care, Bad debt reporting, IME/GME, Medicare Wage Index, S-10 reporting, Tricare and 855’s, Ohio Medicaid, HCAP, UPL and Franchise Fee programs.
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Our Medicare Sales Field Agent sells individual health plan products and educate beneficiaries on our services in a field setting. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly impact your own income potential.
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The Medicare Benefit Consultant role reports to the Regional Sales Manager. Curana Health seeks an outgoing and driven individual with sales experience to join our expanding Medicare Advantage sales team.
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As a Medicare Biller, you will be responsible for accurately processing and submitting medical claims, ensuring compliance with regulatory requirements and optimizing reimbursement for our client's esteemed institution.
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Title: medicare sales Company: Roberts Alliance
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