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Oversee enrollment operations for Medicaid and Medicare, Medicare self-pay, and spend down tracking. Lead all Medicare Part D operations, including managing PBM and pharmacy services vendors.
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Minimum of 5 years' experience in a Medicare or Managed Care environment managing enrollment, claims, premium billing or encounters project is required. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well as product owners/managers/directors to achieve project objectives and deliverables that include project schedule management, scope, IT and business resources, identification and mitigation of risks and issues to ensure successful completion of initiatives.
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As a member of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a pivotal role in processing all enrollment, disenrollment, and cancellation requests.
$28.23 - $40.44 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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A trusted telephonic resource, the Senior Care Advisor helps guide seniors who may qualify for the PACE program through the enrollment process with WelbeHealth. Medicare Advantage or PACE experience preferred.
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Maintain knowledge in eligibility, enrollment and program specifications for various Medicaid and Medicare insurance programs and others. Welcomes and greets patients as they enter Clinica Msr. Oscar A. Romero.
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Education PreferredExperience Required:At least 5-7 years of related experience relating to Medicare/Medicaid data operations, encounter data operations. The position requires communicating with Centers for Medicare and Medicaid Services (CMS), The California Department of Health Care Services (DHCS) and other government agencies, understanding contract obligations, requirements of encounter data extraction and submission.
$102,183 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Job OverviewThe Enrollment Specialist I, position will assist with the eligibility, intake and enrollment process of new patients, clients and participants and thoroughly discusses the patient’s rights prior to enrollment into: Medicare, Medi-Cal, CoveredCA, or other state or local funded programs.
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A minimum of 5 years’ experience in regulatory auditing (Appeals & Grievances, Call Center, Enrollment) in a healthcare environment is required. Previous experience with Medi-Cal and Medicare in a managed care environment.
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Performs analyses on revenue performance, monthly health plan membership and enrollment data, and prepares reports for program offices and other stakeholders. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure reports.
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The Medicare Services Coordinator is the point of contact for an in-depth orientation and services coordination in the first 90 days following enrollment including making welcome calls, explaining and providing coordination of the health plan benefits and services available; providing explanation of plan benefits, identifying service needs such as transportation to and from appointments and ensuring the member more easily accesses needed care with minimal barriers.
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Screen clients using PointCare for eligibility in and assist with enrollment/re-enrollment in Covered CA, Medi-Cal, Medicare, MHLA, commercial products, Ryan White, ADAP, PrEP-AP as well as with the process of accessing Public Benefits.
$23.92 - $28.45 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Medicare Advantage and/or Medicare Supplement industry experience is a plus. Oversee interactions with external agents including commissions, discrepancies, enrollment kit fulfillment, certification and contracting/appointment requirements.
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Do you have three (3) years or more of responsible experience years of experience in researching, writing, and editing complex material for multi-media projects, including print, video, web-based, and social media communications, related to healthcare topics such as eligibility, coverage, enrollment, legislation, or Medicare.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Responsible for providing patients with information and education on Medi-Cal, Medicare and Covered CA Managed Care options and on the health plan enrollment process. Under the direct supervision of the Director of Managed Care Services, the Managed Care Enrollment Coordinator is responsible for coordinating and implementing member’s enrollment into Managed Care Health Plans and selection of Primary Care Physician, transfers of plans and providers, eligibility verification, information and education for patients.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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A Medicare Sales Representative focuses on helping people who are eligible for Medicare find a plan that meets their needs and aids them with the enrollment process. What Does a Medicare Sales Representative Do.
$70,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated 13 days ago
medicare enrollment jobs in Los Angeles, CA
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