Senior Operating Executive - Medicare Advantage Expert
By Chicago Pacific Founders At United States

Based in Chicago and San Francisco, Chicago Pacific Founders ("CPF") is a leading strategic private equity firm focused on building and scaling companies within the healthcare services sector. This ...

Senior Medicare Sales Representative
By VNS Health At , Manhattan, Ny $75,000 - $93,700 a year
Provides direct consumer education about our health plans MAP, MAPD or DNSP products.
Participates in special projects and performs other job duties as required.
Achieves monthly and annual membership goals.
Performs all duties within CMS guidelines, following all rules and regulations and stays up to date on all new marketing policies.
Performs retention efforts developed by department leadership to reduce member turnover.
Develops, plans and executes health fairs and presentations to key community organizations.
Medicare Sales Agent (Remote)
By Centerfield At , Salt Lake City, Ut $70,000 - $80,000 a year
You will be required to have your own high-speed internet connection.
Generous PTO and holiday schedule
Industry-leading medical, dental, and vision plans + generous parental leave
401(k) company match plan – fully vested on day 1
Award-winning culture & unprecedented team spirit (featured in LA Business Journal & Built In LA)
Career growth – we enjoy promoting from within!
Medicare Field Sales Representative (Atlanta, Ga)
By CVS Health At , , Ga $48,300 - $99,300 a year
Demonstrate technology literacy in support of sales presentation and lead management
We offer a true ‘sales culture’ where top performers are recognized and rewarded.
In depth product and sales training offered.
Attractive benefit package including health benefits, 401k plan, paid family leave, vacation days, paid holidays & employee discounts at CVS stores.
2 to 3 years of business to consumer sales experience preferably in the Health Insurance business
Active Health License & CMS Required Certification
Medicare Pharmacy Analyst Jobs
By Intuitive Technology Group At United States
Knowledge of Medicare Advantage and Prescription Drug Program with a working understanding of Pharmacy Benefit Managers (PBMs).
Experience in Project Management and the ability to prepare project plans and participate or lead special projects.
Oversee Pharmacy Benefits vendors and review claims for accuracy.
Submit changes and benefit builds to the PBM and ensure quality assurance.
Experience as a project lead on one large-scale project with a successful completion (e.g., implementation, issue tracking, and resolution).
Prior quality assurance/testing experience related to claim adjudication & plan set-up preferred. Previous claims coding experience is also desirable.
08/21/23 - Temporary - Medicare Licensed Supervisor
By Salelytics At United States
Continually assess personal management skills determining strengths and developing a plan to address areas for growth
Review and recommend suggestions to management when updates to job descriptions are required as responsibilities change
Also note, that reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above
Minimum of one year supervisor or team lead experience preferred
Basic knowledge of MS Word, Excel required
Review available resources throughout shift, including productivity and call volume reports, to accurately maintain staffing efficiency
Senior Medicare Sales Representative
By VNS Health At Manhattan, NY, United States
Maintains awareness of field sales operations and competitor climate. Provides feedback and highlights potential problems or issues to management.
Assists management with deployment of Sales RVs (Recreational Vehicles) and suggests potentially successful locations.
Provides direct consumer education about VNS Health MAP, MAPD, or DNSP products.
Experience Marketing To a Culturally Diverse Target Population Required
Achieves monthly and annual membership goals.
Performs all duties within CMS guidelines, following all rules and regulations and stays up to date on all new marketing policies.
Medicare Compliance Manager - Remote
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Spearheads development and implementation of compliance policies and procedures and training programs for the Molina enterprise.
Oversees and provides direction of site visits for regulatory audits and coordinates corrective action plan, as needed.
Investigates and resolves compliance problems, questions, or complaints received internally or from customers/agencies.
Medicare Counselor (Pa Medi)
By Diakon Lutheran Social Ministries At Pottsville, PA, United States
Adheres to reporting requirements as defined by agency and PA State Department of Aging.
Responsible for providing Medicare Counseling within the PA MEDI programs.
Makes provisions for providing health insurance counseling to Medicare Beneficiaries and Medicare-eligible individuals.
Assists in the development and implementation of an outreach plan to raise awareness about PA MEDI services.
Records client data into National Data base.
Mandatory Covid-19 Vaccination Program-need covid vaccine card ot file for an exemption.
Medicare Field Sales Representative
By CVS Health At Raleigh, NC, United States
Demonstrate technology literacy in support of sales presentation and lead management
We offer a true ‘sales culture’ where top performers are recognized and rewarded.
In depth product and sales training offered.
Attractive benefit package including health benefits, 401k plan, paid family leave, vacation days, paid holidays & employee discounts at CVS stores.
Minimum of 3 years of successful consumer sales experience within the Health Insurance Industry
Active Health, Life, Medicare supplement License & CMS Required Certification
Medicare Advisor - Entry Level
By Percy At United States
Become an expert in Medicare insurance plans and benefits
Build member relationships, understand unique needs, and offer tailored insurance solutions
W2 position with full benefits
Assist older Americans with selecting and enrolling in Medicare plans with empathy and ethics
Address inbound calls, answering questions and concerns about health insurance
Enjoy the learning process and are willing to study, take exams, and complete online training courses
Licensed Medicare Consultant Jobs
By EMERGE At United States
Extensive benefits and PTO offered
Base salary of $21-25/hr (based on experience and licensures)
1-3 years experience selling Medicare health plans
Offer relevant information on several different carriers and plans
Bonus pay of $30-50 per enrollment
Active resident-state Health Insurance License (multiple states preferred)
Medicare/Acd Specialist (Rn) - Remote
By Acentra Health At Nashville, TN, United States
Do you value care management and quality improvement?
Knowledge of CMS medical necessity guidelines and benefit coverage criteria strongly preferred.
Are you an experienced Clinical Reviewer looking for a new challenge?
Maintain current knowledge of CMS regulations, guidance documents, and transmittals
Review monthly CPT code report and make suggestions based on the data; review with the Manager prior to meetings
Perform ongoing assessment and maintenance of codes within the ACD and update as appropriate, in collaboration with manager and client
Medicare Content Author Jobs
By Swingtech At Washington, DC, United States
Must have experience in technical writing and editing with demonstrated proficiency in communicating detailed Medicare- and/or healthcare-related content.
Experience working directly within or as a contractor to the Centers for Medicare & Medicaid Services is strongly preferred.
Experience in some capacity in training, e-learning development, or usability testing preferred.
Excellent verbal and written communication skills essential.
BA/MA in Communications, English, Journalism, Instructional Design, or a related field; or equivalent experience.
Experience with Iterative/Agile Development and 508 compliance a plus.
Product Manager- Payor/Medicare/Medicaid/Commercial
By HopHR At New York, NY, United States
Any combination of education and experience, which would provide an equivalent background
Health or managed care experience
Requires a BA/BS degree in a related field and a minimum of 2 years of related experience(Or)
Strong strategic managed care understanding for Medicare Advantage, Medicaid, Commercial and chronic complex populations
Extensive knowledge of CMS, NCQA regulatory guidelines
Exceptional communication skills (verbal and written) and executive presence
Medicare Administrative Coordinator I
By Verisk At Bradenton, FL, United States
Excellent technical skills and working knowledge of Microsoft Office
Customer service and communication skills, both verbal and written
Routine follow-up on Letters of Authority and/or Proof of Representation documents
Conditional payment case reporting and assigned case follow-up (obtain lien queue)
Responsible for sending out assigned CP $0 letters
Process mail through internal system (Packet Expert)
Manager, Pbm Claims Administration (Medicare)
By Abarca Health At United States
Experience with Healthcare, Pharmacy Network, and Pharmacy Benefit Management industries, Medicaid/Medicare Part D, and CMS regulations.
Experience applying analytical and troubleshooting skills to claims administration operations.
Experience establishing rapport with internal operational teams as well as stakeholders and clients via interpersonal skills.
8+ years of experience in Pharmacy Claim Operations, including 4+ years of supervisory experience.
Experience working with SQL and Excel tools.
Excellent oral and written communication skills.
Program Assistant (Enrollment - Medicare)
By CalOptima At Orange, CA, United States
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
Ensures processes are accurate and compliant with the regulatory requirements by maintaining and documenting process workflows, desktop procedures and policies.
1 year of experience in eligibility and/or reconciliation required.
Experience with practices related to Medi-Care.
About Our Benefits & Wellness Options
Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
Internal Medicare Sales Associate - Hillsborough County
By Solis Health Plans At Tampa, FL, United States
Identify and qualify new provider partnership opportunities, submitting required forms to Solis Sales Management for consideration by leadership
Customize sales presentations to communicate product features, benefits and differences
Comply with CMS regulations and guidelines, marketing and enrollment requirements
1-3 years' experience in the Medicare Advantage Plans line of business; 5+ years preferred
Strong organizational, interpersonal, communication and presentation skills
Comprehensive knowledge of Microsoft Office
Internal Medicare Sales Associate - Polk County
By Solis Health Plans At Tampa, FL, United States
Identify and qualify new provider partnership opportunities, submitting required forms to Solis Sales Management for consideration by leadership
Customize sales presentations to communicate product features, benefits and differences
Comply with CMS regulations and guidelines, marketing and enrollment requirements
1-3 years' experience in the Medicare Advantage Plans line of business; 5+ years preferred
Strong organizational, interpersonal, communication and presentation skills
Comprehensive knowledge of Microsoft Office