- CTG (CA)
- …to oversee our customer service operations across multiple call centers to manage our Medicare Advantage Plan Call Center. The ideal candidate will ... of protected classes. Submit a referral to this job (https://usjobs-ctg.icims.com/jobs/10669/ medicare - advantage - plan - call -center-manager/job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834384795) **ID** _2024-10669_… more
- Providence (WA)
- …data, and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of Medicare ... the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare...providing critical insights to enhance the performance of our Medicare Advantage plans **_Providence is welcoming 100%… more
- The Cigna Group (Bloomfield, CT)
- …the future. + Experience in Medicare Supplement and/or Medicare Advantage sales. + DTC Marketing and/or Call Center management preferred. + Demonstrated ... for the direct sales of Cigna Seniors products, including Medicare Supplemental, Supplemental Health, Medicare Advantage...and capabilities to execute a successful acquisition and retention plan focused on Medicare portfolio of products… more
- CVS Health (Hartford, CT)
- …the company's overall growth. The business's key product areas include Individual and Group Medicare Advantage Plans, Prescription Drug Plan , Duals, and the ... thought-partner to the executive leadership team of the Aetna Medicare business, a business that announced a new leader...employees may enroll in the Company's 401(k) retirement savings plan , and an Employee Stock Purchase Plan … more
- Providence (Salem, OR)
- …Medicare Producer who will:** + Be responsible for the sales growth of the Medicare Advantage producer sales channel in their assigned market(s) + Recruit new ... **Description** **_Providence Health Plan caregivers are not simply valued - they're...General Agencies/Producers to sell Medicare Advantage products + Develop relationships with… more
- Providence (Portland, OR)
- …of study + 5+ years of healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development + Experience with writing queries ... **Description** **_Providence Health Plan caregivers are not simply valued - they're...of Actuaries (FSA or ASA) + Experience certifying the Medicare Advantage Bid + Experience with Commercial,… more
- Insight Global (Tampa, FL)
- …period Experience working in a call center environment Deep understanding of Medicare plans - advantage plans, how to position plans, supplement plans, etc. ... agent will guide and help members pick the right Medicare plan based off what they need....per day with average time being 30-40 minutes per call Assisting beneficiaries with their Medicare questions,… more
- InnovaCare (San Juan, PR)
- …At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and ... assigned to support it. Assures coverage of Customer Service call center during normal operating hours. Documents member or...More, plan de salud para la poblacion Medicare Advantage con presencia en los condados… more
- ProMedica Health System (Evansville, IN)
- …in Toledo, has more than 685 employees dedicated to serving their health plan members. Paramount offers Medicare Advantage and Marketplace Exchange ... Paramount Health Care, a ProMedica Health Plan , offers insurance products across six Midwest states....Committee for Quality Assurance (NCQA) for their HMO and Medicare Advantage products. In addition, Paramount has… more
- Conduent (WI)
- …is responsible for fully explaining the Medicare Part D and/or Part C Medicare Advantage Programs and answering all questions related to the program levels. ... where individuality is noticed and valued every day. **Remote Call Center Representative** Pay Rate is $15.00 an hour...The CSRs will be required to navigate the Members' plan benefits, review Client's policy and procedures, as well… more
- InnovaCare (San Juan, PR)
- …At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and ... Minimum one year of experience in a healthcare or Call Center environment. Prefered someone with health plan...More, plan de salud para la poblacion Medicare Advantage con presencia en los condados… more
- InnovaCare (Guaynabo, PR)
- …At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and ... a minimum of one year experience in healthcare and/or Call Center environment. Health plan customer service...More, plan de salud para la poblacion Medicare Advantage con presencia en los condados… more
- InnovaCare (San Juan, PR)
- …At the same time, the main company manages Medicare and Much More, a Medicare Advantage population health plan with a presence in Miami-Dade, Broward and ... of care, data entry, claim review, coordination of orders, call center tasks, outbound outreach to providers and beneficiaries,...More, plan de salud para la poblacion Medicare Advantage con presencia en los condados… more
- Intermountain Health (Murray, UT)
- …state and federal regulatory requirements. Enrolls customers who are eligible in the SelectHealth Medicare Advantage plan . This role will follow a flexible ... with teammates and other departments. Stays current on general plan design and modifications to provide accurate and appropriate...benefits and enrollment questions of potential Medicare Advantage enrollees on the initial call or… more
- Sharp HealthCare (La Mesa, CA)
- …Rights. More fields may be added as regulations change.In cases where Tricare or Medicare / Medicare Advantage is primary or secondary, use scripting to review ... - 8 Hour Shift **Additional Shift Information:** **Weekend Requirements:** As Needed **On- Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):**… more
- Humana (Columbus, OH)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- CVS Health (Phoenix, AZ)
- …or Fellow of the Society of Actuaries) Preferred Qualifications * Experience with Medicare Part D, Medicare Advantage , or Medicaid* Intimate knowledge ... team. We are seeking an actuary to support our Medicare Health Plan Clients. You will work...If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We… more
- Centene Corporation (Pittsburgh, PA)
- …"high touch" outreach to improve membership retention of current and new Health Net Medicare Advantage , Part D members, CalMediConnect Members, etc. + Acts as ... and plans available in the Health Net of Arizona Medicare Advantage service area. + May promote...obtain license within 45 days of hire. **For PA plan and Medicare only:** No licensure required.Pay… more
- Providence (Renton, WA)
- …responsible for a payer portfolio of managed services across Commercial, Exchange, Medicare Advantage and Medicaid product lines. The RVP works collaboratively ... managing product development, contract execution, and revenue generated for Commercial, Medicare Advantage , Medicaid, and Accountable Care or Value Based… more
- CenterWell (Phoenix, AZ)
- …+ Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... the Center. + Participates in the local primary care 'on- call ' program of CenterWell Senior Primary Care. + Assures... Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding… more