Medicare Jobs in USA

Actuary I (Medicare) Remote Hybrid We are currently all mainly working remote. Team will have onsite (Downtown LA HQ office) once a quarter meeting. Candidates must live in California local enough to Los Angeles to go into the office at minimum once a quarter. Los Angeles CA US

We are hiring an Accounting Manager for one of our clients in Paramus NJ. Job Description: Medicare Part A and Part B Skilled Nursing Facility Responsible to obtain reimbursement from Medicare and private insurance companies for skilled nursing care. This involves establishing cost More...

Role: Dell Boomi Developer Location: Remote Required skillset: 1. Boomi B2B 2. Boomi FlowJob Required Skills: Technical Skills: Boomi B2B Boomi Flow Spring Boot Domain Skills: Payer Claims Medicare & Medicaid Claims Summary: Seeking a highly skilled Sr. Developer with 711 ye More...

Retail Store Temps Job Description: The job assists with retail store work that may include customer contact involving greeting customers when they enter the store or call on the telephone to gather appropriate information scheduling meetings etc. Description: Do you like working in More...

Job Details:This position is responsible for coordinating the oversight of compliance programs of all Medicare First Tier Downstream and Related Entities (FDRs) and identified vendors to ensure compliance with all state and federal regulations and have effective compliance programs to More...

Credentialing Representative Consulting Claims Examiner Level 3 Visa US Citizen or Green Card Hybrid Role Doral FL Consulting Opportunity # of seats: 2 Hybrid Schedule: In office when needed General Purpose Processes and Adjudicates Facility UB04 and Professional C More...

Sr. Software Engineer About The Job: Client is acquiring a Medicare software business (confidential) with a long history of profitability and stability. The role of Director of Engineering & Actuarial will be pivotal to the longterm growth and success of the business. The c More...

Company Overview:Main Line Benefits is a leading insurance agency with a focus on Health Insurance Life Insurance and Medicare our mission is to deliver unparalleled service and expertise to our agent partners. We are dedicated to fostering a culture of integrity innovation and excell More...

The Regional Clinical Director will cover Iowa and can reside anywhere in the state. InState Travel four (4) days per week is required. The RDCS has several key functions. They include providing clinical support to each hospice program concerning conflicting issues of patient appropri More...

Advocate Health LLC. is looking for money motivated LICENSED agents to help members in the nations fastest growing senior segment with Medicare products! Make your own hours! Reach your income goals and build your book of business!Exciting incentive structure with commission and resid More...

JOB SUMMARY/PURPOSEDevelops implements and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members. Ensures member medical records comply with CMSs Risk Adjustment Data Validation procedures. Responsible More...

100% Remote EST work hours Possible CTH role Technical QNXT Benefit Configuration; Front End Must Haves: 3 years of QNXT benefits configuration ***Needs to be front end Ideally know commercial side; but if they are super strong on QNXT Benefit Configuration would consider jus More...

Plaintiffs Personal Injury & Civil Litigation Law Firm seeking Litigation Paralegal with 25 years experience in personal injury and civil litigation. The ideal candidate should have a positive attitude be highly motivated and have a demonstrated ability to perform under strictdead More...

Location:Atlanta GA 30339Category: ManagementSalary: Starting at $100000 per yearPosition Details: Current Opportunity: More...

Nurse Practitioner:POSITION SUMMARY: The Nurse Practitioner (NP) is a Registered Nurse who possesses additional clinical and didactic education to function at an advanced level of nursing practice. They will be clinically competent in physical diagnosis psychosocial assessment and man More...

Overview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans More...

Nurse Practitioner:POSITION SUMMARY: The Nurse Practitioner (NP) is a Registered Nurse who possesses additional clinical and didactic education to function at an advanced level of nursing practice. They will be clinically competent in physical diagnosis psychosocial assessment and man More...

Shift FullTime MF day shift (hybrid position) The F&R Consultant completes contract build/modelling performance reporting and maintenance within Epic EMR; assists with new payer/plan build and design within Epic; negotiates payment on individual nonnetwork cases; assists with thir More...

Sr.PM position in Healthcare Insurance Remote Manage mediumscale or low to medium to high complexity projects within programs and standalone projects Exp needed with insurance medicare/ medicad Make sure theyve used ALM (ADO) SNOW Medicare advantage DSNP Exchange programs Market pl More...

Shift: Days WHAT YOU WILL DO IN THIS ROLE: EXPERIENCE/EDUCATION/QUALIFICATIONS Masters degree in Mental Health Social Work Clinical Psychology or a closely related field required. Current unencumbered Oregon credential/licensure in one (1) of the following required: Licensed Cl More...