Medicare Jobs in USA

Job SummaryResponsible for the analysis research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal and fair hearing review processes for all non-Medicare products to thoroughly investigate appeal requests leveraging critical thinking skills...

DescriptionPosition Title: Director Medicare Program Integrity OperationsEmployment Type: Full-TimeLocation: RemoteAbout UsIntegrity Management Services Inc. (IntegrityM) is an award-winning women-owned small business specializing in assisting government and commercial clients in compliance and prog...

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance with standard...

MinUSD $18.34/Hr.MaxUSD $28.42/Hr.OverviewPosition Summary:Analyzes investigates and resolves claims/billing information and/or errors associated with inpatient and outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memo...

Job SummaryThe Medicare Compliance Officer (MCO) is responsible for the development implementation and oversight of Priority Healths Medicare compliance program. The MCO will report to the Priority Health VP Compliance & Privacy Officer with a dotted-line to the Priority Health VP Medicare. The MCO...

Our CompanyExplore how you can contribute at AmeriLife.For over 50 years AmeriLife has been a leader in the development marketing and distribution of annuity life and health insurance solutions for those planning for and living in retirement.Associates get satisfaction from knowing they provide agen...

This is a remote position. The role requires that you have an active Pharmacy Technician license.Lead coach and elevate a highimpact pharmacy team.Step into a leadership role where pharmacy expertise people development and Medicare quality outcomes come together. The Medicare Quality Pharmacy Techni...

DescriptionHealthPartners is hiring a Contract Provider Relations Consultant. They manage HealthPartners Medicare and Medicaid provider network and provider reimbursement approach.Overall responsibilities include:Establish and maintain positive contractual and strategic relationships between HealthP...

Job DetailsThe Manager Regulatory (Medicare Advantage and ACA) serves as a strategic forward-thinking compliance leader ensuring the organization meets all federal and state regulatory requirements for Medicare Advantage and ACA-compliant individual and small group health plans. This role is pivotal...

As outlined below provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs.WHAT YOULL BE DOINGWork in a partially remote environment collaborating with team members virtually each day.Serve as a Subject Matter Expert (SME) on q...

As outlined below provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs.WHAT YOULL BE DOINGWork in a partially remote environment collaborating with team members virtually each day.Serve as a Subject Matter Expert (SME) on q...

The Sr. Director MA Transformation will be responsible for driving the multi-year roadmap designed to optimize Aledades growth and performance in Medicare Advantage. This role will lead the workstreams that ensure our cross-functional teams are strategizing executing iterating and producing learning...

SummaryDescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance compa...

SummaryDescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance compa...

Our CompanyAbilis Health PlanOverview*Abilis Health Plan was formerly Signature Advantage*We are seeking a remote Medicare Sales Account Representative/Executive for our Abilis Health Plan who will work with senior care partners to assist in enrolling new residents and members. You will actively mar...

Our CompanyAbilis Health PlanOverview*Abilis Health Plan was formerly Signature Advantage*We are seeking a remote Medicare Sales Account Representative/Executive for our Abilis Health Plan who will work with senior care partners to assist in enrolling new residents and members. You will actively mar...

Medicare Implementation & Training Lead Role OverviewEquis (EFI) is expanding into the Medicare market to support agent growth strengthen retention and drive downstream annuity and crosssell opportunities. The Medicare Implementation & Training Lead will play a critical role in launching operational...

Primary Location: Med Plaza II - UMCAddress: 250 E Liberty Louisville KY 40202 Shift: First Shift (United States of America)Job Description Summary: Job Description: This position requires thorough knowledge of the Uniform Bill Medicare and Medicare Advantage billing secondary deductible/coi...

Become a part of our caring community and help us put health firstWith over 10 million sales interactions annually Humana understands that while great products are important its the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorabl...

1099 Independent Sales Opportunity Medicare & Senior Market Medicare Insurance Solutions A Mair Agency Company Authorized with all Major C...