Medicare Jobs in USA

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part o...

SummaryReviews and adjudicates complex or specialty claims. Determines whether to return deny or pay claims following organizational policies and procedures.DescriptionWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part o...

OverviewMaking a decision to return to work can be exciting and scary all at the same time. We get it 100% - many of us at reacHIRE are returners too!! And we believe meaningful relationships formed along the way back to work should be built on communication and trust. Which is why our team of Progr...

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...

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...

Our CompanyAbilis Health PlanOverview*Abilis Health Plan was formerly Signature Advantage*We are seeking a remote 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 market our p...

Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality affordable healthcare. Serving nearly 2 million members Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and em...

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...

About Crossover HealthCrossover Health is creating the future of health as it should be. A national team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care the company delivers an entirely new model of healthcarePrimary Healthbuilt on the foundatio...

A Medicare Insurance Agency is seeking a driven and customer-focused Bilingual Medicare Sales Agent (EnglishSpanish) to support in-person sales and enrollment activities. This is a commission-only role ideal for individuals motivated by performance-based earnings. The agent will educate prospective...

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...

Job DescriptionMedicare SpecialistJob SummaryThe Medicare Specialist is responsible for managing and servicing an established book of Medicare clients while driving new Medicare plan sales. This role focuses on client education plan recommendations enrollment support and ongoing service ensuring com...

Discover Vanderbilt University Medical Center: Located in Nashville Tennessee and operating at a global crossroads of teaching discovery and patient care VUMC is a community ofindividuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be...

Client Providence Health & Services *** 100% Remote Must live in these states Washington Oregon California *** Senior Actuarial Analyst Medicare Bid who will: Be responsible for developing and maintaining actuarial models analyzing data and providing strategic insights to support the pricing and bid...

About Axiom:Axiom is transforming the legal services landscape by delivering innovative solutions ranging from individual secondees to fully integrated project teams that combine top-tier talent with cutting-edge technology. Join our innovative talent community and help drive impactful legal solutio...

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...

Healthcare Fraud Investigator II MedicareLos Alamitos CA hybrid (OR) Work from Home in CA AZ ID NV OR UT or WA@Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality safe and efficient delivery of health care and human services p...

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...

This position will support our non-contracted provider post claim appeals submitted to the health plan.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...

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...