Medicare advantage jobs in Hoboken, NJCreate job alerts

Job DescriptionAbout CookUnity Food has lost its soul to modern convenience. And with it, has lost the power to nourish, inspire, and connect us. So in 2018, CookUnity was founded as the first-of-its-kind platform that connects the world with the source of truly great food: chefs. Today, CookUnity delivers 35 million meals a year from the industry's best chefs to homes all over the country. Fresh. Ready-to-eat. And crafted with the passion that nourishes body and soul. Unwilling to stop there, CookUnity is expanding beyond delivery to become an ever-innovating marketplace focused on our singular mission: empower Chefs to nourish the world. If that mission has you hungry in more ways than one, you've found the right job posting. The Role: We are scaling our B2B business to transform healthcare through Food as Medicine programs. As we expand, we are looking for a visionary General Manager of Strategic Healthcare Partnerships to lead our healthcare vertical, driving growth across payers, hospitals, and self-insured employers. As the healthcare vertical leader, you will own the strategy and execution of CookUnity's healthcare business. You will lead a team focused on developing partnerships with payers (Medicare, Medicaid, MCOs, ACOs), hospitals, and self-insured employers. You will design and execute a GTM strategy to grow revenue and position CookUnity as the leading provider of medically tailored meals. Key Responsibilities • Own P&L responsibility for the healthcare vertical with aggressive revenue growth targets., • Develop and execute GTM strategy for:, • Medicare payers (value-added benefits), • Medicaid programs (state-specific waivers and compliance), • Hospitals and provider partners (Hospital-at-Home, discharge meal programs), • Self-insured employers (chronic condition management and GLP-1 supportive meals), • Recruit, lead, and coach a team of high-performing AEs specialized in healthcare sub-segments., • Cultivate relationships with C-suite executives in payers, providers, and employers., • Navigate regulatory frameworks, including Medicaid waivers and Medicare Advantage supplemental benefits., • Build scalable processes and playbooks to support team growth., • Lead cross-functional collaboration with product, operations, and marketing to ensure alignment on offerings for the healthcare market including billing and customer support., • Define pricing and packaging strategies tailored to the healthcare ecosystem., • Act as the executive sponsor on strategic accounts, driving renewals and expansion., • Attend key industry events and healthcare conferences to build thought leadership and brand awareness., • Develop KPIs and reporting systems to track progress and make data-driven decisions., • Support creation and rollout of new MTM lines across different markets, • Work closely with the tech team and 3rd party providers to enable billing, and security compliance, • Lead strategic expansion in new states with Medicaid registration, contracting and partnershipsKey Requirements, • 10+ years of experience in healthcare, sales leadership, execution and strategy., • Proven track record of success selling into payers, hospital systems, and self-insured employers., • Deep understanding of healthcare regulations and reimbursement pathways (e.g., 1115 waivers, value-based care)., • Established network in the healthcare ecosystem (payers, providers, and brokers)., • Strong leadership skills with experience building and scaling teams. 🌅 401k Plan 📈 We grow, you grow: Stock Options Plan granted on Day 1 🌟 Eligible for a bi-annual performance bonus ⛱ Unlimited PTO 🗓️ 5- year Sabbatical: After 5 years with CookUnity, you get a 4-week paid sabbatical 🐣 Paid Family leave 🕯 Compassionate Leave: 3-5 days each time the need arises 🥘 A generous amount of CookUnity credits to enjoy our amazing meals, added to your account, monthly 🧘🏽️‍♀️ Wellness perks: access to fitness subsidies to build a healthy lifestyle 👩🏾️‍🏫 Personalized Spanish coach 🚀 Awesome opportunity to join a company that is looking to change how we eat and how chefs work! Compensation • Base Salary Range: $150,000 – $200,000 (depending on experience and network in the healthcare ecosystem), • On-Target Earnings (OTE): $300,000 – $350,000 (base + commission/bonus tied to revenue goals), • Incentives: Equity options and performance-based bonuses aligned with CookUnity's aggressive healthcare vertical growth targets.Why Join CookUnity?, • Be part of a mission-driven company transforming healthcare through food., • Build and lead a vertical that is critical to CookUnity's long-term success., • Competitive compensation package, including equity options., • Opportunity to shape a national Food as Medicine movement. If you're interested in this role, please submit your application and if we think you might be a fit, we'll get in touch with you. Thank you for your time! CookUnity is an Equal Opportunity Employer. We are dedicated to creating a community of inclusion and an environment free from discrimination or harassment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, citizenship status, protected veteran status, genetic information, or physical or mental disability.

Internal Medicine Physician at Signify Health summary:. An Internal Medicine Physician at Signify Health provides part-time in-home health evaluations for Medicare Advantage, Medicaid, and commercial plan members. Internal Medicine, Physician, Patient Evaluations, Medicare, Healthcare, Flexible Sche

Urgent Care, In-home Health Evaluations, Physician, Flexible Hours, Health Assessments, Medcare, Patient Care, Part-time Employment, Medical History Review, Physical Evaluation. As a part-time Urgent Care Physician at Signify Health, you will conduct in-home health evaluations for Medicare Advantage

Job DescriptionBenefits/Perks • Competitive Compensation, • Great Work Environment American Central Marketing Group is expanding our Medicare call center team! We're seeking driven, coachable sales reps to become licensed Medicare agents and help seniors choose the right health plans. Whether you're already licensed or looking to get licensed, we provide everything you need to succeed. What We Offer: • Hourly pay plus Top-tier commissions:, • Warm inbound & outbound leads – no cold calling, • Training + Licensing Support (if unlicensed), • CRM & Dialer system, • Career growth into team leads and managersResponsibilities:, • Make outbound and take inbound calls to Medicare-eligible individuals, • Educate clients on Medicare Advantage, Med Supp, and Part D options, • Use our CRM to manage leads and track client interactions, • Maintain CMS compliance and complete scopes of appointment, • Enroll clients into plans that meet their healthcare needsQualifications:, • Sales experience (phone sales preferred), • Health insurance license (preferred, not required), • Willing to complete licensing and AHIP certification, • Strong communicator with the ability to build rapport fast, • Motivated, coachable, and goal-orientedSchedule:, • Monday to Friday: 9:00 AM – 6:00 PM EST, • Saturdays optional during AEP (Annual Enrollment Period)Location:, • In-office in Secaucus, NJ Ready to Join One of the Fastest Growing Medicare Teams in the Country? Apply today and start your journey toward a 6-figure career in Medicare sales. Join us as we strive to provide top-notch service while growing our business. If you are passionate about helping others and have the skills we are looking for, we encourage you to apply! Job Type: Full-time Pay: $18.00 - $20.00 per hour plus commission Opportunity for advancement Expected hours: 40 per week Monday thru Friday 9 am to 5 pm est Benefits: • Paid time offSupplemental Pay:, • Bonus opportunities, • Commission payAbility to Commute:, • Secaucus, NJ 07094 (Required)Ability to Relocate:, • Secaucus, NJ 07094: Relocate before starting work (Required)Work Location: In person

Job Description Join VillageCare as a Full-Time Medicare Product Specialist and immerse yourself in an exciting opportunity to make a meaningful impact on healthcare delivery. This role will allow you to leverage your problem-solving skills while ensuring customer-centric solutions within a flexible work-from-home environment. You will be part of a forward-thinking team that values excellence and integrity, all while collaborating with like-minded professionals who are passionate about improving the healthcare experience for our clients. With an attractive hourly range of $31.89 - $35.88 ($58,039.46 - $65,294.40) you can enjoy competitive compensation in a role that enables you to thrive professionally from the comfort of your home. Be part of a high-performing organization in New York, NY, where your contributions genuinely matter! Hello, we're VillageCare VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. What does a Medicare Product Specialist do? As a Medicare Product Specialist at VillageCare, you will play a vital role in managing projects that support the development and implementation of our Medicare products. You will oversee the annual CMS bid submission process, collaborating cross-functionally with Product, Actuary, Pharmacy, Finance, and Delegated Vendor teams to ensure timely and accurate deliverables. Your efforts will be crucial in enhancing our organizational understanding of Medicare products by partnering with training and communication teams. You will lead special projects based on enrollment trends and opportunities, while also supporting the ongoing evaluation of our Medicare Advantage product portfolio. Your analytical skills will come into play as you assess new product ideas and gather market data to support business case development. Additionally, you will ensure compliance with CMS regulations while working closely with Sales and Marketing to ensure accurate representation of benefits in all materials. This dynamic role requires collaboration across departments and a commitment to excellence, making it an exciting opportunity to contribute to healthcare innovation at VillageCare. What you need to be successful To thrive as a Medicare Product Specialist at VillageCare, candidates must possess a robust skill set and relevant experience. A Bachelor's degree from an accredited institution is essential, alongside a minimum of three years of experience in Medicare product management. A strong understanding of the managed care field, particularly with Medicare Advantage plans, is highly desirable. Proficiency in healthcare business consulting will enhance your ability to analyze and implement strategic initiatives effectively. Successful candidates will demonstrate exceptional project management skills, with a keen aptitude for collaboration across cross-functional teams. Strong analytical abilities for market analysis and competitive landscape evaluation are crucial, as well as excellent communication skills to ensure that all stakeholder materials meet compliance and regulatory standards. Familiarity with relevant software tools will further support your effectiveness in tracking performance metrics and supporting vendor relationships, ultimately contributing to the success of our Medicare offerings. Knowledge and skills required for the position are: • Education: · Bachelor's degree from an accredited institution, • Experience: · 3+ years experience in Medicare product management · Strong understanding of the managed care field preferably Medicare Advantage plans a plus · Experience in healthcare business consulting Job Posted by ApplicantPro

Job Description Position Overview As Director of Federal & Integrated Regulatory Guidance, you will manage a team of regulatory professionals who analyze new regulatory requirements, work closely with the business to understand the impact and obligations of those requirements, and support the business in understanding the evolving regulatory landscape. With wide latitude for individual initiative and decision making, the position is responsible for providing leadership and oversight relating to all Federal & Integrated products offered by client. This role primarily operates remotely with in-office presence only as needed for key meetings, collaboration, or business needs. Job Description • Provide leadership and expertise in analysis and interpretation of complex and voluminous enacted state laws across the client portfolio of Federal and Integrated products. These consist of Managed Long-Term Care (MLTC), Medicaid Advantage Plus (MAP), Medicare Advantage, and Medicare D-SNP., • Direct and supervise the Regulatory guidance team to ensure that all new regulations and product contract updates, and final rules are disseminated throughout the organization., • Provide regulatory support to the organization, including providing regulatory interpretation and gaining clarification from regulatory bodies., • Proactively communicate with internal divisions to become and remain educated about key regulatory issues affecting these areas., • Support continuous improvement of communication processes to better inform the enterprise of new legislation and regulatory agency directives., • Develop and maintain relationships with regulatory agencies and stay up-to-date on any changes or updates to regulations., • Participate in stakeholder calls and create summaries of calls for dissemination to senior staff., • Work with the Regulatory Operations team to support the preparation and submission of regulatory filings, reports, and documentation., • Identify and assess potential regulatory risks and develop strategies to mitigate those risks., • Collaborate with cross-functional teams to ensure compliance across all areas of the organization., • Participate in high-level implementations of carve-in/carve-out services; program services such as changing vendors or adding new vendors., • Assist the Compliance teams with understanding of Federal, State and Local regulations and product contract requirements., • Partner with Compliance team on management of and response to external audits and surveys, including CMS Program Audits., • Participate in engagement with Local and State agencies and Trade Associations., • Demonstrate strategic mindset to deliver value to business teams., • Support and coordinate with business leaders on regulatory changes to drive achievement of business goals and clarity of regulator expectations., • Anticipate policy and emerging regulatory trends and coordinate advocacy strategies with government relations team., • Cultivate and maintain solid collaborative relationships with business clients, regulators and client business partners., • Supervise a team of Regulatory Analyst staff assigning tasks and projects and conducting performance evaluations., • Ensure that the team is adequately trained and equipped to perform their duties, including identifying and addressing knowledge and skill gaps and that staff are up to date with work assignments and provide guidance as needed., • Provide feedback to staff to help improve their productivity, efficiencies and growth. Minimum Qualifications • Bachelor's degree, • Minimum seven (7) years of experience working with Medicare and Medicaid laws/regulations, including having held a senior position, in a managed care compliance or regulatory department and must possess detailed knowledge of the rules governing managed care health plans., • Thorough knowledge in the application of health law and policy, managed regulation and compliance programs and/or the fundamentals of healthcare organization, administration and standards, regulations and law applicable to health plan operations., • Knowledge of business and human resources administration principles, management functions, management processes and functions of health plan departments., • Ability to direct and supervise personnel., • Collaboration and Demonstrable strategic thinking ability, • Management of multiple projects simultaneously to own workload, • Excellent oral, written, and presentation skills, as well as conceptual and analytic skills are necessary in order to review and articulate corporate objectives and Federal regulations across all relevant audiences., • Integrity and Confidentiality, • Experience with legal research applications (such as Lexis)., • Ability to effectively understand and communicate detailed and complex information verbally and written with others. Solid verbal and written communication skills.

Job Description About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system—more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers—Raj and Neil Machhar—and inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume—so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking the best care of our patients. About the Role The Senior Operations Manager is a highly dynamic role where you will work across teams to support both strategic initiatives and daily operational needs. You'll help drive improvements in how we run our clinics, support staffing and hiring strategies, manage onboarding and offboarding of key systems, and optimize processes that directly impact our patients and clinical teams. The ideal candidate is a problem solver, data-driven operator, and strong communicator who thrives in a fast-paced, mission-driven environment. You'll have exposure across operations, clinical workflows, analytics, staffing, and partner relations, with the opportunity to directly shape how Greenbrook grows and scales. Compensation Compensation range: $130,000-$150,000, with a generous performance bonus At Greenbrook Medical, we value fair and equitable pay. Your salary within this range will be based on your relevant, transferable experience and professional achievements. Location: New York City strongly preferred (Hybrid) with regular travel to Tampa, FL. Open to Greater Tampa Bay Area candidates. Key Responsibilities Operations & Clinic Support • Partner with clinic leaders and the VP of Operations to ensure smooth day-to-day operations across all Greenbrook sites in the Greater Tampa Bay area, • Support onboarding, offboarding, and optimization of clinical systems and tools, • Troubleshoot facility issues and coordinate solutions with internal teams and external vendors, • Support hiring strategy and staffing plans in partnership with clinic leadership, • Assist with interviews and onboarding processes to build high-performing teams, • Help evaluate staffing models, incentives, and workforce planning for clinical and support teams, • Provide coaching and guidance to center managers to strengthen leadership skills and operational effectiveness, • Build and maintain reporting tools and dashboards to support visibility into clinic and company performance, • Partner with data and analytics teams to track KPIs, identify trends, and surface insights to leadership, • Identify bottlenecks and inefficiencies in workflows, and implement scalable process improvements, • Lead special projects and research efforts to support patient engagement, new initiatives, and overall process optimization, • Work with insurance partners to support operations and contract needs, • Collaborate with growth, clinical, and executive teams on initiatives that require operational input, • Serve as a connector across teams to ensure alignment and accountability Accountabilities • Operational Excellence: Ensure smooth day-to-day operations across all sites in the Greater Tampa Bay area by partnering closely with clinic leaders and the VP of Operations., • Team Development: Provide ongoing coaching and guidance to center managers, with success measured by improved staff engagement scores and staff retention. Support hiring, onboarding, and development efforts, measured by improvements in onboarding surveys and performance reviews., • Process Optimization: Identify and implement workflow improvements that result in measurable time savings, increased staff efficiency, or cost reductions, tracked through before-and-after benchmarks., • Quality & Compliance: Maintain updated SOPs, playbooks, and training content with 100% version control and quarterly reviews to ensure consistency and compliance across sites. About You • Experience: 4–7 years of experience in healthcare operations, consulting, health tech, or a high-growth services company, • Education: MBA or advanced degree is a plus, but not required, • Skills:, • Strong operational generalist with experience in project management, process design, and team support, • Track record of effective cross-functional collaboration, with a focus on fostering team development and contributing to growth strategy., • Skilled with data tools (Excel/Sheets, dashboards, reporting platforms) and able to synthesize insights for decision-making, • Excellent communicator, both written and verbal, with the ability to collaborate across diverse teams, • Highly organized, detail-oriented, and comfortable juggling multiple priorities, • Excited by the opportunity to work closely with clinic teams and support frontline staff who deliver care, • Flexible to travel to Tampa monthly, with occasional additional site visits as needed, • Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork. Why You Should be Excited • Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care., • Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors., • Growth: We're building more than a company - we're building careers. As we grow, we're creating meaningful opportunities for you to expand your skills, take on new challenges, and shape your path forward., • Compensation: Competitive base salary and performance-based bonus, paid time off, monthly benefits stipend and 401K. Our Selection Process Our selection process typically includes an online application, initial interview, second round interview, values interview, case study, and reference check. Equal Employment Opportunity and Commitment to Diversity At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at .

Hospice/Palliative Medicine Physician at Signify Health summary:. As a part-time Hospice/Palliative Medicine Physician at Signify Health, clinicians conduct in-home health evaluations for Medicare Advantage and Medicaid members, emphasizing flexible scheduling and patient engagement. Hospice Physici

Job Description Under the supervision of the Senior Director of Integrated Care Management (ICM), the Director of ICM (Medicare) provides clinical and administrative oversight for the Medicare Advantage and Integrated Benefits for Dually Eligible (“IB-Dual”) populations, also known as the Medicare dual eligible special needs plan (D-SNP) line of business. This role ensures adherence to the Medicare Model of Care, CMS regulatory requirements, established policies and workflows. They are also responsible for managing the day-to-day operations of the clinical and non-clinical staff, ensuring adherence to the care management process. Most broadly, the Director ensures members are receiving the care they need and that staff are addressing the members’ medical, behavioral and social needs while ensuring appropriate linkages in order for them to remain safely in the community. Job Description ● Participates in the development of the vision and strategic direction for Integrated Care Management; collaborates on the implementation of related strategies. ● Supervises, plans, organizes, prioritizes, delegates, and evaluates staff and functions of the Integrated Care Management Department and Medicare line of business. ● Ensure staff are care managing members in accordance with the risk stratification identified and adhering to the care management process of screening, assessing, implementing, and evaluating. ● Participates in development, implementation, and annual review of the Integrated Care Management and Quality Management/Quality Improvement Plan. ● Provides oversight for the implementation and adherence to the Model of Care ● Ensures compliance with Federal, State and City regulations as they relate to Medicare, Medicaid, and Health Homes. ● Provides oversight for Transitions of Care Process and tracking, implementing strategies to prevent readmissions and reduce hospitalizations. ● Collaborates with NYC H+H and external partners on various initiatives, projects and pilot programs. ● Gathers, develops and tracks data on evidence-based practice interventions. ● Represents ICM at various meetings and committees as required. ● Provides clinical support for the review of Quality-of-Care concerns being investigated by the Quality Management Department, and collaborates with Quality Management on HEDIS, STAR ratings and CAHPS score improvement initiatives and strategies. ● Collaborates with the UM Department to manage appropriate member utilization and works with data analytics to generate reports that will illustrate the impact on members' utilization. ● Drives the implementation of processes and functional enhancements which will improve the overall quality and services provided by the CM teams. ● Collaborate with customer service department to ensure that member issues and concerns are addressed and resolved in a timely manner. ● Analyzes trends and implements departmental initiatives based upon data provided through the reporting of Care Management or from Quality, Data Analytics and Audit data. ● Ensures comprehensive and supportive on-boarding of new hires and effective, data-driven monitoring/coaching to ensure that efficiency and performance are maximized among existing staff. ● Maintains communication with the department head, offering routine updates on operations, issues, concerns, and other pertinent information. ● Performs other duties as assigned by the Senior Director. Requirements Minimum Qualifications ● Bachelor of Science in Nursing required. Master’s Degree in Nursing preferred. ● Minimum 10 years professional healthcare management ● Minimum 5 years in leadership role, Manager and above ● A minimum of 5 years of administrative experience with supervision of clinical and ancillary staff in a Managed care role required ● Must be familiar with OMH, DOH, CMS regulations for service delivery, with a care coordination approach to service delivery in managed care settings Licensure and/or Certification Required: ● Requires valid and current RN license to practice in the state of New York.

Job Description Hello, we're Belong. We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long. We believe that only by recognizing individuals can we make communities strong. Belong Health. Kinder, more supportive care. If working in this type of organization appeals to you and the right position isn't posted already, send us your information here. We will review your resume for future opportunities. Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply. Our organization participates in E-Verify to confirm the eligibility of employees to work in the United States. (Nuestra organización participa en E-Verify para confirmar la elegibilidad de los empleados para trabajar en los Estados Unidos.)

Job Description Hi, we're Oscar. We're hiring a Senior Specialist to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS), and be active and engaged in establishing Risk Adjustment processes. You will report to the Associate Director, Risk Adjustment. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $72,800 - $95,550 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts., • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards., • Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits., • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process., • Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business., • Identify process improvements to enhance medical encounter review efficiency., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • Bachelor's degree in a relevant field of study or commensurate work experience., • Certified professional coder (CPC), • 2+ year(s) retrospective risk adjustment coding experience.Bonus points, • Certified Risk Adjustment Coder (CRC) or similar certification, • Experience coding in a variety of different Electronic Medical Record (EMR) systems.Travel At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description OUR MISSION Imagine building a better healthcare journey for patients with cancer, where individuals and their loved ones feel seen, supported, and heard by their care team – both in and out of the clinic. Where fast access to high-quality care is the norm, not the exception. Where patients have access to a care navigator to guide them through their diagnosis and trusted support all along the way. At Thyme Care, we share a passion for transforming the cancer care experience – not just for patients but also for their caregivers and loved ones, as well as those delivering and paying for their care. Today, Thyme Care is known predominantly as a cancer care navigation company enabling value-based cancer care; in the next few years, we will become a nationally recognized technology-driven and provider-centric care delivery model, reshaping the landscape of cancer care access, delivery, and experience. Our commitment runs deep—we're not satisfied with the status quo but determined to redefine it. To make this happen, we're building a diverse team of problem solvers and critical thinkers to drive innovation and shape the future of healthcare. If you share our vision and want to be part of something truly meaningful, we want to hear from you. Together, we can revolutionize cancer care and make a difference that lasts a lifetime. WHAT YOU'LL DO As a Director, Actuarial Services within Thyme Care, you will help lead the development, implementation, and oversight of actuarial models and financial frameworks that support our value-based care partnerships. You will take ownership of end-to-end actuarial functions, including reserving, forecasting, contract reconciliations, and other performance-related actuarial support. Working cross-functionally, you will evaluate contract performance and provide strategic guidance for a portfolio of partners, including risk-based entities, regional plans, and national plans. This is a high-profile position that will regularly collaborate with the C-suite and help advance financial structures through actuarial studies and industry expertise. The responsibilities of the Director, Actuarial Services will include: • Lead the development and reporting for a portfolio of Thyme Care partner's total cost of care savings performance estimates, ensuring the accuracy of the underlying data and methodological consistency with risk-based contracts and actuarial standards., • Lead annual financial reconciliations for a portfolio of Thyme Care partner's value-based contracts, coordinating internal data resources to execute reconciliations and directly interface with actuarial counterparts at existing partners to validate results., • Provide guidance on the fidelity of performance estimates, identify/quantify financial risks and opportunities, and advise the Finance team on revenue recognition decisions tied to projected shared savings., • Help identify and evaluate areas of potential underperformance, providing interpretation of results and partnering with health economics and clinical teams to find root causes of emerging issues., • Execute actuarial analyses and develop models that allow Thyme Care to quantify the financial and risk trade-offs between different contract features in value-based arrangements. Required: • Bachelor's degree in Statistics, Actuarial Sciences, Economics, Math or other quantitative discipline, • Associateship or Fellowship from the Society of Actuaries (ASA or FSA), • 8+ years of actuarial experience in health care and/or medical economics, • 2+ years of experience mentoring junior staff members, • Understanding of Medicare Advantage health plan data (Claims, MMR, MAO-04, etc.), • Experience using SQL or another coding language to pull and transform data in a structured manner from large healthcare claims databases, • Proficiency in writing clean, efficient code and maintaining strong data management practices, • 3+ years of experience in value-based care arrangements and contracting, with a focus on reserving and forecasting for shared savings programs, shared risk programs, and/or global capitation, • Strong communication skills and demonstrated the ability to articulate the "Here's What", the "So What", and the "Now What" to executive audiences or external parties, • A strong understanding of financial and clinical metrics used in healthcare and strong working knowledge of industry standards for presenting data, • Experience developing financial models and/or forecasts in Excel that evaluate the cost of care impact of different clinical interventions, • Familiarity with BI Tools like Looker, Tableau, or Power BI Act with our members in mind: Thyme Care's mission, and particularly our member experience, matters deeply to you. Critical eye for detail: Not only do you maintain high standards for data accuracy, presentation and documentation, you have a natural ability to detect data anomalies and identify when outputs look suspicious and warrant further investigation. Move with purpose: You're biased to action. You know how to identify and prioritize your initiative's needs; and you do what it takes to ensure that urgent and important needs are acted on immediately. Comfort with ambiguity: You have a proven track record of success within scaling businesses, fast-paced environments, and startups. You understand that rapid changes to the business, strategy, organization, and priorities are par for the course. Expertise: You have a solid understanding of healthcare data and financial concepts; and you can use analytic methods to drive tactical decisions and strategic plans. You're an expert in right sizing solutions and tailoring your communication to your audience. OUR VALUES At Thyme Care, our core values guide us in everything we do: Act with our members in mind, Move with purpose, and Seek diverse perspectives. They anchor our business decisions, including how we grow, the products we make, and the paths we choose—or don't choose. Our salary ranges are based on paying competitively for our size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Thyme Care. Individual pay decisions are based on several factors, including qualifications, experience level, skillset, and balancing internal equity relative to other Thyme Care employees. The base salary for this role is $190,000 to $210,000. The salary range could be lower or higher than this if the role is hired at another level. We recognize a history of inequality in healthcare. We're here to challenge the status quo and create a culture of inclusion through the care we give and the company we build. We embrace and celebrate a diversity of perspectives in reflection of our members and the members we serve. We are an equal-opportunity employer. Be cautious of recruitment fraud, and always confirm that communications are coming from an official Thyme Care email.

Family Practice - Without OB Physician at Signify Health summary:. The position of Family Practice - Without OB Physician at Signify Health involves conducting in-home health evaluations for Medicare Advantage and Medicaid patients, focusing on re-engagement in health.

Public Health, Community Health Evaluation, Physician Jobs, In-home Health Assessments, Medicare Advantage, Medicaid, Flexible Hours, Health Care Employment, Part-time Physician, Clinical Commitments. As a Public/Community Health Physician at Signify Health, you will engage with Medicare Advantage,

Emergency Medicine, Health Evaluations, In-home Care, Flexible Schedule, Part-time Physician, Healthcare, Patient Care, Medicare Advantage, Medicaid, Physician Jobs. Emergency Medicine Physician at Signify Health summary:. An Emergency Medicine Physician at Signify Health conducts in-home health eva

Job Description Must have or be able to obtain license in the state of NY This is a 4 month contract during the Annual and Open Enrollment period that is 100% remote. It is an hourly + commission position, we pay weekly and there is opportunity for overtime pay as well. Responsibilities: Working in a high-volume call center environment handling inbound Medicare Sales calls. Qualifying prospective members to determine if the Medicare Advantage plan meets their needs. Enroll prospective members in the Medicare Advantage plan and work with current the Medicare Advantage members on making a change during the Annual Enrollment Period and the Open Enrollment Period. Document all calls in the CRM system (Salesforce). Continuous multi-tasking with multiple programs and screens. Requirements: HS Diploma or GED required. Minimum 1 year of Medicare and/or commercial sales experience required. Minimum 1 year experience in customer service, direct selling or telemarketing sales preferred. Health related experience preferred. Experience with a computer-based documentation system or customer relationship management (CRM) software required. (Salesforce) Strong working knowledge of Microsoft products required. Required to work some weekends (will rotate). Shifts are 8 hours with some mandatory overtime and optional overtime determined by management based on business need. (example nights and weekends) Must be available, with no time off requests, starting 8/18, during 3 weeks of training. Company DescriptionThe Jacobson Group is the leading provider of insurance talent. For more than 50 years, we have been connecting insurance organizations with professionals from the board room to the back room on both a permanent and temporary basis. We offer a variety of solutions including executive search, professional recruiting, temporary staffing, subject matter experts, and onsite and work-at-home operations support. Regardless of the need or situation, Jacobson is the insurance talent solution.The Jacobson Group is the leading provider of insurance talent. For more than 50 years, we have been connecting insurance organizations with professionals from the board room to the back room on both a permanent and temporary basis. We offer a variety of solutions including executive search, professional recruiting, temporary staffing, subject matter experts, and onsite and work-at-home operations support. Regardless of the need or situation, Jacobson is the insurance talent solution.

Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. Work with the plans that most clients use, including Medicare Advantage and Medicaid. Headway makes it easier for your clients

Quantity Model” – Typically see 14 to 16 patients per day Patient panel is predominately geriatrics with Medicare Advantage coverage Bonus incentives are based on quality metrics What makes an Optum organization different? Be part of a best-in-class employee experience that enables you to pra

Quantity Model” – Typically see 14 to 16 patients per day Patient panel is predominately geriatrics with Medicare Advantage coverage Bonus incentives are based on quality metrics What makes an OptumCare organization different? WellMed is a Medicare Advantage Plan that operates as a health sy

Job Description Rockstar is recruiting for a company that is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. With over 60 million seniors projected to represent nearly 25% of the population by 2030, there is a seismic shift in healthcare demand. Yet, today, millions of older adults remain isolated, underserved, and struggling with mental health challenges such as anxiety, depression, loneliness, and life transitions without adequate support. The client envisions a world where every senior enjoys seamless access to personalized, compassionate, and effective mental health care. They are building a comprehensive, tech-enabled behavioral health platform to deliver superior mental health care directly into seniors' homes. By partnering with Medicare and Medicare Advantage plans, they are making high-quality geriatric psychotherapy not just accessible—but affordable, scalable, and transformative. Join them on their mission to redefine the golden years, enabling older adults across the nation to live happier, healthier, and more fulfilling lives. This isn't just a job—it's an opportunity to pioneer a movement in geriatric mental health and reshape the future of aging. About the Role The client is looking for a rockstar Provider Experience & Recruitment Associate to join their founding team and lead some of the most critical functions of their business. The successful candidate will work directly with the two co-founders and own the full provider lifecycle—from hiring to engagement to retention. This role is ideal for someone who thrives in a fast-paced, mission-driven environment, is detail-oriented, people-first, and eager to build strong systems from the ground up. Key Responsibilities Provider Growth & Recruitment • Own full-cycle hiring for behavioral health clinicians (e.g. therapists, psychologists), including sourcing, screening, interviewing, and onboarding, • Build and maintain a strong, scalable pipeline of qualified and mission-aligned providers, • Identify and manage sourcing channels including graduate programs, referral networks, job boards, and events, • Coordinate with credentialing and operations teams to ensure seamless onboarding and systems access, • Track and report on hiring metrics to improve efficiency and conversion Provider Experience & Retention • Design and manage a thoughtful onboarding experience that sets providers up for long-term success, • Act as the main point of contact for provider feedback, satisfaction, and resolution of day-to-day concerns, • Lead engagement initiatives including regular check-ins, surveys, recognition programs, and community events, • Partner with clinical and operations teams to continuously improve the provider experience, • Own key outcomes like therapist NPS and provider retention Your Qualifications • A+ players only. The candidate should have a burning desire to win and a track record of being a top performer. They want to be the best and help their team win, • 0–3 years of experience in relevant roles such as provider experience, recruiting, people ops, customer success, or sales, • They are a builder: creating structure where there isn’t any and thriving in taking projects from 0 to 1, • They are people-first: empathetic, clear, and effective in communication, • Comfortable wearing many hats and navigating ambiguity in a startup environment, • Personally invested in the mission to combat the senior loneliness epidemic—whether through lived experience, a family story, or past service, • Provider Growth: Hiring new therapists to join the practice.

Job Description Hi, we're Oscar. We're hiring a Manager of Clinical Pharmacy Programs to join our Pharmacy team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Manager, Pharmacy Clinical Programs oversees and manages clinical pharmacy programs driving affordability savings including core formulary management operations. This role partners across Pharmacy, Medical Economics, and the Office of Clinical Affairs to operationalize pharmacy related workflows and monitor existing savings plans for drugs on both the pharmacy and medical benefits. You will report to the Senior Director, Pharmacy Clinical Operations. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our Arizona, New York and California office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $144,000 - $189,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Provide insights and recommendations for trend management and clinical effectiveness, including serving as an important contributor in the enterprise affordability process for pharmacy, • Manage the pipeline of enterprise affordability projects across the pharmacy department (program operations and clinical) and oversee the performance of active programs, • Partner with leads across the organization to communicate, understand and identify upstream and downstream impacts to the business, • Contribute to the design and implementation of clinical programs to improve patient outcomes and reducing costs., • These programs may include medication adherence programs, chronic disease management programs, and patient education efforts, • Operationalize, develop and maintain a clinically appropriate and cost-effective formulary by operating and managing Oscar's P&T committee, which includes evaluating new developments in the drug treatment landscape and providing recommendations on how to manage new to market drugs and new drug indications., • Oversee and improve medical pharmacy preferred drug lists and strategies to supports use of lowest unit cost infusion products, • Provide written recommendations with responses and corresponding documentation for regulatory inquiries, feedback on future legislation, and other business questions that probe at formulary operations., • Accountable and responsible for maintaining mental health parity NQTL responses and working cross-functionally for future filings and responding to ongoing objections during the audit process., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • Doctor of Pharmacy degree (PharmD), • 4+ years working for PBM or Payer in clinical pharmacy operations, • 4+ years leading teams/projects and change managementBonus points, • Residency Training, • 3+ years supporting formulary management (P&T Committee, clinical policy development, formulary run operations) At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

TRANZACT is a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental insurance policies.Our focus is on leveraging our highly skilled team of over 3,000 professionals to deliver innovative solutions

I'm looking for physicians to perform prescheduled Health Risk Evaluations of Medicare Advantage members on health plans that we represent. Most physicians complete 5-10 per day, or 35-55 assessments per week when working a full schedule.

TRANZACT is a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental insurance policies.Our focus is on leveraging our highly skilled team of over 3,000 professionals to deliver innovative solutions

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager, you will plan, forecast, and manage client-facing coding projects. You will work directly with Customer Success Managers to ensure successful implementation, coding, and result delivery of client projects. Additionally, you will oversee the coding phase of client projects and ensure all parties remain on track with project requirements, deadlines, and schedules. You will: • Partner with Customer Success Managers to ensure successful implementation, coding, and result delivery of client projects, including creating and delivering content to clients describing Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality., • Oversee the coding phase of client projects to ensure that all parties are on track with project requirements, deadlines, and schedules., • Respond to client needs and proactively identify and resolve coding issues that impact project success metrics., • Prepare and deliver timely project performance reports by gathering, analyzing, and summarizing relevant information., • Ensure project deliverables adhere to quality standards., • Establish effective project communication plans (to coding staff, coding vendors, and clients) and ensure their execution., • Facilitate change requests to ensure that all parties are informed of the impacts on schedule and budget., • Coordinate the development of user manuals, coder training materials, and other documents as needed., • Manage client satisfaction within the project period., • Conduct post-project evaluation and identify successful and unsuccessful project elements., • Ensure effective use of project resources (staffing, budget)., • Define project productivity and accuracy benchmarks and ensure coding teams deliver on them through collaboration with those responsible for coder performance management., • Drive quality assurance and performance improvement activities for coding projects., • Partner with peers in other departments to achieve company goals, develop a mutual understanding of roles, and foster a positive work environment., • Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets., • Minimum Associate's degree, preferably in a healthcare-related field., • Bachelor's degree preferred, preferably in a healthcare-related field., • Minimum 8 years of coding experience., • Minimum 5 years managing coders in an outpatient or inpatient setting., • Current CCS, CRC, or CPC required., • Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience., • Familiarity with HIPAA patient privacy requirements., • Excellent communication and organizational skills., • Keen attention to detail., • Advanced problem-solving skills. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$100,000—$125,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Ability to use technology and tools including Salesforce and Tableau for prospect/member record keeping and lead management. The Medicare Outside Sales Representative is a top performing membership growth agent responsible for identifying, educating, and enrolling prospective Medicare Advantage (MA)

I'm looking for physicians to perform prescheduled Health Risk Evaluations of Medicare Advantage members on health plans that we represent. Most physicians complete 5-10 per day, or 35-55 assessments per week when working a full schedule.

Licensed Mental Health Counselor (LMHC) Wage: Between $95-$130 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice?Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers -Start taking insurance, stress-free:Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. -Built-in compliance: Stay compliant from day one with audit support and ongoing resources. -Expansive coverage:Work with the plans that most clients use, including Medicare Advantage and Medicaid. -Increase your earnings:Secure higher rates with top insurance plans through access to our nationwide insurance network. -Dependable payments:Build stability in your practice with predictable bi-weekly payments you can count on. -Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. -Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ●Increased access:Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ●Instant verification:Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We’ll take care of the rest.

" Licensed Clinical Social Worker (LCSW) Wage: Between $90-$127 an hour Licensed Clinical Social Worker — Are you ready to launch or expand your private practice?Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Social Worker at a Master’s level or above with LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers -Start taking insurance, stress-free:Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. -Built-in compliance: Stay compliant from day one with audit support and ongoing resources. -Expansive coverage:Work with the plans that most clients use, including Medicare Advantage and Medicaid. -Increase your earnings:Secure higher rates with top insurance plans through access to our nationwide insurance network. -Dependable payments:Build stability in your practice with predictable bi-weekly payments you can count on. -Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. -Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ●Increased access:Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ●Instant verification:Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We’ll take care of the rest.

" Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Mental Health Therapist at a Master’s level or above with LMHC, LPCMH, LIMHP, LMFT, LMFTS, LCMFT, LPC, LPCC, LCPC, LCPCS, LPCC-S, LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

" Licensed Professional Counselor (LPC) Wage: Between $120-$131 an hour Licensed Professional Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Professional Counselor at a Master’s level or above with LPC, LPCC, LCPC, LCPCS, LPCC-S licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

" Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Mental Health Therapist at a Master’s level or above with LMHC, LPCMH, LIMHP, LMFT, LMFTS, LCMFT, LPC, LPCC, LCPC, LCPCS, LPCC-S, LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

Licensed Mental Health Counselor (LMHC) Wage: Between $95-$130 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice?Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers -Start taking insurance, stress-free:Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. -Built-in compliance: Stay compliant from day one with audit support and ongoing resources. -Expansive coverage:Work with the plans that most clients use, including Medicare Advantage and Medicaid. -Increase your earnings:Secure higher rates with top insurance plans through access to our nationwide insurance network. -Dependable payments:Build stability in your practice with predictable bi-weekly payments you can count on. -Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. -Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ●Increased access:Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ●Instant verification:Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We’ll take care of the rest.

Signify Health, part of CVS Health, is hiring part-time board-certified nurse practitioners to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members. At CVS Health, we're building a world of health around every consumer and surrounding ourselves wit

Every mental health provider who goes in-network with Headway supports people whod otherwise be forced to choose between paying out of pocket, or not getting care at all. Work with the plans that most clients use, including Medicare Advantage and Medicaid. Headway makes it easier for your clients to

Job Description Position Summary: The Medical Assistant (MA) will play a vital role in supporting value-based care delivery by ensuring accurate and complete patient documentation, facilitating provider readiness through pre-visit planning, and coordinating the timely retrieval and integration of external medical records. This role focuses heavily on optimizing VBC performance metrics by ensuring providers have access to actionable clinical data during patient encounters, especially Annual Wellness Visits (AWVs). Key Responsibilities: Medical Records & Documentation Support • Actively retrieve external medical records from hospitals, laboratories, imaging centers, specialists, and other health systems via fax, phone, electronic portal, or other secure means., • Review, organize, and upload medical records into the appropriate sections of the clinic’s Electronic Health Record (EHR) system(s)., • Tag relevant documents (labs, consults, imaging results) using standardized naming and filing conventions to support care coordination and risk adjustment. Pre-Visit Planning • Prepare and maintain Pre-Visit Checklists for upcoming appointments, including:, • Outstanding care gaps (HEDIS/Stars), • Due screenings, • Risk conditions (HCC) requiring MEAT documentation, • Previous hospitalizations, ER visits, or consults, • Ensure all relevant data is available in the EHR before the provider sees the patient., • Collaborate with front desk and care coordination teams to confirm patient eligibility, health plan attribution, and needed consents. Annual Wellness Visit (AWV) Support • Prepare AWV documentation packets including:, • Health Risk Assessments (HRAs), • Depression screenings (PHQ-9), • Cognitive screenings (e.g., Mini-Cog), • Advance Care Planning (ACP) forms, • Ensure pre-loaded templates in the EHR for provider use during AWVs., • Flag any missing elements or overdue items required for VBC coding and compliance. VBC Screening & Quality Support • Proactively identify patients due for preventive screenings (e.g., colorectal, breast cancer, diabetic eye exam, A1c) based on health plan requirements and internal tracking., • Support care team by preparing documentation and screening reminders., • Assist in submitting supplemental data to payors, as directed by the quality or coding department. General Clinical Support (as needed) • Perform intake and rooming of patients: vitals, medication reconciliation, chief complaint, and visit reason documentation., • Administer immunizations or point-of-care testing per standing orders (if credentialed)., • Assist providers during examinations or minor procedures, as necessary. Qualifications: Required: • High school diploma or equivalent, • Completion of a certified Medical Assistant program, • Minimum 1 year of experience in a primary care or clinical office setting, • Familiarity with EHR systems (e.g., eClinicalWorks, Athena, Epic, or similar), • Proficiency in medical terminology and understanding of clinical documentation workflows, • Strong organizational skills and attention to detail Preferred: • Prior experience in value-based care, Medicare Advantage, or HCC documentation workflows, • Experience preparing documentation for AWVs and pre-visit planning, • Bilingual (English + Korean) Skills and Competencies: • Exceptional communication and interpersonal skills, • Ability to work independently and as part of a team, • Knowledge of CMS risk adjustment and quality measures (HEDIS, Stars, HCCs), • Data entry accuracy and EHR navigation skills, • Ability to prioritize and manage multiple tasks in a fast-paced clinic environment Physical Requirements: • Ability to lift up to 25 pounds, • Ability to stand for extended periods, • Frequent walking, sitting, typing, and using standard office/clinical equipment Work Environment: • On-site work in a clinic environment with occasional travel to other office locations, • Exposure to confidential health information requiring adherence to HIPAA standards

As a part-time Geriatrics Physician at Signify Health, you will conduct in-home health evaluations for Medicare Advantage and Medicaid members, focusing on building trust and enhancing patient health. Are you interested in working flexible hours, connecting with people one-on-one, and helping them r

The Remote Mental Health Therapist at SonderMind provides therapy services to individuals while enjoying flexible hours and the support of a leading mental health care platform. Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including

Job Description Job Description: As a Medicare Sales Agent, you'll play a pivotal role in guiding clients through their Medicare options, including Medicare Advantage and Supplement plans. Your responsibilities will include: • Consulting with clients to assess their healthcare needs., • Educating clients on Medicare plans and retirement protection options., • Utilizing our state-of-the-art lead generation system to connect with potential clients., • Building long-term relationships with clients to ensure their ongoing satisfaction., • Receiving comprehensive training, support, and tools to succeed. Benefits: • Lifetime residual income., • Access to advanced tools and resources that will save you 80% of contracting work., • Access to leads., • Access to artificial intelligence systems that will help you GROW., • Valid health insurance license (or willingness to obtain license)., • Proven experience in the insurance industry, particularly in selling life insurance products., • Strong knowledge of various life insurance products, including term life, whole life, and universal life insurance., • Excellent communication and interpersonal skills., • Ability to build rapport with clients and establish long-term relationships., • Self-motivated and goal-oriented with a strong drive to succeed., • Ability to work independently and as part of a team in a fast-paced environment., • Proficiency in using technology and software applications for insurance sales and client management.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Opportunity for advancement, • Competitive Compensation, • Great Work Environment American Central Marketing Group is expanding our Medicare call center team! We're seeking driven, coachable sales reps to become licensed Medicare agents and help seniors choose the right health plans. Whether you're already licensed or looking to get licensed, we provide everything you need to succeed. What We Offer: • Hourly pay plus Top-tier commissions:, • Warm inbound & outbound leads no cold calling, • Training + Licensing Support (if unlicensed), • CRM & Dialer system, • Career growth into team leads and managersResponsibilities:, • Make outbound and take inbound calls to Medicare-eligible individuals, • Educate clients on Medicare Advantage, Med Supp, and Part D options, • Use our CRM to manage leads and track client interactions, • Maintain CMS compliance and complete scopes of appointment, • Enroll clients into plans that meet their healthcare needsQualifications:, • Sales experience (phone sales preferred), • Health insurance license (preferred, not required), • Willing to complete licensing and AHIP certification, • Strong communicator with the ability to build rapport fast, • Motivated, coachable, and goal-orientedSchedule:, • Monday to Friday: 9:00 AM 6:00 PM EST, • Saturdays optional during AEP (Annual Enrollment Period)Location:, • In-office in Secaucus, NJReady to Join One of the Fastest Growing Medicare Teams in the Country? Apply today and start your journey toward a 6-figure career in Medicare sales. Join us as we strive to provide top-notch service while growing our business. If you are passionate about helping others and have the skills we are looking for, we encourage you to apply! Job Type: Full-time Pay: $18.00 - $20.00 per hour plus commission Expected hours: 40 per week Monday thru Friday 9 am to 5 pm est Benefits: • Paid time offSupplemental Pay:, • Bonus opportunities, • Commission payAbility to Commute:, • Secaucus, NJ 07094 (Required)Ability to Relocate:, • Secaucus, NJ 07094: Relocate before starting work (Required)Work Location: In person

Job DescriptionSalary: Job Title:Medicare Insurance Agent (100% Commission) Company:Financial Grade Senior Consultants Location:San Diego, CA Job Type:Independent Contractor About Us: Financial Grade Senior Consultants is a leading Field Marketing Organization (FMO) with nearly 20 years of experience in supporting independent insurance agents to excel in their careers. Licensed in all 50 states, we have established strong relationships with most national carriers and provide comprehensive support to our agents, including grassroots marketing assistance, back-office support, and cutting-edge technology solutions. We specialize in the sales and distribution of Senior Health & Life Insurance products, annuities, and other ancillary products. Our innovative tools include client relationship management, quoting and enrolling platforms, and additional technology to support your growing business needs. Additionally, we offer guidance not only in helping agents become licensed but also in building their own agencies. Job description: We are currently seeking licensed, experienced, and driven individuals to join our team as independent Medicare Insurance Agents. As a100% commission-based agent, you will have the opportunity to build your own business while benefiting from the support and resources of Financial Grade Senior Consultants. Our independent field agents have the freedom to work for themselves, setting their own schedules and enjoying a flexible lifestyle not offered by traditional 9-5 jobs. Join us in the growing industry of marketing and selling Medicare Advantage, Medicare Supplement plans, and Prescription Drug plans to eligible clients. You will educate your clients on various insurance options and help them make informed decisions based on their needs. Together, We Can Achieve More! This is a commission-only(NO SALARY OR HOURLY PAY)opportunity. You receive direct carrier commissions, carrier renewals, and are eligible for bonuses. You have the potential to build an income stream that could be 6 figures based on your efforts and our help! Why Financial Grade Senior Consultants, Why Now? As a Field Marketing Organization, we specialize in the sales & distributionof Senior Health & Life Insurance products, annuities, and other ancillary products. Our ambition and reputation for excellence have propelled us to be one of the nation's top-producing FMOs. If you are a motivated and experienced insurance agent looking to take your career to the next level, we want to hear from you! Join Financial Grade Senior Consultants and become part of a dynamic team dedicated to helping agents succeed in the insurance industry. As a Financial Grade Agent, you receive: Commissions: We offer direct carrier commissions, and you receive carrier renewals. You own your book-of-business! Marketing: proven strategies and programs to keep your pipeline full. Guidance: Sales, Marketing & Compliance experts and resources supporting you. Technology: industry-leading platform allows for selling from anywhere and anytime, including client relationship management, quoting and enrolling platforms, and other technology to support your growing business. Networking: At Financial Grade Senior Consultants, we host "agent synergy mixers" to facilitate networking opportunities, allowing agents to interact with professionals from various industries to form strategic alliances and referral relationships to grow your book of business. This is the opportunity you've been looking for if you are a motivated self-starter and truly passionate about helping others! We encourage you to APPLY NOW if you: Currently hold a valid health insurance license Strive to succeed in acommission-onlyenvironment Excel in Independent Contractor roles (1099) Assertive, goal-oriented, positive & self-motivated Possess excellent communication skills Have a high level of professionalism and integrity with every consumer Are able to work a flexible schedule And have a passion for working with and helping seniors Job Type: Contract Pay: $1.00 - $175,000.00 per year Pay rate: Commission only Supplemental pay types: Bonus opportunities Commission pay Renewals/Residuals Work setting: In the field License/Certification: Health Insurance License (Required) remote work