Trabajos medicare en Hillside, New Jersey (NJ) State

Role Summary The Medicare Part C Compliance Senior Manager is responsible for the design, implementation, and ongoing execution of the Medicare compliance program while upholding the overall Cigna Compliance Plan. Inform both the Director of Medicare Business Support and the Medicare Complia...

Channel Marketing Director, Medicare Advantage - Hybrid**The Marketing Director will be responsible for leading the channel marketing team that supports the Cigna Medicare Advantage (MA) business. ...

This position is responsible for ensuring that Medicare Advantage membership enrollment is in sync by reconciling CMS enrollment records and Horizon enrollment records via review of Daily Transaction Reply Reports (DTRR) and the Monthly Membership Reports (MMR) while abiding by Federal Centers fo...

The Program Management Senior Advisor position is part of the Part D Stars Team within the larger Stars Center of Excellence department at Cigna Medicare. This role is responsible for developing and executing enterprise strategies to improve Cigna's Medicare Part D Star measures and related quali...

Channel Marketing Director, Medicare Advantage - Hybrid. The Marketing Director will be responsible for leading the channel marketing team that supports the Cigna Medicare Advantage (MA) business. ...

Medicare and/or Medicaid experience with geriatric populations a plus * Certified Case Manager preferred * Experience with community resource organizations * Experience handling confidential health care information, with care management software applications ...

Marketing Advisor, DTC Advertising (Medicare Advantage) - Hybrid. Additionally, will be required to partner effectively ensuring all acquisition campaigns and materials are aligned with other channels, meet brand standards and can positively impact Cigna’s Medicare Advantage growth goals. Medicar...

Channel Marketing Director, Medicare Advantage - Hybrid. The Marketing Director will be responsible for leading the channel marketing team that supports the Cigna Medicare Advantage (MA) business. ...

Serve as a subject matter expert on the CMS (Center for Medicare & Medicaid Services) Medicare Marketing Guidelines (MMG) for Horizon's Medicare products. Establish and maintain a comprehensive understanding of all CMS and State requirements related to Medicare Advantage, Medicare Part D and Medi...

The Medicare Sales Manager will manage sales, retention, relationships and recruitment efforts for assigned products and geographies in our Carefree business. Medicare experience is required**. Leadership - Lead a business in different geographies or multiple markets, Leadership - Lead a business...

Five years of Medicare cost report auditing experience. ...

Responsibilities of this Medical Director role are related to Medicare Appeals. Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the Second Look Review (SLR) process. Collaborative work with Medicare Quality and Compliance on an o...

Seven years (Medicare) auditing or accounting experience with one-year leading audits. ...

ASA/FSA with 5+ years' actuarial experience including Group Pharmacy and Medicare Part-D exposure needed for individual contributor opportunity with pioneering Vision & Prescription Insurer. Must be highly communicative and detailed and have 5+ years' actuarial experience including Group Pharmac....

These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ...

Job Title: Medicare Insurance Agent. We are seeking a motivated and dynamic Medicare Insurance Agent to join our team at UIP. As a Medicare Insurance Agent with UIP, you will have the opportunity to build your own brand under our brokerage or create and grow your own brand with our support. Educa...

Handle both inbound and outbound calls related to sales of and enrollment in Highmark Wholecare’s Medicare Assured® product. Complete phone-based Medicare Assured® enrollments in accordance with CMS Marketing and Enrollment guidelines. Handle both inbound and outbound calls related to sales of an...

Earned an overall four-star rating from the Centers for Medicare & Medicaid Services Total Rewards * Salary: $425K * Sign-on Package: Up to $100K * Generous paid time off * Generous benefits package ...

... Medicare. The ABD FE will also advise consumers about health insurance options and conduct outreach to increase awareness of the program within the community. Program Responsibilities: * Complete ...

We are certified by Medicare, Medicaid and Private Insurance Programs. As you begin your search for nursing homes in the Staten Island area, you will find a true home away from home at Verrazano. A ...

Ensure compliance with Medicare, Medicaid and managed care guidelines for utilization management and discharge planning. Identifies high risk patients in order to provide social work services and ...

Requirements: " Full, active, and unrestricted New Jersey Medical License (New York Medical License is a bonus). " Participating provider with Medicare and major medical insurance carriers " Clinical ...

Participates in the review and development of medical guidelines and policies geared toward quality and efficiency of care Performance Metrics: · Meets Defined Length of Stay Goals · Medicare LOS ...

Medicare, Commercial, Medicaid (a small portion) * Competitive Salary with bonus structure * Benefits: Health benefits, 401k , vacation time, PTO * Malpractice is provided as well as renewals of ...