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  •  ...• Working in healthcare with retirees and retiree populations • Knowledge of healthcare industry and Commercial and Medicare Advantage health plans Required Skills/Experience – The rest of the required skills/experience. Include: • Proficient in Microsoft Suite... 
    Suggested
    Work at office
    Local area
    Remote work
    2 days per week
    1 day per week

    KYYBA

    Detroit, MI
    13 days ago
  • $60k - $80k

     ...SALES REPRESENTATIVE - PRICE ADVANTAGE RESPONSIBILITIES: ~ Understand the customer need and establish company's product as the...  ...organizations that provide experience giving presentations to groups  BENEFITS: ~ Health Care Plan (Medical, Dental and Vision) ~... 
    Suggested
    Permanent employment
    Full time
    Temporary work

    Interfuse Staffing

    Colorado Springs, CO
    3 days ago
  •  ...to drive life-changing impact to ZS. ZS\'s Insights & Analytics group partners with clients to design and deliver solutions to help...  ...leadership. What You’ll Do Demonstrate deep expertise in Medicare Advantage, with strong functional knowledge across key domains including... 
    Suggested
    Local area
    Work from home
    Worldwide
    Flexible hours

    ZS

    Chicago Heights, IL
    20 hours ago
  •  ...for Leadership Level communication (both internal and external). Communicate effectively with POD /Category leadership as well as ADvantage Support Center. Deliver in-depth category and vendor analysis with process improvement recommendations to drive category improvement... 
    Suggested
    Work experience placement

    ViziRecruiter,LLC.

    Quincy, MA
    1 day ago
  •  ...which encompass the core functions of case management including; assessment, planning, implementation, monitoring and reassessment. Advantage Case Management Certification preferred Licenses/Certifications: RN/LPN Experience: RN/LPN with one year paid professional... 
    Suggested
    Relocation package

    Med-Corp Health Services

    Seminole, OK
    3 days ago
  • Competitive Advantage Benefits Account Manager Join to apply for the Competitive Advantage Benefits Account Manager role at The Competitive...  ...of client organizations, managing and servicing their group health and welfare benefit programs. You’ll build and maintain... 
    Suggested
    Full time
    Work at office
    Remote work
    Monday to Friday

    The Competitive Advantage Companies

    Red Bank, NJ
    3 days ago
  • $20.4 per hour

     ...Ensuring team stays vigilant • Keeping a safe and clean shipping Dock • Fixing and working issues when they arise. Position: Group Coordinator Lead Weekend Shift: Fri-Sun 6am-6pm Pay: $20.40hr + $1.50 Shift Differntial In addition to the general job description... 
    Suggested
    Full time
    Shift work
    Weekend work

    DHL

    Pataskala, OH
    2 days ago
  • $86.3k - $118.7k

     ...in Raleigh, NC. This role involves leading high-impact strategy projects and collaborating with senior leaders to enhance Medicare Advantage strategies. Candidates should have a bachelor's degree and at least two years of management consulting experience. Remarkable... 
    Suggested
    Full time

    Humana Inc

    Raleigh, NC
    1 day ago
  • Trade-Up Advantage Specialist Now Hiring in LONGVIEW Do you love connecting with people, asking the right questions, and helping them make confident decisions? If so, this might be the perfect role for you. We’re looking for a Trade-Up Advantage Specialist to join our... 
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    Full time
    Immediate start

    Peltier Ford

    Longview, TX
    a month ago
  •  ...Charlie Health is hiring exceptional candidates with a Masters degree in mental health and previous work experience facilitating groups to provide remote, telehealth services to our clients. We’re eager to work with forward-thinking mental health professionals to enhance... 
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    Full time
    Part time
    Work experience placement
    Local area
    Remote work
    Work from home
    Afternoon shift
    Weekday work

    Charlie Health

    El Paso, TX
    20 days ago
  • $86.3k - $118.7k

     ...analyses for executive management, conducting market and competitor research, and managing strategic projects focused on Medicare Advantage. The ideal candidate has strong consulting skills, problem-solving abilities, and at least 2 years of consulting experience. This... 
    Suggested
    Full time

    Humana Inc

    Phoenix, AZ
    1 day ago
  • $75.04k - $112.56k

     ...Commercial, Digital and E-commerce, Technology and more. Overview ADvantage POD analyst - Responsible for providing category specific...  ...people skills and ability to build strong relationships and lead groups. Attention to Detail. Ability to manage and influence others... 
    Suggested
    Full time
    Work experience placement
    Remote work
    Flexible hours

    ViziRecruiter,LLC.

    Quincy, MA
    2 days ago
  •  ...Professional in Austin, TX. This role involves delivering high-quality analyses and managing key strategic projects, focusing on Medicare Advantage strategy development. Candidates should have a Bachelor’s degree along with relevant consulting experience. Strong problem-solving... 
    Suggested
    Remote work

    Humana Inc

    Austin, TX
    1 day ago
  • $118.45k - $260.59k

     ...development, validation, and delivery of key medical cost assumptions used in annual pricing and bid development for Individual Medicare Advantage. This role ensures all assumption models are completed accurately and delivered on time to the actuarial pricing team. The leader... 
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    Hourly pay
    Full time
    Temporary work
    Local area
    Flexible hours

    NACBA

    Chicago, IL
    4 days ago
  • $70k - $97.75k

    Inside Sales Manager - Medicare Advantage Base salary of $70,000 to $97,750 per year, with annual bonus opportunities. Base Pay Range $70,000.00/yr - $97,750.00/yr Additional Compensation Types Annual Bonus About GetScale GetScale offers clients end-to-end customer acquisition... 
    Suggested
    Full time
    Work at office

    GetScale

    Austin, TX
    3 days ago
  • $62.4k - $90.75k

     ...data preparation, modeling, analysis, and/or visualization techniques. Essential Functions -Collects, monitors and analyzes Medicare Advantage and D-SNP Claims reporting to ensure timeliness, accuracy and compliance internally to support decisions on day-to-day operations,... 
    Work at office
    Remote work
    Shift work

    Mass General Brigham Incorporated.

    Somerville, MA
    2 days ago
  • $112.9k - $256.9k

     ...exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you’ll provide direct management to a team of UM coordinators and nurses. You’ll work closely with... 

    Case Management Society of America (CMSA) ®

    Los Angeles, CA
    2 days ago
  • A leading healthcare company is seeking a Senior Strategy Advancement Professional in Columbus, Ohio, to support high-priority projects within their Insurance segment. The role demands prior management consulting experience and involves delivering strategic analysis, managing...

    Humana Inc

    Columbus, OH
    1 day ago
  • $22 - $23.5 per hour

    Visiting Professor - Cyber (Advantage Academy) Chicago, IL, USA Job Description Posted Monday, November 25, 2024 at 6:00 AM DeVry University strives to close our society’s opportunity gap and address emerging talent needs by preparing learners to thrive in careers shaped... 
    Hourly pay
    Full time
    Temporary work
    Part time
    Remote work
    Flexible hours

    DeVry Educational Development Corp.

    Chicago, IL
    5 days ago
  • A prominent healthcare provider in Los Angeles is seeking a Claims Processor responsible for precise data entry and the review of medical claims. The ideal candidate will have extensive experience in medical claims payment within an HMO setting, with strong skills in adjudication...

    Direct Jobs

    Los Angeles, CA
    5 days ago
  • Join Henry Ford Health Pharmacy Advantage as a Pharmacy Intern and get hands-on experience in a dynamic closed door pharmacy setting. General Summary Schedule: Contingent, Rotating Shifts Location: Pharmacy Advantage, Rochester Hills The pharmacy intern actively... 
    Internship
    Rotating shift

    Henry Ford Health

    Rochester Hills, MI
    9 days ago
  • A prestigious educational institution is looking for a strategic leader for its Medicare Advantage Sales Operations. This role involves overseeing sales call center activities, ensuring compliance with CMS regulations, and improving operational efficiency. The ideal candidate... 
    Flexible hours

    The Regents of the University of California

    Los Angeles, CA
    1 day ago
  • A management consulting firm in Chicago Heights seeks an experienced professional in Medicare Advantage to lead client engagements and develop data-driven solutions. The ideal candidate has over 8 years in health plan management consulting and at least 3 years in a senior... 

    ZS

    Chicago Heights, IL
    20 hours ago
  • $30.36 - $43.49 per hour

    Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8:00am-5:00pm PST Posted Date 01/20/2026 Salary Range : $30.36 - 43.49 Hourly Employment Type Indefinite Job # 28296 Primary Duties and Responsibilities Take on a key role within a world-class, award-winning...
    Hourly pay
    Contract work
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    UCLA Health

    Los Angeles, CA
    4 days ago
  •  ..., leading a team, and ensuring compliance. Candidates should have at least 8 years of relevant experience, preferably in Medicare Advantage, alongside strong leadership and communication skills. This position offers a competitive salary range and flexible work-from-home... 
    Remote job
    Full time
    Work from home
    Flexible hours

    Village Center for Care, Inc.

    New York, NY
    1 day ago
  •  ...implementing sales plans, measuring productivity, and ensuring compliance with state and federal guidelines. This role offers a competitive salary and numerous benefits, along with the opportunity to make a positive impact in the healthcare sector. #J-18808-Ljbffr SCAN Group

    SCAN Group

    Los Angeles, CA
    2 days ago
  • A leading management consulting firm in Chicago is looking for an experienced professional in Medicare Advantage consulting. The role requires over 8 years of relevant experience, leadership skills, and strong analytical abilities. You will drive client relations, develop... 
    Work from home
    Flexible hours

    Zs Associates

    Chicago, IL
    4 days ago
  • A leading health system in California seeks a Claims Processor to ensure timely and accurate processing of a range of claims. The role demands at least four years of medical claims experience, along with expertise in claims adjudication policies. Candidates should possess...

    University of California - Los Angeles Health

    Los Angeles, CA
    4 days ago
  • $95.4k - $120k

    A healthcare facility in Los Angeles is seeking a Clinical Documentation Integrity Specialist with expertise in risk adjustment coding and documentation. The role includes conducting medical record audits, analyzing coding patterns, and providing education to providers....
    3 days per week

    UCLA Outpatient Clinics

    Los Angeles, CA
    1 day ago
  •  ...Angeles is seeking a Clinical Documentation Integrity Specialist to improve risk adjustment coding and documentation for Medicare Advantage. The role involves conducting medical record audits, providing education to clinical staff, and analyzing coding patterns. Required... 
    Remote job
    Flexible hours

    UCLA Health

    Los Angeles, CA
    1 day ago