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  •  ...Communicate effectively with POD /Category leadership as well as ADvantage Support Center. Deliver in-depth category and vendor analysis...  ..., and initiatives. Collaborate with teams from 3rd party resources, Supply Chain, SC Procurement, and the Brands, conducting analysis... 
    Suggested

    ViziRecruiter,LLC.

    Salisbury, NC
    2 days ago
  •  ...research and analysis underpinned by deep expertise and thought leadership. What You’ll Do Demonstrate deep expertise in Medicare Advantage, with strong functional knowledge across key domains including Risk Adjustment, Quality (Stars), Provider Engagement, and Cost of... 
    Suggested

    Zs Associates

    Princeton, NJ
    1 day ago
  • A Path of Care Preferred Pathways in Hugo, OK is seeking a full‑time ADvantage Nurse (LPN) to join our team. If you are compassionate, empathetic, and able to maintain strong professional boundaries, this role offers the opportunity to make a meaningful impact in your community... 
    Suggested

    EmergencyMD

    Norman, OK
    17 hours ago
  • $109.7k - $119.7k

     ...Group Purchasing Organizations, etc.) Job Summary The Medicare Advantage Account Executive is responsible for building strong...  ...accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle program Application window... 
    Suggested
    Temporary work
    Work experience placement
    Local area
    Immediate start
    Flexible hours

    Cardinal Health

    Madison, WI
    1 day ago
  • $138.9k - $191k

     ...Counsel to join its Law Department. The successful candidate will provide legal support and guidance on matters related to Medicare Advantage Part C health plan operations. Responsibilities Providing legal advice and support for Humana's Medicare Advantage lines of... 
    Suggested
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Remote work

    Humana Inc

    Trenton, NJ
    4 days ago
  • $51.4k - $113.1k

     ...services firms, we combine global reach with local accountability—delivering solutions that reshape how government agencies operate. CGI Advantage, our unified ERP platform, is purpose built for government and backed by more than 46 years of public sector expertise. Modern,... 
    Suggested
    Local area
    2 days per week
    3 days per week

    CGI

    Fairfax, VA
    1 day ago
  • ADvantage RN Case Manager - Hugo, OK A Path of Care Preferred Pathways in Hugo, OK is seeking a full‑time ADvantage RN Case Manager . Are you caring and empathetic while maintaining strong professional boundaries? Are you looking to grow your nursing career and work with... 
    Suggested
    Full time
    Long distance
    Monday to Friday

    EmergencyMD

    Hugo, OK
    3 days ago
  • $75.04k - $112.56k

     ...Commercial, Digital and E-commerce, Technology and more. Overview ADvantage POD analyst - Responsible for providing category specific...  ..., and initiatives. Collaborate with teams from 3rd party resources, Supply Chain, SC Procurement, and the Brands, conducting analysis... 
    Suggested

    ViziRecruiter,LLC.

    Quincy, MA
    3 days ago
  • $112.9k - $256.9k

    A leading health organization in Los Angeles is seeking a Manager for Medicare Advantage Utilization Management. In this role, you will manage a team, work with Medicare Advantage leadership, and oversee critical functions related to Utilization Management. The role offers... 
    Suggested

    UCLA Outpatient Clinics

    Los Angeles, CA
    1 day ago
  • $95.4k - $208.3k

     ...will manage a team of claim examiners, auditors, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will: Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to... 
    Suggested

    UCLA Outpatient Clinics

    Los Angeles, CA
    1 day ago
  • A leading automotive retailer in Union, NJ is seeking an Appointment Setter to help schedule service appointments for customers. This role demands strong customer service skills, excellent communication, and the ability to handle high call volumes. The ideal candidate will...
    Suggested

    Lithia Motors, Inc

    Union, NJ
    17 hours ago
  • A leading management consulting firm in Princeton is seeking a seasoned professional with deep expertise in Medicare Advantage to drive impactful solutions for clients. The ideal candidate will possess an MBA and over 8 years of relevant experience. Responsibilities include... 
    Suggested

    Zs Associates

    Princeton, NJ
    1 day ago
  • Optometrist (Advantage Vision Center) - Charlotte, NC page is loaded## Optometrist (Advantage Vision Center) - Charlotte, NCremote type...  ...Practices also benefit from access to other hiring related resources, including free job listings on the VSP Vision Optometry Career... 
    Suggested

    Eyefinity, Inc.

    Charlotte, NC
    17 hours ago
  • $95.4k - $208.3k

     ...will manage a team of claim examiners, auditors, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will: Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to... 
    Suggested

    Nahse

    Los Angeles, CA
    3 days ago
  • A leading healthcare solutions provider is seeking a Medicare Advantage Account Executive in Boston, MA. This role focuses on building relationships with brokers to enhance patient referrals for diabetes management products. Responsibilities include developing sales strategies... 
    Suggested

    Cardinal Health

    Boston, MA
    1 day ago
  • A leading service provider is looking for a customer service specialist in Dallas, Texas. This role focuses on managing customer escalations, resolving complaints, and providing administrative support. Candidates should have at least 6 years of experience in advanced customer...

    Service Experts

    Dallas, TX
    2 days ago
  • A leading technology company is offering an internship focused on quantum simulation. As an intern, you will work with quantum researchers on developing many-body simulations that tackle important challenges. The internship allows for remote work or on-site presence in ...

    The Resume Database

    Berkeley, CA
    3 days ago
  • A senior care provider in Jacksonville is seeking a Clinical Care Nurse (RN) to enhance patient health outcomes through proactive care management. The role involves supporting transitions of care, conducting patient education, and collaborating with healthcare teams to ...

    Conviva Senior Primary Care

    Jacksonville, FL
    1 day ago
  • A healthcare solutions provider is seeking a Medicare Advantage Account Executive in Kentucky to build relationships with brokers and secure patient referrals. The role involves developing strategic sales plans, providing consultative support, and navigating client needs... 

    Cardinal Health

    Frankfort, KY
    1 day ago
  • A construction company in Dallas is seeking a Foreman to oversee construction activities and ensure compliance with safety regulations. The ideal candidate will have over 3 years of experience and a high school diploma. Responsibilities include supervising teams, coordinating...

    Sinacola

    Dallas, TX
    3 days ago
  • A leading health insurance provider is seeking a Counsel to provide legal support on Medicare Advantage operations. The ideal candidate will possess a Juris Doctor (JD) degree, knowledge of CMS regulations, and experience in health law. Responsibilities include advising... 
    Remote job

    Humana Inc

    Albany, NY
    17 hours ago
  • A healthcare organization seeks a Senior Program Manager of Member Experience to enhance member journeys across Medicare Advantage products. You will address concerns by implementing strategies that improve satisfaction, engagement, and CMS Star Ratings performance. The... 

    UCLA Outpatient Clinics

    Los Angeles, CA
    1 day ago
  • $78.5k - $163.6k

    A leading healthcare organization in Los Angeles is seeking a Medicare Advantage Risk Adjustment Performance Improvement Specialist. The role involves collaborating with IPAs for risk adjustment strategies and managing risk adjustment programs. Ideal candidates should have... 

    UCLA Health

    Los Angeles, CA
    3 days ago
  • $154.4k - $205.8k

     ...in New York is seeking a Finance Director to manage financial performance and drive affordability initiatives within the Medicare Advantage business. Ideal candidates will have extensive experience in finance within managed care settings and a strong ability to lead cross... 

    VNS Health

    New York, NY
    3 days ago
  • A healthcare technology company is seeking an Enterprise Sales Development Representative to support its growth across US payer organizations. The role emphasizes enterprise outbound activity and pipeline generation, requiring prior experience in selling to managed care...

    Blooming Health

    New York, NY
    3 days ago
  • An automotive service provider in Sudbury, Massachusetts, seeks an Automotive Technician to perform repairs and services on vehicles. Responsibilities include tire mounting, diagnostics, and ensuring customer satisfaction. Ideal candidates should have a high school diploma...

    Sullivan Tire

    Sudbury, MA
    17 hours ago
  • A healthcare organization is seeking a qualified Advanced Practice Registered Nurse (APRN) in New York. The ideal candidate will provide comprehensive primary care services, manage patients in managed care settings, and work collaboratively with a team. A Master's degree...

    SFP Health Group

    Florida, NY
    1 day ago
  • $55.9k - $123.5k

     ...leading health care service provider is seeking a Network Management Consultant to optimize provider network performance in Medicare Advantage markets. The role entails collaboration with internal teams and external partners to enhance clinical outcomes and fulfill... 

    Health Care Service Corporation

    Chicago, IL
    1 day ago
  •  ...performance in CMS Star Ratings. The ideal candidate should have over 10 years of experience in managed care, specifically in Medicare Advantage frameworks, and hold a Master’s degree. This position requires a strong focus on compliance, strategic execution, and cross-... 

    HJSRLLC

    Huntington Beach, CA
    1 day ago
  • $138.9k - $191k

     ...is seeking a highly motivated Counsel to join its Law Department. The successful candidate will provide legal support for Medicare Advantage operations, advising on compliance and contract matters. Required qualifications include a Juris Doctor degree and knowledge of... 
    Remote job
    Contract work

    Humana Inc

    Salt Lake City, UT
    4 days ago