Medicare jobs in Franklin, TN

 ...contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Medicare Specialist (Remote) **PRIMARY PURPOSE** **:** To coordinate, analyze and facilitate Medicare Compliance and Medicare Set-Aside (... 

Leads the development of customer onboarding and marketing plans for the Medicare Advantage customer journey. Communication plans will be multi-modal to include direct mail, email, digital media, and texting channels. Manages the execution of these marketing plan initiatives... 

 ...Description Job Description Description: MySeniorHealthPlan.com is a direct-to-consumer insurance brokerage specializing in Medicare. We pride ourselves on our ability to provide honest & non-biased comparisons given we represent most top insurance carriers. While... 

 ...flexible hours, expert support from a strong local brand, and the opportunity to build generational wealth while serving seniors with Medicare products.   This 1099 opportunity offers commissions and renewals directly from carriers, along with marketing resources and... 

 ...turn ideas into reality and plans into promises. Now, it's time to enjoy a career that values and rewards what makes you tick. As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access... 

 ...Description Revenue Cycle Specialist (Medicare) Full Time Location: Nashville, TN Status: Regular Full Time Days: Monday - Friday Hours : 40/week Are you a Revenue Cycle/professional who desires to work in a capacity in which your efforts... 

 ...remote position. You must be willing to work in-office and able to commute daily. My Senior Health Plan, Inc. is a nationwide Medicare brokerage serving the Medicare-eligible population. We are seeking Licensed Medicare Sales Representatives based the Nashville, TN... 

**6. Excellent benefits** Competitive rates for our employees' costs toward medical, dental and vision insurance. We offer a 401K, and pay 100% of your life insurance benefit option! We also offer various Flexible Spending Account (FSA) benefits to meet you and/or your...

 ...Experience in utilization management or related activities reviewing criteria to ensure appropriateness of care preferred + Previous Medicare experience a plus + Milliman MCG experience preferred **Additional Information** **Hours: 8am-5pm EST** **Work-At-Home... 

 ...DTC Marketing Senior Manager - Medicare - Hybrid The Segment Marketing Senior Manager will oversee direct-to-consumer (DTC) marketing for the Cigna Medicare Part D (PDP) business, reporting to the VP of Marketing. This role will be responsible for developing and... 

 ...LOCATION: Supports the Franklin, TN market and will work in the Franklin, TN office several days per week Medicare Advantage position The Provider Contracting Lead Analyst serves as an integral member of the Provider Contracting Team and reports to the Provider... 

Partners with key stakeholders across the segment to drive meaningful strategic initiatives related to affordability and deliver results. Drive fulfillment of affordability commitments for aligned value streams with creation of performance scorecards Healthcare, Management...

 ...role will be responsible for executing on the roadmap for improving Affordability and Total Cost of Care initiatives as part of the Medicare Business Optimization effort. This role will be a key member of the team who will be responsible for identifying initiatives and... 

 ...team. ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America’s leading primary care provider, transforming care of the... 

 ...collaborative efforts, open door policy Quality Care: One of the only hospitals in Nashville with a Five-Star Rating from the Centers for Medicare & Medicaid Services, Top 5% in the U.S. for spinal surgery, numerous Healthgrades awards for spinal and joint replacement surgery... 

 ...audits are conducted timely Other duties as assigned Qualifications: Must have ambulance billing experience Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation Ambulance/Medical billing certification... 

 ...Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities: Under the direction of the RN/... 

 ...professional nursing # Minimum of one or more years of home health, public nursing or acute hospital nursing experience # Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly preferred) # Reliable transportation and... 

 ...license in state of practice * Experience working with an interdisciplinary team * Experience with electronic medical records * Medicare and Medicaid experience preferred * Works and communicates well in a team environment * Excellent communication skills *... 

 ...insurance companies and licensing boards No suspension/exclusion/debarment from participation in federal health care programs (Medicare, Medicaid, SCHIP, etc) Knowledge, Skills, & Abilities Knowledge of and ability to comply with applicable regulatory requirements...