Medicare Jobs

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Epic BI Developer - Medicare Advantage, Risk Adjustment, Tapestry and CMS ClaimsJob Title - Epic BI Developer - Medicare Advantage, Risk Adjustment, Tapestry and CMS Claims

JobotCompany Name - Jobot

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Los Angeles, California, USA

Contract

This Jobot Consulting Job is hosted by: Ashley Elm Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $75 - $85 per hour A bit about us: This is an opportunity to join the Analytics family, to work to empower clinical and business decisions makers with trusted, timely, and actionable information to accelerate innovation, increase patient engagement, and enable delivery of the highest quality health care. Members leverage comprehensive knowledge

Epic BI Developer - Medicare Advantage, Risk Adjustment, Tapestry and CMS ClaimsJob Title - Epic BI Developer - Medicare Advantage, Risk Adjustment, Tapestry and CMS Claims

JobotCompany Name - Jobot

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Sacramento, California, USA

Contract

100% remote This Jobot Consulting Job is hosted by: Ashley Elm Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $75 - $85 per hour A bit about us: This is an opportunity to join the Analytics family, to work to empower clinical and business decisions makers with trusted, timely, and actionable information to accelerate innovation, increase patient engagement, and enable delivery of the highest quality health care. Members leverage comprehens

Salesforce Medicare Subject Matter ExpertJob Title - Salesforce Medicare Subject Matter Expert

Infinite Computer Solutions (ICS)Company Name - Infinite Computer Solutions (ICS)

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Remote

Full-time

Role: Salesforce Medicare Subject Matter Expert Location: REMOTE Duration: Long-term/Fulltime/Permanent Roles and Responsibilities: Expertise in Medicare and Medicaid and compensated government reimbursement. Responsible for leading discussion on operationalizing and supporting all aspects of the Health Plan's Medicare line of business and any Medicare expansion efforts. Support Salesforce Program Team, Product Owners and Business Analysts on all features and functions related to Medicare. Resp

Epic BI Developer (Medicare Advantage & Tapestry) 100% Remote Job Title - Epic BI Developer (Medicare Advantage & Tapestry) 100% Remote

Amerit ConsultingCompany Name - Amerit Consulting

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Remote

Contract

Overview: Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Epic Clarity BI Developer. Candidate must be authorized to work in USA without requiring sponsorship Location: 5757 W Century Blvd #400, Los Angeles CA 90023 (100% Remote Acceptable) Duration: 104 weeks contract w/ possibility of extension Notes: 100% Remote role.Interview Process: 2-step process, 1 Zoom int

Manager, Clinical Pharmacists (Medicare)Job Title - Manager, Clinical Pharmacists (Medicare)

CalOptimaCompany Name - CalOptima

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Remote

Full-time

Manager, Clinical Pharmacists (Medicare) CalOptima CalOptima Health is seeking a highly motivated an experienced Manager, Clinical Pharmacists (Medicare) to join our team. The Manager, Clinical Pharmacists (Medicare) will assist the Pharmacy Director and pharmacy staff with the ongoing development and implementation of Medicare Part D requirements for members enrolled in CalOptima Health's PACE and OneCare plans. The incumbent will supervise the pharmacists with Medicare-related responsibilities

Medicare Coverage AnalystJob Title - Medicare Coverage Analyst

Zyxware TechnologiesCompany Name - Zyxware Technologies

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Remote

Full-time

Title: Medicare Coverage Analyst Duration: Full Time(Permanent) Location: USA, Remote Summary: We are seeking a detail-oriented Medicare Coverage Analyst to join our team. In this job, you will play a vital role in ensuring accurate billing and regulatory compliance involving Medicare beneficiaries. You will leverage your expertise in Medicare coverage policies to analyze research protocols, determine appropriate billing codes, and support the smooth execution of research studies. Responsibiliti

Strategic Planning and Performance, Consultant - MedicareJob Title - Strategic Planning and Performance, Consultant - Medicare

BlueShield Of CaliforniaCompany Name - BlueShield Of California

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Los Angeles, California, USA

Full-time

JOB DESCRIPTION Your Role The Medicare team is accountable for membership growth, profit and loss, performance optimization, and overall customer experience for the Medicare line of business. The Strategic Planning and Performance, Consultant - Medicare will report to the Senior Manager, Strategic Planning and Performance. In this role you will support the success of the Medicare operating model through leading key initiatives that enable achievement of key goals, driving performance governanc

Data Governance & Ownership Sr. Manager - Medicare Provider Data Quality & AccuracyJob Title - Data Governance & Ownership Sr. Manager - Medicare Provider Data Quality & Accuracy

GE VernovaCompany Name - GE Vernova

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Nashville, Tennessee, USA

Full-time

The job profile for this position is Data Management Strategy & Governance Senior Manager, which is a Band 4 Management Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. Summary The Data Governance

Senior Data Analyst (Medicare C/D)Job Title - Senior Data Analyst (Medicare C/D)

General DynamicsCompany Name - General Dynamics

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Silver Spring, Maryland, USA

Full-time

Responsibilities for this Position Location: USA MD Home Office (MDHOME) Full Part/Time: Full time Job Req: RQ179925 Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Suitability: Public Trust/Other Required: None Job Family: Data Analysis Job Qualifications: Skills: Analytical Tools, Data Analysis Tools, Medicare, Statistics Certifications: Experience: 5 + years of related experience ship Required: No Job Descri

Medicare STARS Senior Data AnalystJob Title - Medicare STARS Senior Data Analyst

Banner HealthCompany Name - Banner Health

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Arizona, USA

Full-time

Primary City/State: Arizona, Arizona Department Name: Work Shift: Day Job Category: Information Technology Primary Location Salary Range: $34.68 - $57.80 / hour, based on education & experience In accordance with State Pay Transparency Rules. Great careers are built at Banner Health. There's more to health care than doctors and nurses. We support all staff members as they find the path that's right for them. Apply today, this could be the perfect opportunity for you. Banner Health has been

Solution Product Consultant, Medicare/Government Programs Member Portals - RemoteJob Title - Solution Product Consultant, Medicare/Government Programs Member Portals - Remote

Prime Therapeutics, LLCCompany Name - Prime Therapeutics, LLC

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Remote or Washington, District of Columbia, USA

Full-time

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Solution Product Consultant, Medicare/Government Programs Member Portals - Remote Job Description The Solution Product Consultant, Medicare/Government Programs Member Portals - Remote is responsible for support of the product development team in their delivery of value-added solutions to business problem

Medicare/Medicaid Specialist D-SNP (Consultant III)Job Title - Medicare/Medicaid Specialist D-SNP (Consultant III)

Kaiser PermanenteCompany Name - Kaiser Permanente

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Oakland, California, USA

Full-time

Description: Job Summary: Serves as part of a consulting team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Supports strategic planning and organizational alignment and prioritization of business initiatives. Manages moderately complex projects or pr

Eligibility Senior Representative (Medicare) - RemoteJob Title - Eligibility Senior Representative (Medicare) - Remote

GE VernovaCompany Name - GE Vernova

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Remote or Pennsylvania, USA

Full-time

The job profile for this position is Eligibility Senior Representative, which is a Band 2 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. As an Eligibility Senior Representative, you w

Business Analytics Advisor (Medicare Clinical Analytics) - HybridJob Title - Business Analytics Advisor (Medicare Clinical Analytics) - Hybrid

GE VernovaCompany Name - GE Vernova

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Nashville, Tennessee, USA

Full-time

Summary The Business Analytics Advisor will be responsible for supporting the analytics strategy for Medicare Health Services, performing reporting and analysis within the Clinical & Affordability Analytics team. Reporting to the Manager of Care Management Analytics, the analytics advisor will analyze healthcare claims and clinical outcomes associated with various care management initiatives, and draw insights based on relevant findings. The Clinical & Affordability Analytics team seeks to prov

Business Analytics Advisor (Medicare Risk Adjustment) - HybridJob Title - Business Analytics Advisor (Medicare Risk Adjustment) - Hybrid

GE VernovaCompany Name - GE Vernova

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Nashville, Tennessee, USA

Full-time

Summary The Medicare Risk Adjustment Analytical Consulting team is searching for a highly motivated and collaborative business analytics advisor to identify key analytics needs and provide insights which address business questions and influence decision-making. You will work closely with colleagues across the Risk Adjustment business, data science, and data engineering teams to develop research questions, create hypotheses, gather and synthesize data, and summarize findings in a clear and conci

Principal Actuary - Medicare Part D - RemoteJob Title - Principal Actuary - Medicare Part D - Remote

Prime Therapeutics, LLCCompany Name - Prime Therapeutics, LLC

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Remote or Washington, District of Columbia, USA

Full-time

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Principal Actuary - Medicare Part D - Remote Job Description The Principal Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime's existing and potential owners and clients. This position will collaborate with the Senior Principal Actuary t

Medicare Program ManagerJob Title - Medicare Program Manager

Mass General BrighamCompany Name - Mass General Brigham

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Somerville, Massachusetts, USA

Full-time

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience - a commitment that starts with our employee

Senior Actuarial Associate MedicareJob Title - Senior Actuarial Associate Medicare

Kaiser PermanenteCompany Name - Kaiser Permanente

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Oakland, California, USA

Full-time

Description: Job Summary: This position is remote; however candidates must reside within the States that we operate in, which include California, Colorado, Georgia, Hawaii, Illinois, Maryland, Oregon, Washington and Virginia. This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, developing and designing actuarial documentation, conducting product line evaluation and actuarial modeling, and assessing and interp

Actuarial Associate MedicareJob Title - Actuarial Associate Medicare

Kaiser PermanenteCompany Name - Kaiser Permanente

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Remote or Pasadena, California, USA

Full-time

Description: Job Summary: This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, preparing and reviewing actuarial documentation for accuracy, and conducting product line evaluation, actuarial modeling, and financial risk and opportunity analyses. Essential Responsibilities: Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise