medicare Jobs

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Medicare Member Engagement SpecialistJob Title - Medicare Member Engagement Specialist

Aziro Technologies LLCCompany Name - Aziro Technologies LLC

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Akron, Ohio, USA

Contract

Summary of Position: Serves as a licensed Medicare Member Engagement Specialist for SummaCare Health Plan answering complex/multi-faceted Medicare Advantage plan and benefit questions most often over the phone but also in-person as needed. Tracks and follows-up with SummaCare Medicare members at risk for disenrollment from the health plan. Assists with outreach programs designed to increase retention of SummaCare Medicare members. Utilizes script to ask questions of Medicare members to understan

Medicare Member Engagement SpecialistJob Title - Medicare Member Engagement Specialist

Aziro Technologies LLCCompany Name - Aziro Technologies LLC

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Akron, Ohio, USA

Contract

Job Title: Medicare Member Engagement Specialist Duration: 6+ Months Location: Akron OH (Onsite) Minimum 2+ years of relevant experience. Summary of Position: Serves as a licensed Medicare Member Engagement Specialist for SummaCare Health Plan answering complex/multi-faceted Medicare Advantage plan and benefit questions most often over the phone but also in-person as needed. Tracks and follows-up with SummaCare Medicare members at risk for disenrollment from the health plan. Assists with outrea

Senior IT Consultant - Medicare, MedicaidJob Title - Senior IT Consultant - Medicare, Medicaid

Kaiser PermanenteCompany Name - Kaiser Permanente

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Pasadena, California, USA

Full-time

Job Summary: In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications and/or information systems, including software implementation, cross-functional integration, complex configuration, and testing. Additional responsibilities also include leading solution design support efforts and research initiatives for translating requirements into workable technical solutions, and supporting the evaluation of thir

Medicare Billing SpecialistJob Title - Medicare Billing Specialist

ProsumCompany Name - Prosum

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Edmond, Oklahoma, USA

Full-time

Job Title: Medicare Billing SpecialistLocation: Edmond, OK (Onsite) Overview:We are seeking a detail-oriented Medicare Billing Specialist to join our team in Edmond, OK. In this role, you will be responsible for reviewing billing data, following up on unpaid claims, communicating with insurance providers, and ensuring timely and accurate reimbursement. The ideal candidate will have strong knowledge of medical billing practices, Medicare guidelines, and experience handling insurance denials and c

Medicare Member Engagement SpecialistJob Title - Medicare Member Engagement Specialist

Aziro Technologies LLCCompany Name - Aziro Technologies LLC

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Madison, Wisconsin, USA

Contract

Job Title: Principal Data Center Engineer Duration: 18 Months Location: Madison, WI (Onsite) EXPERIENCE: While the candidate should be highly technical, he/she must also have experience in customer-facing roles with excellent communication and presentation skills. The candidate must be: Strong communicator with excellent interpersonal skills. Capable of managing escalations and ensuring customer satisfaction through face-to-face interactions with Senior Director / VP level executives. Customer-f

Medicare Data Lead Analyst, PBM Analytics and ReportingJob Title - Medicare Data Lead Analyst, PBM Analytics and Reporting

ConsultNet, LLCCompany Name - ConsultNet, LLC

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North Kingstown, Rhode Island, USA

Full-time

PURPOSE: The Medicare Data Lead Analyst will be responsible for analyzing and interpreting healthcare data related to Medicare programs, specifically focusing on CMS Direct Subsidy, PDE, and MMR. The role involves working with large datasets, ensuring compliance with CMS regulations, and providing insights to improve healthcare outcomes and financial performance. They will work closely with other team members to collaborate and support team processes. They will partner with key business stakeho

Web Developer/Engineer (Medicaid/Medicare) must to have strong experience in Frontend and Backend web applications.Job Title - Web Developer/Engineer (Medicaid/Medicare) must to have strong experience in Frontend and Backend web applications.

Unisoft Technology IncCompany Name - Unisoft Technology Inc

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Columbia, South Carolina, USA

Third Party, Contract

Duties/Responsibilities Provide production support and maintenance for all new technology development work. Ensure stability, reliability, and ongoing enhancement of supported systems. Participate in troubleshooting, problem resolution, and system improvements for technology initiatives, Education: Bachelor s degree in computer science or related field preferred. Equivalent experience will also be considered. Required Experience: 5 years of professional experience in Java application developmen

QA/Tester (Medicaid / Medicare)Job Title - QA/Tester (Medicaid / Medicare)

Digitek Software, Inc.Company Name - Digitek Software, Inc.

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Columbia, South Carolina, USA

Full-time, Third Party

One of our clients is looking for Quality Assurance Analyst based on the following skills: Work Location: Hybrid (4 days in office, 1 days remote). Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Scope of the Project: The Quality Assurance Tester - Advanced will be assigned to projects for the South Carolina Department of Health and Human Services (SCDHHS), the Medicaid Agency for SC. Candidates who enjoy working on complex, change-oriented projects will find this po

Revenue Cycle Specialist: Medicare CollectionsJob Title - Revenue Cycle Specialist: Medicare Collections

Tranzeal, Inc.Company Name - Tranzeal, Inc.

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Remote

Contract

Hi Everyone, One of Direct Client is Hiring Revenue Cycle Specialist: Medicare Collection-Remote Job Description with a strong background in insurance collections, particularly with Medicare collections experience. Candidates with billing and coding backgrounds will not be considered for these roles. The schedule will follow Mountain Time, starting at either 7 AM or 8 AM, with interviews planned for next week. The role will primarily focus on claim work, payment reconciliation, identifying tr

Medicare Data Lead Analyst, PBM Analytics and ReportingJob Title - Medicare Data Lead Analyst, PBM Analytics and Reporting

ConsultNet, LLCCompany Name - ConsultNet, LLC

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North Kingstown, Rhode Island, USA

Full-time

Marketing Analyst (Healthcare / Medicare)Job Title - Marketing Analyst (Healthcare / Medicare)

Apidel TechnologiesCompany Name - Apidel Technologies

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Remote

Contract

Job tit le: Marketing Analyst Location: Fully remote (never coming onsite) Duration: 06+ Months (Possibility of Extension) Shift: Monday-Friday 08:00 am 05:00 pm. EST Duties Gathers the requirements and proactively leads and executes assigned projectsHelp marketing organization ensure materials match approved content through extensive validation and proofing processCollaborate with our internal creative team as well as external agency partners to ensure marketing material and campaign designs re

Lead Director, Medicare Actuarial Analytics and Actuarial Data ScienceJob Title - Lead Director, Medicare Actuarial Analytics and Actuarial Data Science

CVS HealthCompany Name - CVS Health

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Remote or New York, New York, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

Big Data Engineer - Medicare/MedicaidJob Title - Big Data Engineer - Medicare/Medicaid

Molina HealthcareCompany Name - Molina Healthcare

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Long Beach, California, USA

Full-time

Job Description Job Summary We are seeking a highly skilled and forward-thinking Big Data Engineer to join our healthcare data team. This role encompasses the end-to-end design, development, and management of large-scale data systems tailored for healthcare analytics. The ideal candidate will be responsible for architecting and maintaining robust, scalable, and secure data pipelines that support critical decision-making across the organization. This position requires deep technical expertise i

Care Management Support Coordinator IIJob Title - Care Management Support Coordinator II

Pyramid Consulting, Inc.Company Name - Pyramid Consulting, Inc.

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Remote

Contract

Immediate need for a talented Care Management Support Coordinator II. This is a 03+ Months Contract opportunity with long-term potential and is located in U.S.(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-80065 Pay Range: $23 - $25/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Call Center making out

Audiologist PRNJob Title - Audiologist PRN

University HealthCompany Name - University Health

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San Antonio, Texas, USA

Full-time

POSITION SUMMARY/RESPONSIBILITIES This position provides comprehensive clinical audiology evaluations. Responsibilities include coordination of various audiology activities and the performance of any and all clinical audiology procedures necessary to completely evaluate and rehabilitate the auditory functions of patients for the University Health. EDUCATION/EXPERIENCE Doctor of Audiology is required. One year experience as a licensed audiologist is preferred. Certificate of Clinical Competence i

BRM/BenefitAnalystMedicareClaims(PBM/RxClaims)Job Title - BRM/BenefitAnalystMedicareClaims(PBM/RxClaims)

Digitive LLCCompany Name - Digitive LLC

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Remote

Contract

Position: BRM / Benefit Analyst Medicare Claims (PBM/RxClaims) Location: 100% Remote Duration: 12+ Months Contract (W2) Rate: $32/hr on W2 We are looking for an experienced BRM / Benefit Analyst with strong RxClaims and PBM domain expertise to join a fast-paced project in the healthcare space. Key Requirements: Hands-on experience with Rx Claims processingStrong understanding of PBM (Pharmacy Benefit Management)Excellent knowledge of ExcelProficient in creating Functional Specs, reviewing XMLs,

IT Project ManagerJob Title - IT Project Manager

DP Professionals IncCompany Name - DP Professionals Inc

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Nashville, Tennessee, USA

Contract

DPP is seeking an IT Project Manager for an opportunity in Nashville, Tennessee. Work arrangement: 100% onsite in Nashville. W2 position; 6 months, with the possibility of conversion to FTE Candidates who are foreign nationals must have resided in the US for at least three (3) of the last five (5) years prior to assignment to the client s applicable government contract. Position summary: The Project Manager is responsible for overall coordination, status reporting, and stability of project-orien

DSNP Business AnalystJob Title - DSNP Business Analyst

NTT DATA Americas, IncCompany Name - NTT DATA Americas, Inc

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Remote or Merced, California, USA

Contract

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services a

Application Analyst III - CoreJob Title - Application Analyst III - Core

NTT DATA Americas, IncCompany Name - NTT DATA Americas, Inc

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Remote or Merced, California, USA

Full-time

Project managerJob Title - Project manager

Stellar Professionals LLCCompany Name - Stellar Professionals LLC

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Columbia, South Carolina, USA

Contract, Third Party

Job Title: Project manager Location: Columbia, SC Mode of Interview: In person Client: Stellar professionals Keywords: Project manager, PMP, PMI, PMO, Agile, Scrum, Security, Medicaid, Medicare Job Description: We're searching for a skilled IT Project Manager with a minimum of 7 years of project management experience to lead critical Medicaid IT initiatives in Columbia, SC. This role is essential for driving complex projects from conception through implementation, ensuring alignment with state