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Project Manager With Medicare Experience - 100 % Remote

Remote

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Today

Job Title: Project Manager Government Healthcare (Medicare)Remote Long term Contract. Job Summary:We are seeking an experienced Project Manager with a strong background in working with government clients and expertise in Medicare programs. The ideal candidate will lead end-to-end project delivery for healthcare initiatives, ensuring compliance with government regulations while driving efficiency, quality, and stakeholder satisfaction. Key Responsibilities:Manage the full project lifecycle, from

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Contract, Third Party

Depends on Experience

Medicare Marketing QA Specialist

Philadelphia, Pennsylvania

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Today

Innova Solutions has a client that is immediately hiring for a Medicare Marketing QA Specialist Position type: Full Time - Contract Duration: 06 Months Contract Location: Philadelphia, PA 19103 As a Medicare Marketing QA Specialist, you will:Ensure all benefit and product related information is present and correct particularly as it is related to mandatory marketing and communication material as outlined by the Centers for Medicare and Medicaid Services (CMS).Be responsible providing accurat

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Contract

Depends on Experience

Medicare Appeals Professional with Licensed nurse

Remote

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4d ago

Responsibilities: Reviews medical records/case file, writes a reconsideration decision letter that is clear, concise, andimpartial and supports the determination made, and documents review.Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation,rulings, and policy.Responds to and ensures that all appeal issues raised by the beneficiary/patient, representative, andprovider/supplier have been addressed.Provides a fair and impartial decision based on cu

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Contract

Depends on Experience

Medicare call center outbound support

Hybrid in Jersey City, New Jersey

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Today

We are assisting our client in finding a Medicare/Medicaid Help Desk support in New Jersey. If you are interested, please feel free to reach me at ext 815 or let me know your availability for a quick chat Long-term contractOutbound calls to existing members need to understand healthcare provider data, reimbursements, etc. Engage patients and caregivers telephonically and in person to explain the benefits of home-based care services including clinical, emotional, and logistical advantages. Out

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Contract

$30 - $33

Actuary or Associate Actuary - Medicare - Remote

Chicago, Illinois

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Today

Time-tested company on solid financial footing seeks an ASA or FSA with extensive experience in Medicare Part D. This individual will lead Medicare Part D &Medicare Advantage bid pricing &forecasting, participate in strategic discussions with clients, and provide guidance to local health plans. The ideal candidate will have 5-10 years of actuarial experience with at least 3 years experience with Medicare Part D. Must be able to work in a fast-paced environment, present technical concepts to a no

Full-time

Compensation information provided in the description

Project Manager - PBM - PMP - Claims / Medicare - Medicaid

Remote

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2d ago

PBM is a must. Pharmacy or Health PlansClient PortalsProvider Network Management and/or Clinical Programs. Claims Adjudication is always a plus.

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Contract

$60+

PMO Lead with Medicare / Medicaid system experience

Remote

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20d ago

We are seeking to hire several PMO Leads with expertise in Healthcare / Medicare/Medicaid system implementation projects, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid claims systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO

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Full-time

Depends on Experience

PMO Lead with Medicare / Medicaid system experience

Remote

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20d ago

Easy Apply

Contract

Depends on Experience

Senior Data / Business Systems Analyst in healthcare (payer: Medicaid/Medicare)

Hybrid in Philadelphia, Pennsylvania

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29d ago

Hi Professionals, Title:Senior Data / Business Systems Analyst (Healthcare Payer domain) Locaion:Hybrid (Philadelphia) Duration: CTH JD: 8+ years in data/business analysis & project work 5+ years in healthcare (payer: Medicaid/Medicare) Experience with EDI & care management data Technical Skills: Strong SQL Expertise in Azure Databricks (Delta Lake, DLT, Unity Catalog) Knowledge of ETL processes Familiarity with BI tools (Power BI/Tableau) Understanding of data governance, PII, Coll

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Contract, Third Party

Depends on Experience

Medicare Hospice Billing & Collection Specialist

Columbus, Ohio

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22d ago

Description Position will be remote, but some in-office hours are possible Candidate will ideally reside around the Columbus, OH, Akron, OH, or Cleveland, OH areas. Looking for at least 5 years experience in hospice billing or Medicare billing and knowledge of DDE is a must. As aHospice/Palliative Care Patient Account Specialist, you will perform daily billing and collection operations for Hospice and Palliative Care Revenue Cycle Department. The Hospice/Palliative Care Patient Account Specialis

Full-time

Medicare Hospice Billing & Collection Specialist

Akron, Ohio

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22d ago

Full-time

Medicare Hospice Billing & Collection Specialist

Cleveland, Ohio

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22d ago

Full-time

IT Business Systems Analyst II (Medicare/Medicaid)- CGS Administrators, LLC (Nashville, TN)

Nashville, Tennessee

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Today

Summary Working at CGS Administrators CGS Administrators, LLC (CGS) is part of BCBSSC 's Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide. This is an onsite full-time position located at 26 Century Blvd., Ste. ST610 Nashville, TN 37214-3685. If you have IT Business Analysis H

Full-time

PMO Analyst with Medicaid, Medicare, Healthcare experience

Remote

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16d ago

We are seeking to hire several PMO Analysts with experience in Federal or State level Healthcare / Medicare/Medicaid projects, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid Claims, Provider, and Pharmacy systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision

Easy Apply

Full-time

Depends on Experience

PMO Analyst with Medicaid, Medicare, Healthcare experience

Remote

•

16d ago

Easy Apply

Contract

Depends on Experience

Data Engineering Consultant V - Medicare, Medicaid, Claims, SQL, SAS, Python, DataBricks

Oakland, California

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Today

Overview: Full-stack data engineer with equal depth in backend and frontend, delivering end-to-end features from UI/UX to services and data. Strong in Python (FastAPI/Flask) building secure, versioned REST/GraphQL APIs and microservices. Proven microservices architecture experience: service boundaries, async/event-driven messaging, resilience patterns, and API gateways. Frontend expertise in React and Angular with component-driven design, performance optimization, and accessibility-first UI. Sol

Full-time

USD 158,300.00 - 204,820.00 per year

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