19 jobs for Medicare Advantage

Health Plan Data Scientist USD 106K-182K

Agile | Azure DevOps | CPT/HCPCS | Coordination of Benefits | DRG validation

401k employer match | Employee bonus program | Employee recognition program | Paid Holidays | Paid time off

Mid-level Full Time

Long Beach Office 3800, United States

1d ago

Medicare & Medicaid Enrollment Supervisor USD 110K-150K

CMS MARx | CMS Transaction Reply Report DTRR | Capitation | Data Auditing | Documentation Management

401k with employer match | Education assistance program | Employee assistance program | Employer-paid life insurance | Flexible spending account

Executive-level Full Time

Omaha, NE, United States

2d ago

Senior Manager, Business Analytics USD 82K-182K

BigQuery | Cloud platform | Dashboard Development | Data Automation | Data Governance

Dental insurance | Medical insurance | Paid time off | Retirement savings options | Vision insurance

Senior-level Full Time

Hartford-Farmington Ave Rogers, United States

5d ago

Departmental Specialist 13 - HS ENROLLMENT AND PAYMENT INTEGRITY SECTION USD 63K-95K

Claims Processing | Compliance Monitoring | Data Analysis | Electronic Visit Verification | Managed care

Hybrid work schedule options | Remote work options | State provided computer

Mid-level Full Time

Lansing R

8d ago

Enrollment Team Lead USD 95K-103K

CMS Regulations | CMS transaction files | Data Analysis | Enrollment Reconciliation | Jira

Senior-level Full Time

Remote, United States R

8d ago

Vice President, Enterprise Care Management Operations - WellMed USD 134K-230K

Audit management | Behavioral Health Integration | Behavioral health | Budgeting | Care management

401k contribution | Comprehensive benefits package | Equity stock purchase | Incentive and recognition programs

Executive-level Full Time

Dallas, Texas, UNITED STATES; Austin, Texas, …

8d ago

Medicare Enrollment Specialist II USD 40K-44K

CMS interfaces | CMS transaction files | Eligibility verification | Enrollment Reconciliation | Medicaid Enrollment

Mentoring | Remote work | Training provided

Mid-level Full Time

Remote, United States R

9d ago

Medicare Enrollment Specialist II USD 40K-44K

Billing reconciliation | CMS interfaces | CMS transactions | Case management | Data Analysis

Mentorship | Remote work | Training provided

Mid-level Full Time

Remote, United States R

12d ago

Supervisor, Enrollment Quality Assurance USD 71K-103K

Audit Support | Coaching | Data workflows | Enrollment Reconciliation | Excel

401k retirement plan | Annual bonus | Employee recognition program | Paid Holidays | Paid time off

Mid-level Full Time

Long Beach Office 3800, United States

14d ago

Senior Enrollment Specialist USD 50K-56K

CMS transactions | Case management | Data Analysis | Eligibility verification | Enrollment Reconciliation

Mentoring support | Quality and process documentation opportunities | Remote work | Training provided

Senior-level Full Time

Remote, United States R

19d ago

Senior Healthcare Data Analyst, Provider Network - Kelsey Seybold, Pearland, TX USD 91K-163K

ACA marketplace | Capitation | Claims analytics | Data Governance | Data Management

401k contribution | Comprehensive benefits package | Equity stock purchase | Incentive and recognition programs

Senior-level Full Time

Primary location: Pearland, Texas

21d ago

VP of Product Management, Risk & Quality AI Solutions USD 200K-235K

API Design | Agentic Workflows | Artificial Intelligence | CDA | CMS risk adjustment

401k | Dental insurance | Dependent Care Account | Life insurance | Long-term disability

Executive-level Full Time

United States - Remote R

26d ago

Enrollment Agent - Medicare Premier USD 50K-60K

AHIP | CMS Regulations | Health insurance | Medicaid | Medicare

Entry-level Full Time

Georgia-NORCROSS

28d ago

Payer Rate Analytics Liaison USD 46K-56K

Accountable Care | Accountable Care Organization | Commercial Insurance | Contracting | Data analytics

401k match | Critical illness insurance | Dental insurance | Dependent care savings | Disability insurance

Mid-level Full Time

Phoenix, AZ, US

1mo ago

Manager, Performance Analytics USD 130K-160K

CMS Reconciliation | Care Gap Analysis | Claims data | Clinical Documentation | Clinical Documentation Integrity

401k retirement plan | Dental coverage | Flexible time off | Hybrid work | Paid Holidays

Mid-level Full Time

Remote R

1mo ago

VP Managed Care Performance & Analytics - Kelsey Seybold Clinics, Pearland, TX. USD 159K-273K

Actuarial Science | Bid strategy | Capitation | Claims Processing | Cost drivers

Executive-level Full Time

Primary location: Pearland, Texas

1mo ago

Manager Payer Contracting and Provider Enrollment USD 75K-85K

Benchmarking | CPT | Claims Processing | Contract Negotiation | Contract language

Hybrid work schedule

Mid-level Full Time

Akron, OH

1mo ago

Chief Financial Officer, Optum Care Delivery South (WellMed) USD 225K-375K

Budgeting | Capitated Contracts | Cost trend analysis | Executive Dashboards | Financial Reporting

Executive-level Full Time

Primary location: San Antonio, TX

1mo ago

Manager, Medicare Enrollment and Reconciliation USD 90K-110K

Audit compliance | CMS MARx | CMS eligibility policy | CMS response files | Eligibility Policy

Mid-level Full Time

Huntington Beach, CA, USA

1mo ago

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