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Medicare Advantage Remote Jobs

50 fresh jobs found

Lead Digital Product Manager- eCommerce
Remote US, United States

Digital product Market Validation Dynamic Environment Scaled Agile Scaled Agile Framework Brokerage Agile framework Digital Product Management Digital Experience +58

Senior Full Time

USD 126K+

Director, Product Management- eCommerce
Remote US, United States

User Needs Assessment Digital product Dynamic Environment Brokerage Digital Experience Digital strategy Product lifecycle management Medicare Advantage Mobile +56

Exec Senior Full Time

USD 168K+

Senior Digital Product Owner - Ecommerce
Remote US, United States

Digital product Technical decision-making Dynamic Environment Agile Delivery Scaled Agile Scaled Agile Framework Brokerage Agile framework Digital Experience +46

Senior Full Time

USD 94K+

Medical Director--Claims Management
Remote US, United States

Inpatient care Clinical patient care Computer-Based Review Outpatient services Home health services Grievance and appeals processes Clinical reference materials CMS policies Post-acute care +87

Exec Senior Full Time

USD 223K+

Search Engine Optimization Lead- eCommerce
Remote US, United States

Moz Dynamic Environment Ahrefs Brokerage Google Search Console Content Optimization Digital Experience SEMRush Medicare Advantage +54

Senior Full Time

USD 126K+

Digital Analytics Lead- eCommerce
Remote US, United States

Consumer experience improvement Digital product Adobe Experience Platform Brokerage Digital analytics Digital Experience Medicare Advantage Business Insights Articulate +50

Senior Mid Full Time

USD 117K+

Medical Director - Florida
Remote US, United States

Clinical patient care Health claims Managed Care Knowledge Post-acute services Home health services Family practice Inpatient rehabilitation Hospitalist National Guidelines +73

Exec Senior Full Time

USD 223K+

QI Data Coordinator - HYBRID (75% Travel)
Thibodaux, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Microsoft 365 Medical Billing Predictive Analytics +12

USD 60K+

QI Data Coordinator - HYBRID (75% Travel)
Jennings, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Microsoft 365 Medical Billing Predictive Analytics +12

USD 60K+

QI Data Coordinator - HYBRID (75% Travel)
Alexandria, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Microsoft 365 Medical Billing Predictive Analytics +12

USD 60K+

QI Data Coordinator - HYBRID (75% Travel)
Opelousas, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Healthcare Compliance Microsoft 365 Medical Billing +13

USD 60K+

QI Data Coordinator - HYBRID (75% Travel)
Baton Rouge, LA, United States

Data Sourcing Patient Outreach Quality measures Data Abstraction EMR systems Medicare Advantage Medical Billing Microsoft 365 Predictive Analytics +12

USD 60K+

Medical Director - National Medicare Team
Remote US, United States

Healthcare provider management Medicaid Experience Managed Care Knowledge NCD LCD Humana policies Medical interpretation National Guidelines Clinical group practice management +49

Exec Senior Full Time

USD 223K+

Medical Director - Medicaid N. Central
Remote US, United States

Health claims review Computer-Based Review Post-acute services Grievance and appeals processes Post-acute care Humana policies Family practice Clinical group practice management Medical interpretation +92

Exec Senior Full Time

USD 223K+

Lead Research Scientist
Remote US, United States

Spark scala Recommender system Spark r Recommender Systems Analytics Solutions Clinical Informatics Network Analysis Business Insights Healthcare Delivery +71

Senior Mid Full Time

USD 126K+

Medical Director - Care Plus
Remote US, United States

Grievance processes Health claims review Outpatient services Grievance and appeals processes Post-acute care Clinical group practice management Commercial health insurance Hospitalist Inpatient rehabilitation +90

Exec Senior Full Time

USD 223K+

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Outpatient services Grievance and appeals processes Post-acute care Humana policies Hospitalist Medical interpretation National Guidelines Family practice +83

Exec Mid Full Time

USD 223K+

Channel Development Lead- Digital Sales
Remote US, United States

Digital product Backlog Refinement Agile framework Digital Platforms Sprint planning Business Insights Medicare Advantage Consumer Experiences PowerBi +48

Senior Mid Full Time

USD 115K+

Stars Policy Lead
Remote US, United States

Regulatory advocacy Prescription Process Implementation Collaborative relationships STARS Healthcare quality Healthcare policy Rating Healthcare Regulations +64

Senior Mid Full Time

USD 115K+

Compliance D-SNP Director
Remote US, United States

Dual eligible special needs plans Regulatory Guidance Medicare Advantage CMS Travel BI Regulations Vision Healthcare services +34

Exec Mid Full Time

USD 150K+

Remote Manager, Case Management
Chicago, IL, United States

Complex data sets Goal setting EMR systems Evidence-based practices Medicare Advantage Social Determinants of Health Healthcare Data Motivational interviewing EMR +11

Senior Mid Full Time

USD 95K+

Remote Manager, Case Management
Rockford, IL, United States

Complex data sets Goal setting EMR systems Evidence-based practices Medicare Advantage Social Determinants of Health Healthcare Data Motivational interviewing EMR +11

Senior Mid Full Time

USD 95K+

Director, Competitive Intelligence, Stars
Remote US, United States

STARS Strategic consulting Rating Medicare Advantage Analyzing Business Case Development Knowledge Management Health outcomes Data interpretation +41

Exec Senior Full Time

USD 168K+

Medical Director - Southeast Region
Remote US, United States

Computer-Based Review Health claims review Post-acute services Grievance and appeals processes Outpatient services Inpatient rehabilitation Post-acute care Clinical group practice management Commercial health insurance +87

Exec Senior Full Time

USD 223K+

Strategy Advancement Lead – Clinical Outcomes
Remote US, United States

Strategy Consulting Clinical Strategy Medication Adherence Office Suite Clinical Quality Clinical services Medicare Advantage Control Clinical Care +49

Senior Full Time

USD 115K+

Director, Strategy Advancement – Healthcare Quality Reporting and Improvement
Remote US, United States

STARS Executive communications Budget planning Healthcare quality Matrixed environment Medicare Advantage Internal Communications Strategic direction Cost Management +59

Exec Senior Full Time

USD 168K+

Principle, Medical Record Product Management
Remote US, United States

Healthcare interoperability Agile principles Interoperability Medicare Advantage Usability Digital products Data storage Healthcare industry Storage +41

Senior Mid Full Time

USD 150K+

Director, Innovation & Segment Marketing
Remote US, United States

Brand Positioning Consumer research Engagement Strategies Strategic Marketing Medicare Advantage Health benefits Internal Communications Consumer Insights Marketing Analytics +60

Exec Senior Full Time

USD 168K+

Senior Data Engineer
Remote US, United States

Data movement Cloud-native platforms ADF STARS Data optimization Software Development Best Practices Data Orchestration Visualizations Healthcare quality +86

Senior Full Time

USD 106K+

Associate Actuary
Remote US, United States

Actuarial methods VB Medicare data MS Power BI Business writing Medicare Advantage Analyzing Risk Adjustment Statistical methods +63

USD 106K+

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Community Groups Outpatient services Grievance and appeals processes Inpatient rehabilitation Commercial health insurance Clinical group practice management Post-acute care Humana policies +83

Exec Senior Full Time

USD 223K+

Medical Director - Gulf South
Remote US, United States

Post-acute services Grievance and appeals processes Community Groups Outpatient services Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +88

Exec Senior Full Time

USD 223K+

Clinical Consultant - IntelliScript (Remote)
Brookfield, Wisconsin, United States

Morbidity interpretation Decision support software Clinical interpretation Clinical Consulting Peer review Entrepreneurial Spirit Software-As-a-Service Medicare Advantage Actuarial science +23

USD 67K+

Senior Insurance Product Compliance Professional
Remote US, United States

Medicare Advantage Regulatory Guidance Microsoft Office Applications Consumer Experiences Risk Adobe Negotiating Visio Regulations +38

Senior Full Time

USD 71K+

Associate Actuary - Seattle Health
Seattle, Washington, United States

Health actuarial Healthcare data analysis Actuarial techniques Entrepreneurial Spirit Medicare Advantage Healthcare Data Actuarial science Employee Benefits Financial +25

USD 86K+

Actuary (FSA) – Seattle Health
Seattle, Washington, United States

US healthcare system Health actuarial Actuarial techniques Entrepreneurial Spirit Medicare Advantage Healthcare Data Employee Benefits Financial SAS +24

Senior Full Time

USD 100K+

Medical Director- South Central
Remote US, United States

Community Groups Outpatient services Grievance and appeals processes Post-acute services Clinical group practice management Inpatient rehabilitation Post-acute care Commercial health insurance Humana policies +86

Exec Senior Full Time

USD 223K+

Insurance Segment Strategy Lead
Remote NY NYC METRO, United States

Healthcare Strategy Strategy Consulting Metrics and reporting Research and Analysis Medicare Advantage Strategic Analysis Matrixed environment Articulate Health benefits +51

Senior Full Time

USD 138K+

Insurance Strategy Consultant
Remote NY NYC METRO, United States

Healthcare Strategy Research and Analysis Medicare Advantage Strategic Analysis Matrixed environment Articulate Health benefits Growth Strategy Management consulting +48

USD 103K+

Medical Director - Pacific SW
Remote US, United States

Health claims review Community Groups Outpatient services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +84

Exec Senior Full Time

USD 223K+

Payment Integrity Vendor Operations Manager
Waltham Massachusetts Office, United States

Medicare Advantage Vendor Management Stakeholder management Process Improvement Operations Healthcare Data analysis Project Management Communication

Senior Mid Full Time

USD 76K+

Medical Director - Northeast Region
Remote US, United States

Community Groups Outpatient services Post-acute services Grievance and appeals processes Clinical group practice management Commercial health insurance Post-acute care Inpatient rehabilitation CMS policies +88

Exec Senior Full Time

USD 223K+

Principal, Insurance Strategy
Remote NY NYC METRO, United States

Healthcare Strategy Strategy Consulting Research and Analysis Medicare Advantage Matrixed environment Articulate Health benefits Growth Strategy Management consulting +42

Senior Full Time

USD 166K+

Licensed Health Insurance Agent - Remote
Dallas, TX, US

Vensure Employer Solutions

Telesales Medicare Advantage Bilingual (Spanish) Health Insurance Customer service

Entry Mid Full Time

USD 42K+

Actuarial Analyst
Denver, Colorado, United States; Salt Lake City, Utah, United States; San Francisco, California, United States; Houston, Texas, United States; Phoenix, Arizona, United States

Actuarial Calculations Health actuarial Actuarial models Medicare Advantage Entrepreneurial Spirit Actuarial science Employee Benefits Financial SAS +28

Entry Mid Full Time

USD 63K+

Director, Broker Engagement
Remote US, United States

Broker training Compliance communications Agent recruitment Insurance marketing Program delivery Marketing initiatives Reporting frameworks Learning Technologies Training program design +73

Exec Senior Full Time

USD 150K+

Medical Director - Southeast Region
Remote US, United States

Health claims review Community Groups Outpatient services Post-acute services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Humana policies +84

Exec Senior Full Time

USD 223K+

Registered Nurse RN Population Health Remote
Remote Greeley CO, United States

Community nursing Chart reviews Critical care Medicare Advantage Cerner HEDIS Risk Adjustment Utilization Review Primary Care +11

USD 112K+

Bilingual Community Outreach Specialist
Fully Remote - Florida, United States

Agile Work Environment Medicare Marketing Technical Savvy Medicare Advantage Community outreach Marketing strategies Public speaking Bilingual Networking +5

USD 60K+

Manager, Grievances & Appeals
Remote US, United States

Tactical Operations Bilingual English and Spanish Grievance and appeals Grievances Healthcare Delivery Medicare Advantage Health and wellness Workforce management Productivity +65

USD 86K+

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