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Medicare Advantage Remote Jobs

42 fresh jobs found

Medical Director - OneHome/Home Heatlth
Remote US, United States

LCD NCD Interpretative Clinical reference materials CMS policies Family practice Medical interpretation Clinical Standards National Guidelines +44

Exec Senior Full Time

USD 223K+

Director, Insurance Strategy
Remote US, United States

Strategy Consulting Research and Analysis Matrixed environment Articulate Medicare Advantage Collaborative Strategic initiatives Quantitative analysis Healthcare industry +40

Exec Senior Full Time

USD 168K+

Director, Market Finance
Remote US, United States

Provider Contracting Provider engagement Network Analysis Medicare products STARS Functional strategies Business Insights Risk Adjustment Valuation +52

Exec Senior Full Time

USD 168K+

Clinical Research Scientist
Remote US, United States

Recommender system Spark r Recommender Systems Judgement Analytics Solutions Clinical Strategy Network Analysis Business Insights Clinical Informatics +65

USD 71K+

Healthcare Call Center Supervisor (Hybrid Onsite in Orange, CA and Work-From-Home)
Orange, California, United States

Alignment Health

Team Motivation Performance coaching Medicare Managed Care Call Center Management Medicare Advantage Supervisory Training and Development Data integrity Call Center +14

USD 57K+

Medical Director - Florida
Remote US

Home health services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Inpatient rehabilitation Post-acute care Clinical group practice management Hospitalist +81

Exec Senior Full Time

USD 223K+

Contract Manager, Dental Program - Florida
Work From Home - FL

Managed healthcare Program performance STARS HEDIS Contract Compliance Medicare Advantage Accuracy Microsoft Teams Leadership Development +27

Senior Mid Full Time

USD 74K+

Client Coding Project Manager
Remote, United States

Datavant Remote-first

HHS ACA Risk Adjustment Coding Coding Quality Risk Adjustment Real-world data Medicare Advantage G Suite ICD-10 Performance Improvement +17

Senior Full Time

USD 110K+

Financial Analytics Lead - HQRI Finance
Remote US

Financial analytics STARS Modeling techniques Healthcare quality Healthcare Analytics Risk Adjustment Medicare Advantage Risk Detail oriented +34

Senior Full Time

USD 95K+

Senior Financial Analytics Professional - HQRI Finance
Remote US

Financial analytics STARS Healthcare quality Modeling techniques Risk Adjustment Medicare Advantage Risk Detail oriented Healthcare services +33

Senior Mid Full Time

USD 78K+

Senior Campaign Development Engineer
Remote US

TOAD Oracle PL/SQL STARS Peer review Qlik Visualizations Microsoft Office Applications Analyzing Power Apps +56

Senior Full Time

USD 78K+

Reviewing Medical Director
Remote US

Grievance processes Care facilitation Post-acute services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Post-acute care Inpatient rehabilitation +93

Exec Senior Full Time

USD 199K+

Medicare Provider Terminations Lead Analyst - Cigna Healthcare - Remote
Tennessee Work at Home

The Cigna Group

Provider Terminations Network Operations Medicare Advantage Healthcare experience Health Services Contracting SharePoint Case Management Microsoft Office Suite +25

Senior Mid Full Time

USD 67K+

Associate Actuary (Fully Remote)
Denver, Colorado, United States

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

USD 86K+

Medical Director - Southeast Region
Remote US

Health claims review Post-acute services Grievance and appeals processes Outpatient services Social determinants Inpatient rehabilitation Commercial health insurance Post-acute care Coding practices +80

Exec Senior Full Time

USD 199K+

Director, Insurance Strategy
Remote US

Research and Analysis Strategy Consulting Articulate Matrixed environment Medicare Advantage Collaborative Quantitative analysis Strategic initiatives Verbal and written communication +39

Exec Senior Full Time

USD 164K+

Senior Insurance Product Content Professional
Remote US

Document review Medicare Advantage User Acceptance Testing Pharmacy Insurance Products Healthcare services Wellness Vision Dental +27

Senior Full Time

USD 69K+

Medical Director - Gulf South
Remote US

Health claims review Commercial health insurance Outpatient services Grievance and appeals processes Social determinants Hospitalist Clinical group practice management Clinical reference materials Inpatient rehabilitation +81

Exec Senior Full Time

USD 199K+

Medical Director - Pharmacy Appeals
Remote US

Medicare rules Commercial health insurance Clinical group practice management CMS policies Humana policies National Guidelines Rules Business Metrics Practice Management +55

Exec Senior Full Time

USD 199K+

Healthcare Call Center Supervisor Hybrid
Remote-US, California, United States

Alignment Health

Performance coaching Team Motivation Medicare Managed Care Call Center Management Medicare Advantage Supervisory Data integrity Call Center Managed Care +13

USD 57K+

Associate Actuary - Medicare Pricing
Remote US

Pricing Assumptions Pricing tools Financial metrics Business Insights Rating Medicare Advantage Pricing strategy Risk Actuarial science +38

USD 104K+

Medicare Advantage Actuary (Fully Remote)
Denver, Colorado, United States

Healthcare actuarial Actuarial techniques US healthcare system Health actuarial Entrepreneurial Spirit Medicare Advantage Healthcare Data Employee Benefits Financial +19

Senior Full Time

USD 100K+

Associate Actuary
Remote US

Financial metrics Prescription Rating Medicare Advantage Pricing strategy Risk Actuarial science Consumer Experiences Collaborative +32

USD 104K+

Stars Program Delivery Lead
Remote US

STARS Program delivery Quality Metrics Health outcomes Operational strategy Health Equity Medicare Advantage Risk Listening +61

Senior Full Time

USD 112K+

Bilingual Spanish Concierge Navigator
Remote - CA, California, United States

Alignment Health

Health Care Navigation Outbound Call Center Strong computer HMO Vietnamese Mandarin Member engagement Medicare Advantage Inbound call center +22

Entry Mid Full Time

USD 40K+

Associate Actuary - Seattle Health
Seattle, Washington, United States

Healthcare actuarial US healthcare system Healthcare data analysis Health actuarial Actuarial techniques Entrepreneurial Spirit Medicare Advantage Actuarial science Healthcare Data +24

USD 86K+

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

Healthcare actuarial US healthcare system Healthcare data analysis Health actuarial Actuarial techniques Entrepreneurial Spirit Medicare Advantage Actuarial science Healthcare Data +25

Senior Full Time

USD 100K+

Manager, Provider Management - Florida
Work From Home - FL

Provider management Network development Provider Relations Network management Medicare Advantage Credentialing Microsoft Teams Claims processing Leadership Development +27

Senior Mid Full Time

USD 74K+

Bilingual Spanish Concierge Navigator - Advocate (Temp w/ Medical Benefits)
Remote - CA, California, United States

Alignment Health

Health Care Navigation Outbound Call Center Strong computer HMO Vietnamese Mandarin Member engagement Medicare Advantage Inbound call center +22

Entry Mid Full Time

USD 40K+

Cigna Medicare Clinical Operations Program Management Lead Analyst- Remote- Cigna Healthcare
Tennessee Work at Home

The Cigna Group

Medicare Advantage Data Validation Utilization management Clinical operations Data integrity Nursing Influencing Auditing Behavioral health +25

Senior Mid Full Time

USD 74K+

Medicare Provider Directory Business Analytics Advisor - Cigna Healthcare - Remote
Texas Work at Home

The Cigna Group

M-code Visual studios Java script Onbase Medicare advantage provider data Fusioncharts SQL Server Integration Services Powerquery Qnxt +44

Exec Senior Full Time

USD 80K+

Senior Clinical Research Scientist
Remote US

Recommender system Spark/Scala Analytics Solutions Spark r Healthcare economics Clinical Informatics Business Insights Analyzing Network Analysis +65

Senior Mid Full Time

USD 93K+

Corporate Communications Principal, Speechwriter
Remote US

Public policy writing Executive speechwriting Creative storytelling Audience analysis Corporate Communications Strategic communication Communication Strategies Medicare Advantage Functions +41

Senior Full Time

USD 136K+

Insurance Segment Strategy Lead
Remote US

Metrics and reporting Healthcare Strategy Research and Analysis Articulate Strategy Consulting Strategic Analysis Medicare Advantage Management consulting Strategy Development +46

Senior Full Time

USD 112K+

Disenrollment Specialist
Remote-US, California, United States

Alignment Health

Multi-lingual Strong computer Vietnamese Medi-Cal HMO Medicare managed care plans Bilingual English and Spanish Medicare Managed Care Managed Care Plans +28

Entry Mid Full Time

USD 41K+

Actuarial Analyst 2, Risk and Compliance
Remote US

Prescription Peer review Risk Medicare Advantage VBA Actuarial science CMS Audits BI +32

Entry Mid Full Time

USD 78K+

Medicare, Bilingual Instructional Designer & Trainer - Sales Effectiveness Advisor - Remotely, United States - Cigna Healthcare
Pennsylvania Work at Home

The Cigna Group

Learning Technologies Data Fluency Vyond Articulate Storyline Camtasia ELearning Adobe Creative Cloud Salesforce CRM Medicare Advantage +23

USD 86K+

Medicare Advantage Actuary (FSA)
Phoenix, Arizona, United States; San Francisco, California, United States; Houston, Texas, United States; Salt Lake City, Utah, United States

Healthcare actuarial Health actuarial US healthcare system Actuarial techniques Entrepreneurial Spirit Medicare Advantage Healthcare Data Employee Benefits Financial +20

Senior Full Time

USD 100K+

Actuary (FSA)
Denver, Colorado, United States; Houston, Texas, United States; Phoenix, Arizona, United States; Salt Lake City, Utah, United States; San Francisco, California, United States

Healthcare actuarial US healthcare system Health actuarial Actuarial techniques Entrepreneurial Spirit Medicare Advantage Healthcare Data Employee Benefits Financial +22

Senior Full Time

USD 100K+

Medical Director - Northeast Region
Remote US

Commercial health insurance Post-acute services Grievance and appeals processes Outpatient services Coding practices Clinical group practice management Judgement Inpatient rehabilitation Hospitalist +80

Exec Senior Full Time

USD 199K+

Lead Research Scientist
Remote US

Spark/Scala Spark r Recommender Systems Clinical Informatics Claims analysis Business Insights Healthcare Delivery Health outcomes Network Analysis +67

Senior Mid Full Time

USD 123K+

Medical Director - National Medicare Team
Remote US

Commercial health insurance Project team participation Managed Care Knowledge Clinical Standards Clinical group practice management Humana policies Medical interpretation Medical background National Guidelines +42

Exec Senior Full Time

USD 199K+

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