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Medicare Advantage Remote Jobs

42 fresh jobs found

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+

Director, Coding Operations Support
Remote, United States

Datavant Remote-first

HHS ACA Coding technology Coding operations Risk Adjustment Coding Coding Quality Real-world data Risk Adjustment Medicare Advantage ICD-10 +19

Exec Senior Full Time

USD 145K+

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+

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+

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+

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+

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+

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 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+

Medical Director- South Central
Remote US

Post-acute services Clinical group practice management Clinical Standards Grievance and appeals processes Outpatient services Coding practices Inpatient rehabilitation Medical background Clinical reference materials +78

Exec Senior Full Time

USD 199K+

Bilingual Spanish Resolution Specialist
Remote-US, California, United States

Alignment Health

Multi-lingual Outbound Call Center Healthcare Processes Vietnamese HMO Bilingual English and Spanish Mandarin Member engagement Medicare Advantage +23

USD 41K+

Medical Director - Home Health - OneHome/Home Solutions
Remote US

Dynamic Environment Interpretative CMS Medicare Clinical Standards Inpatient Care Clinical reference materials Humana policies Medical interpretation CMS policies +44

Exec Senior Full Time

USD 199K+

Insurance Strategy Consultant
Remote US

Healthcare Strategy Research and Analysis Articulate Strategic Analysis Medicare Advantage Management consulting Strategy Development Strategic initiatives Collaborative +44

Exec Mid Full Time

USD 84K+

Medical Director - Acute Rehab Team
Remote US

Acute inpatient rehabilitation Humana policies Clinical reference materials Medical interpretation Medical background CMS policies Hospitalist Inpatient rehabilitation National Guidelines +52

Exec Senior Full Time

USD 199K+

Medical Director - Pharmacy Appeals
Remote US

Medicare rules Clinical group practice management Humana policies National Guidelines CMS policies Rules InterQual MCG Medical Director +51

Exec Senior Full Time

USD 199K+

Medicare Advantage Bid Strategy Sr. Advisor- Remote- Cigna Healthcare
Alabama Work at Home

The Cigna Group

Teradata Goal setting Technical Analysis Medicare Advantage Competitive Intelligence Marketing Strategy Behavioral health Medicare Prioritization +26

Senior Mid Full Time

USD 111K+

Lead Actuary, SPA-Rx Part B Pricing
Remote US

Reporting & Analysis Milliman Trending Rate filing Reserving Functional strategies Functions Medicare Advantage Actuarial science +45

Senior Full Time

USD 126K+

Interoperability Program Lead Senior Advisor- Remote- Cigna Healthcare
Pennsylvania Work at Home

The Cigna Group

EHR platforms ROI Data Exchange Clinical Data Risk Adjustment Interoperability Medicare Advantage Data Integration Verbal and written communication +27

Senior Full Time

USD 110K+

Associate Director, Actuarial
Remote US

Actuarial analytics Reporting & Analysis Trending Rate filing Reserving Functions Medicare Advantage Consumer Experiences Emotional Intelligence +34

Senior Mid Full Time

USD 153K+

Bilingual Vietnamese Resolution Specialist $5,000 Sign-On Bonus
Remote-US, California, United States

Alignment Health

Vietnamese Claims resolution Outbound Call Center Healthcare Processes HMO Member engagement Medicare Advantage Healthcare experience Inbound call center +19

USD 41K+

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

Alignment Health

Goal Management Health Care Navigation Strong computer Outbound Call Center Vietnamese HMO Mandarin Member engagement Medicare Advantage +23

Entry Mid Full Time

USD 41K+

Medicare Operating Gaps & Process Senior Advisor - Cigna Healthcare - Remote
Tennessee Work at Home

The Cigna Group

Report building Health Services Medicare Advantage ServiceNow Behavioral health Medicare Microsoft Word Computer Microsoft Excel +18

Senior Mid Full Time

USD 106K+

Sr. Director, Quality Improvement STARS program
Remote-US, California, United States

Alignment Health

Healthcare Quality Assurance HEDIS Medicare Advantage Quality improvement Nursing Medicare Performance Management Data & Analytics Stakeholder engagement +13

Senior Full Time

USD 160K+

Actuarial Senior Analyst - Remote
TN, Nashville, 500 Great Circle Rd

The Cigna Group

Medicare pricing Actuarial Analysis Actuarial modeling Medicare Advantage Financial Forecasting Actuarial science Healthcare experience Statistical modeling Financial +21

Senior Mid Full Time

USD 70K+

Actuarial Lead Analyst - Remote
TN, Nashville, 500 Great Circle Rd

The Cigna Group

Medicare pricing Actuarial Analysis Actuarial modeling Medicare Advantage Financial Forecasting Actuarial science Financial Mathematics Behavioral health +19

Senior Mid Full Time

USD 84K+

Associate Actuary, Analytics/Forecasting
Remote US

Large data sets Actuarial Analysis Valuation Home Health M&A Medicare Advantage BI Market trends SAS +29

USD 104K+

Healthcare Call Center Supervisor (Remote, Work-From-Home)
Remote-US, California, United States

Alignment Health

Performance coaching Team Motivation Medicare Managed Care Call Center Management Medicare Advantage Supervisory Call Center Spanish Managed Care +10

USD 57K+

Clinical Strategy Lead
Remote US

Value-based care strategy Clinical Strategy Clinical Quality Value-based care Healthcare Industry Knowledge Medicare Advantage Clinical Care Risk Cross-functional Team Leadership +48

Senior Full Time

USD 112K+

Actuary, Risk and Compliance
Remote US

Value Based Insurance Design Prescription Regulatory Analysis Medicare Advantage Peer review Risk Actuarial science Project leadership Collaborative +30

Senior Full Time

USD 126K+

Associate Actuary, UM Analytics
Remote US

Home Health Healthcare Analytics Medicare Advantage Utilization management Dental Vision BI Healthcare services Market trends +28

USD 104K+

Bilingual Chinese Concierge Navigator - Advocate (Mandarin) $5,000 Sign-On Bonus
Remote-US, California, United States

Alignment Health

Outbound Call Center HMO Health Care Navigation Member engagement Medicare Advantage Inbound call center Call Center Medicare Data Entry +13

Entry Mid Full Time

USD 41K+

Bilingual Chinese Resolution Specialist (Mandarin) $5,000 Sign-On Bonus
Remote-US, California, United States

Alignment Health

Healthcare Processes HMO Outbound Call Center Mandarin Member engagement Medicare Advantage Healthcare experience Inbound call center Call Center +14

USD 41K+

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