About Avalere Health United by one profound purpose: to reach EVERY PATIENT POSSIBLE. At Avalere Health, we ensure every patient is identified, treated, supported, and cared for. Equally. Our Advisory, Medical, and Marketing teams come together
Who We Are Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our
JOB DESCRIPTION Job Summary Provides deep subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Plans and implements QI initiatives and education programs to support improved Medicare Star ratings. Responsible for leading and
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves
Company :Highmark Inc. Job Description : JOB SUMMARY This job supervises the Part A and/or Part B Medicare Fee-for-Service appeals unit within the Organizations Medicare Services. Delegates assignments to appeal representatives and technical staff. Manages resources to ensure
Job DetailsJob Location: Arcadia Office - Arcadia, CA 91007Position Type: Full TimeSalary Range: $24.00 - $29.00 HourlyThis position operates on a hybrid work schedule. This position will require 3 days onsite at the Monrovia or Huntington
Type of Requisition:Regular Clearance Level Must Currently Possess:None Clearance Level Must Be Able to Obtain:None Public Trust/Other Required:NACI (T1) Job Family:Data Science and Data Engineering Job Qualifications: Skills:Agentic AI, Big Data, Generative AI, Machine Learning Methods,
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but weve been part of the national landscape for more than seven decades, with our roots firmly
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care
Job Purpose The Patient Account Representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them. Duties and Responsibilities • Follow-up with payers to ensure timely resolution of all outstanding
Unified Health is seeking talented Licensed Health Insurance Agents who want a career-based role to build their book of business and provideyear-roundservice to their members. WHY JOIN US? Long-term career! This role offers year-round work and
Twin Health At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital
Twin Health At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
Overview The reimbursement coordinator is responsible for collecting and managing account payments. This position is responsible for submitting claims and following up with insurance companies for payment fulfillment. This position is eligible for 100% remote but
Summary Analyzes medical review utilization data, researches new medical procedures or technology, and acts as a lead resource to providers and internal staff on issues concerning medical policies. Heavily involved in policy generation to include the
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when
Job Summary: The Medicare Sales Representative II is responsible for supporting the sales strategy and enrollment goals in collaboration with management to ensure goals are successfully achieved for the Medicare Advantage product line within an assigned territory and
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when
Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, its the quality of our service that truly defines us. We know that when