Current jobs related to Medicare Member Engagement Specialist - Appleton WI United States - VirtualVocations
-
Community Engagement Specialist
2 days ago
Vernon, IN, United States BWX Technologies Full timeBWXT is currently seeking a Community Engagement Specialist! This is a hybrid position that can be located at any of the following BWXT sites: Barberton, OH; Euclid, OH; Mount Vernon, IN; Lynchburg, VA; or Erwin, TN. To be considered for an interview, please make sure your application is full in line with the job specs as found below. The core activities...
-
Community Engagement Specialist
3 days ago
Erwin, TN, United States BWX Technologies Full timeBWXT is currently seeking a Community Engagement Specialist! This is a hybrid position that can be located at any of the following BWXT sites: Barberton, OH; Euclid, OH; Mount Vernon, IN; Lynchburg, VA; or Erwin, TN.To be considered for an interview, please make sure your application is full in line with the job specs as found below. The core activities of...
-
United States, CA, Woodland Hills Blue Shield of California Full timeYour Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk Adjustment and Stars programs, two functions that drive appropriate revenue and thus critical to the growth and financially viable and competitive Medicare products. This leader will develop the programs and take accountability by partnering with C-suite...
-
Woodland Hills, CA, United States Blue Shield of California Full timeYour Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk Adjustment and Stars programs, two functions that drive appropriate revenue and thus critical to the growth and financially viable and competitive Medicare products. This leader will develop the programs and take accountability by partnering with C-suite...
-
Woodland Hills, CA, United States Blue Shield of California Full timeYour Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk Adjustment and Stars programs, two functions that drive appropriate revenue and thus critical to the growth and financially viable and competitive Medicare products. This leader will develop the programs and take accountability by partnering with C-suite...
-
Member Engagement Associate
7 days ago
Arlington, VA, United States Navy League of the United States Full timeWe are looking for a passionate and highly motivated Member Engagement Associate to provide support for the member engagement team and Navy League members. The successful candidate will work under the guidance of the Senior Manager of Member Engagement and the Vice President of Member Engagement. The ideal candidate shall have the ability to liaison between...
-
Sales Agent for Medicare and Marketplace
7 days ago
Miami, FL, United States New Health Partners Full timeUrgent Hiring: Sales Agents for Medicare and MarketplaceWe are urgently seeking dedicated Sales Agents with expertise in Medicare and Marketplace. The ideal candidate must have a Federally Facilitated Marketplace certification, with AHIP certification being a plus. A 2-40 license is required, and a 2-15 license is highly desirable.Salary: $41,600.00Why Join...
-
Engagement and Communications Specialist
5 days ago
Anchorage, AK, United States Alaska Energy Authority Full timeThe Engagement and Communications Specialist will play a crucial role in enhancing communication and interaction between the organization and its stakeholders. This position requires a blend of research, market analysis, and effective communication skills to engage with various audiences.Responsibilities-Conduct research on industry trends and audience...
-
Medicare STAR Program Manager
1 week ago
Santa Barbara, CA, United States CenCal Health Full timeJob SummaryThe Quality Department is committed to preventing disease, ensuring patient safety, and eliminating inequities by improving the quality of care received by members through partnerships with providers and community-based organizations.The Medicare STARS Program Manager is responsible for informing, promoting, and leading the evolution of CenCal...
-
Tech Product Manager- Member Engagement
7 days ago
Marlborough, MA, United States BJ's Wholesale Club Full timeIT Product Manager - Product Manager for Member Engagement Who You Are: Experienced in product management within complex omni-channel retail environments. Strong understanding of driving loyalty programs in a Digital e-commerce landscape. Skilled in connecting cross-channel marketing tactics to drive member engagement. Proficient with marketing automation...
-
Community Engagement Specialist
3 weeks ago
United, PA , USA, United States Thrivent Financial Full timeJob SummaryThe Community Engagement Specialist will provide local leadership, planning, and execution of community and business development through community engagement and activation activities in partnership with Thrivent Financial Advisors and their field leaders, and Thrivent Member Networks. This role entails strategic execution of three main areas:...
-
Talent Development and Engagement Specialist
1 week ago
Boston, MA, United States Red Thread Full timeThe Talent Development and Engagement Specialist develops and implements creative and effective solutions to meet a variety of corporate talent development and engagement initiatives. Specific areas of focus include onboarding, succession planning, leadership coaching, training and development, performance management and DEI initiatives. This role reports to...
-
Accounts Receivable Specialist
3 weeks ago
Madison, WI, United States Creative Financial Staffing Full timeWhat we love about the Accounts Receivable Specialist opportunity:Join a rewarding business that helps the communityBe part of a family owned business that is passionate about their organizationRobust benefits package including:Medical, Dental, and VisionLTD, STDFSAScholarship opportunities for further education for your family!What the Accounts Receivable...
-
Claims Appeals Specialist
1 month ago
Appleton, Wisconsin, United States Lucent Health Solutions LLC Full timeJob Title: Claims Appeals SpecialistJob Summary:The Claims Appeals Specialist is responsible for reviewing, analyzing, and processing claims for pre-services and post-service grievances and appeals requests from various customer types and multiple products. This role requires a thorough understanding of coding structures, claims pricing, and COB payments.Key...
-
Medical Claims Specialist
3 weeks ago
Appleton, Wisconsin, United States TEKsystems Full timeJob SummaryWe are seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for evaluating medical record documentation and coding to optimize reimbursement.Key ResponsibilitiesInterpret medical information to accurately assign and sequence codes.Review claims for completeness and accuracy before...
-
Member Service Specialist
7 days ago
Washington, DC, United States District Partners Full timeDistrict Partners is working with a prominent membership organization based in Washington, DC, in their search for a dedicated Member Services Specialist to join their team. This organization is committed to serving its members by fostering strong connections and providing support for various membership needs, including cancellations. Their values of...
-
Retail Sales Specialist
4 weeks ago
, WI, United States Charter Communications Full timeAbout the RoleWe are seeking a highly motivated and results-driven Retail Sales Specialist to join our team. As a key member of our sales team, you will be responsible for meeting and exceeding sales goals while delivering exceptional customer service.As a Retail Sales Specialist, you will have the opportunity to work with a wide range of products and...
-
New Business Engagement Specialist
5 days ago
Miami, FL, United States Focus GTS Full timeAbout the Company:Focus GTS, a leading provider of IT staffing solutions, is dedicated to connecting top talent with innovative companies. We are currently seeking a motivated and energetic individual to join our dynamic team as a New Business Engagement Specialist. About the Role:This role involves high-volume phone calling to schedule appointments for our...
-
Claims Appeals Specialist
4 weeks ago
Appleton, Wisconsin, United States Lucent Health Solutions LLC Full timeJob DescriptionAt Lucent Health Solutions LLC, we are seeking a skilled Claims Appeals Specialist to join our team. As a Claims Appeals Specialist, you will be responsible for reviewing, analyzing, and processing claims for pre-services and post-service grievances and appeals requests from various customer types and multiple products. Your primary goal will...
-
IT Support Specialist
4 weeks ago
Appleton, Wisconsin, United States Airgas Full timeJob Title: IT Support SpecialistJoin Airgas as an IT Support Specialist and contribute to the success of our project team. As a key member of our IT department, you will be responsible for implementing defined special IT projects, providing technical support and consultation, and ensuring Corporate IT projects and support are performed in accordance with the...
Medicare Member Engagement Specialist
2 months ago
Key Responsibilities
Conduct outreach to new Medicare members and assist them with their plans
Serve as a navigator during the onboarding process and follow up to ensure member satisfaction
Log all member contacts in a database and participate in member engagement work groups
Required Qualifications
High School diploma
2 years of experience in customer service, consumer advocacy, or healthcare systems
Experience conducting intake, interviews, or research of consumer or provider issues
Basic understanding of managed healthcare systems and Medicare
Preferred: Associate's or Bachelor's Degree in Social Work, Human Services, or related field
