Director, Medicare Product Development

Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting...

**About SCAN** **The Job** The Director of Business Development (aka Director of Business Development & Partnership/Growth) will spearhead strategic growth initiatives within Embrace, focusing on expanding our reach and influence in the senior living sector. By leveraging deep industry knowledge, innovative sales strategies, and strong partnerships, this...

About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a...

Job Summary Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability, and retention goals, while following ethical sales practices and adhering to established policies and...

Job Description Job Summary Knowledge/Skills/Abilities - Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions and disciplinary actions. - Monitors and enforces compliance with company-wide reconciliation processes. - Ensures that delivery of enrollment /...

Job DescriptionJob DescriptionJob Summary Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and health plan...

Job DescriptionJob DescriptionJob Summary Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and health plan...

Job Description Job Overview The Associate Vice President of Call Center Operations plays a critical role in managing and optimizing call center operations, with a focus on supporting Medicare-related services. As an AVP, you’ll lead a team responsible for delivering exceptional customer service to Medicare beneficiaries. **Responsibilities**: Strategic...

Job Description Job Summary Molina Segment leaders are responsible for the development and administration of Segment specific departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulatory requirements. Job Duties Under the...

Job DescriptionJob DescriptionJob Summary Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system...

Job Description Job Summary Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving member impact and engagement including: New Member Onboarding, member plan benefits education, and the development/maintenance of Member Materials. Knowledge/Skills/Abilities Conducts...

Job DescriptionJob DescriptionSalary: $35/hr. on W2 Sr. Marketing Operations Specialist with Medicaid/Medicare Exp. (REMOTE)We are looking to hire a candidate with the skill sets mentioned and experience for one of our direct clients within the Health Insurance industry. The role is 100% REMOTE. This is a 6+ months contracting opportunity with potential for...

Job DescriptionJob DescriptionSalary: $35/hr. on W2 Sr. Marketing Operations Specialist with Medicaid/Medicare Exp. (REMOTE)We are looking to hire a candidate with the skill sets mentioned and experience for one of our direct clients within the Health Insurance industry. The role is 100% REMOTE. This is a 6+ months contracting opportunity with potential for...

Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting...

**About**:Bloomingdale’s makes fashion personal and fun, aspirational yet approachable. Our mission is to guide and inspire our customers to make style a source of creative energy in their lives. We will always strive to make Bloomingdale’s like no other store in the world. Everyone plays a critical role to bring our mission to life. Regardless of...

Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting...

The Business Development Director is responsible for hospital inpatient and outpatient census in the IRF and/or LTCH and mix through the design and implementation of referral programs and customer service strategies. This position oversees inpatient admission process. The Business Development Director manages, trains and develops hospital-wide Business...

Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting...

Job Description Job Summary Telesales role. Responsible for taking and making telephone calls with prospective members with the intent to educate them on benefits of Molina products and then conducts enrollment into product of choice over the phone or other sales enrollment channel desired. Knowledge/Skills/Abilities - Strong working knowledge of Medicare...

Job Description Job Summary Telesales role. Responsible for taking and making telephone calls with prospective members with the intent to educate them on benefits of Molina products and then conducts enrollment into product of choice over the phone or other sales enrollment channel desired. **Shifts available**: 11:30am - 8:00pm PST 12:30pm - 9:00pm...