Health Insurance Specialist
4 days ago
We are seeking a highly skilled Health Insurance Specialist to join our team at the Centers for Medicare and Medicaid Services. As a key member of our team, you will be responsible for providing expert technical guidance on Medicaid Managed Care policies and programs.
Key Responsibilities- Provide technical expertise on Medicaid Managed Care policies and programs for federal and state health care plans.
- Draft health policy statements, guidelines, and procedural instructions to implement healthcare initiatives.
- Advise and collaborate with various stakeholders for policy development, implementation, and program improvement.
- Conduct program-related studies and data analysis regarding quality of care, program oversight, utilization of program services by beneficiaries, or program payments.
- Interpret the intent of statutes to produce federal regulations, policy statements, and other program guidance for Medicaid Managed Care for federal and state health plans.
To be eligible for this position, you must have at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government. Your resume must demonstrate your experience in providing expert technical guidance, drafting health policy statements, and advising stakeholders.
QualificationsAs a Health Insurance Specialist, you will be responsible for ensuring that state and Medicaid managed care plans are operating in compliance with all Federal rules and requirements. You will also be responsible for reviewing Managed care plan network adequacy data to ensure that Medicaid managed care plan networks can provide timely access to care for all Medicaid services and benefits.
Additional InformationThis is a bargaining unit position with the American Federation of Government Employees Local 1923. The tour of duty is flexible, and the recruitment/relocation incentive is not authorized. The financial disclosure is required.
-
Health Insurance Specialist
3 weeks ago
Chicago, Illinois, United States Insight Global Full timeJob SummaryWe are seeking a skilled and knowledgeable Benefits Specialist to manage the annual enrollment period for our clients. This role requires a strong background in health and life insurance, with the necessary licenses to operate in this field. As a fully remote position, this opportunity offers flexibility and the chance to work from anywhere.Key...
-
Health Insurance Specialist
2 weeks ago
Chicago, Illinois, United States Insight Global Full timeJob Summary:We are seeking a skilled and knowledgeable Benefits Specialist to manage the annual enrollment period for our clients. This role requires a strong background in health and life insurance, with the necessary licenses to operate in this field. As a fully remote position, this opportunity offers flexibility and the chance to work from anywhere.Key...
-
Insurance Claims Specialist
2 weeks ago
Chicago, Illinois, United States Clearcover Insurance Agency LLC Full timeInsurance Support Specialist (P&C Licensed)Clearcover Insurance Agency LLC is seeking a skilled Insurance Support Specialist to join our team. As a P&C licensed professional, you will play a crucial role in providing exceptional support to our customers and internal stakeholders.About the RoleThis is a remote opportunity that offers a unique chance to work...
-
Health Insurance Specialist
2 weeks ago
Chicago, Illinois, United States Centers for Medicare and Medicaid Services Full timeJob SummaryWe are seeking a highly skilled Health Insurance Specialist to join our team at the Centers for Medicare and Medicaid Services. As a key member of our team, you will play a critical role in ensuring the effective coordination of benefits policies and procedures for the Medicare Part D program.Key ResponsibilitiesInterpret and apply Medicare and...
-
Health Insurance Specialist
1 week ago
Chicago, Illinois, United States Centers for Medicare and Medicaid Services Full timeJob SummaryWe are seeking a highly skilled Health Insurance Specialist to join our team at the Centers for Medicare and Medicaid Services. As a key member of our team, you will play a critical role in ensuring the effective coordination of benefits policies and operations with Part D organizations and other secondary payers.Key ResponsibilitiesProvide expert...
-
Insurance Placement Specialist
4 weeks ago
Chicago, Illinois, United States World Insurance Associates LLC Full timeAbout the RoleWe are seeking a highly skilled and experienced Insurance Placement Specialist to join our team at World Insurance Associates LLC. As an Insurance Placement Specialist, you will play a critical role in coordinating placement activities on new and renewal business in support of business retention and production goals.Key...
-
Health Insurance Specialist
2 weeks ago
Chicago, Illinois, United States Centers for Medicare and Medicaid Services Full timeJob SummaryWe are seeking a highly skilled Health Insurance Specialist to join our team at the Centers for Medicare and Medicaid Services. As a key member of our team, you will play a critical role in ensuring the effective coordination of benefits policies and procedures for the Medicare Part D program.Key ResponsibilitiesInterpret and apply Medicare and...
-
Insurance Customer Support Specialist
1 month ago
Chicago, Illinois, United States State Farm Insurance Full timeJob OverviewWe are looking for motivated individuals to step into an entry-level role within the insurance sector, dedicated to delivering exceptional customer support at our State Farm agency.No prior insurance knowledge or licenses are necessary, as you will receive comprehensive training that includes obtaining an insurance license.Position Details:The...
-
Occupational Health Specialist
3 weeks ago
Chicago, Illinois, United States Health Conservation Incorporated Full timeJob Title: Occupational Health SpecialistWe are seeking a highly skilled and motivated Occupational Health Specialist to join our team at Health Conservation Incorporated. As a key member of our team, you will be responsible for providing occupational health services to clients across the United States.Job Summary:The Occupational Health Specialist will be...
-
Occupational Health Specialist
5 days ago
Chicago, Illinois, United States Health Conservation Incorporated Full timeJob Title: Traveling Occupational Health SpecialistHealth Conservation Incorporated is seeking a highly skilled and experienced Traveling Occupational Health Specialist to join our team. As a key member of our team, you will be responsible for providing audiometric screening services to client employees working in various industrial settings across the...
-
Occupational Health Specialist
4 weeks ago
Chicago, Illinois, United States Health Conservation Incorporated Full time{"Job Title": "Occupational Health Specialist", "Job Description": "Job SummaryHealth Conservation Incorporated is seeking a highly skilled Occupational Health Specialist to join our team. As a mobile field technician, you will be responsible for providing health screenings at various industrial locations across the USA.Key ResponsibilitiesPerform...
-
Health Insurance Sales Representative
4 weeks ago
Chicago, Illinois, United States Bridge Professional Services Full time{"title": "Inside Sales Specialist", "description": "Unlock Your Potential in a Fast-Growing Health Insurance CompanyThis is an in-office, onsite position that requires commuting to our downtown Chicago office in a beautiful new space overlooking the lakefront. As a top performer, you will thrive in a sales environment with no cold calling. Instead, you will...
-
Licensed Insurance Sales Specialist
1 month ago
Chicago, Illinois, United States Todd Gentile Allstate Insurance Full timeJob OverviewAre you looking for a rewarding career in the insurance industry? If you possess a valid insurance producer license and have a background in sales, we invite you to explore this opportunity with Todd Gentile Allstate Insurance. We are seeking a motivated and skilled individual to take on the role of a Full-Time Sales Producer. This position...
-
Behavioral Health Specialist
1 day ago
Chicago, Illinois, United States Oak Street Health Full timeJob Title: Behavioral Health SpecialistJob Summary:Oak Street Health is seeking a highly skilled Behavioral Health Specialist to join our team. As a Behavioral Health Specialist, you will provide care management services and evidence-based short-term psychotherapy to our patients with behavioral health needs.Key Responsibilities:Collaborate with primary care...
-
Insurance Claims Specialist
4 days ago
Chicago, Illinois, United States TEKsystems Full timeJob Title: Insurance Claims SpecialistJob Summary:We are seeking an experienced Insurance Claims Specialist to join our team at TEKsystems. As an Insurance Claims Specialist, you will be responsible for providing best-in-class customer service to patients, healthcare providers, and their staff through referral and call management. You will investigate...
-
Occupational Health Specialist
1 month ago
Chicago, Illinois, United States Health Conservation Incorporated Full timeJob OverviewHealth Conservation Incorporated is seeking a highly skilled and motivated Occupational Health Specialist to join our team of professionals dedicated to providing top-notch health services to corporations across the United States.About the RoleWe are looking for a Health Screening Technician with excellent organizational, planning,...
-
Insurance Agent
2 weeks ago
Chicago, Illinois, United States Comparion Insurance Agency Full timeInsurance Agent Job DescriptionWe are seeking a highly motivated and skilled Insurance Agent to join our team at Comparion Insurance Agency, a Liberty Mutual company. As an Insurance Agent, you will be responsible for providing customers with the best insurance solutions to meet their needs from top national and regional carriers.Key...
-
Insurance Verification Specialist
7 days ago
Chicago, Illinois, United States Heart & Vascular Partners Full timeJob Title: Insurance Verification SpecialistHeart and Vascular Partners is seeking a detail-oriented and organized Insurance Verification Specialist to join our team. As an Insurance Verification Specialist, you will play a critical role in ensuring that patients receive the necessary insurance coverage for their medical procedures.Key...
-
Life Insurance Specialist
2 weeks ago
Chicago, Illinois, United States Kristian Navarro - State Farm Agent Full timeLife Insurance SpecialistKristian Navarro - State Farm Agent is seeking a qualified and empathetic professional to join our team as a Life Insurance Specialist. As a customer-oriented expert, you will market the best life insurance services and products to benefit clients and their families. Your sales experience equips you to continually grow your income as...
-
Insurance Underwriting Specialist
4 weeks ago
Chicago, Illinois, United States Burns & Wilcox Full timeAbout the RoleBurns & Wilcox is seeking a highly skilled Insurance Underwriting Specialist to join our team. As an Insurance Underwriting Specialist, you will play a critical role in evaluating and classifying risks to determine acceptability, coverage, and pricing for our clients.Key ResponsibilitiesEvaluate and classify risks to determine acceptability,...