Medicare Advantage EDI Specialist

Salary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get...

Job SummaryWe are seeking a highly skilled Senior Actuarial Analyst to join our team at SpeakEZ Virtual Solutions LLC. As a key member of our actuarial team, you will play a critical role in developing and maintaining actuarial models for Medicare Advantage plans.Key ResponsibilitiesActuarial Modeling: Develop and maintain complex actuarial models to analyze...

Job Overview** Candidates must possess an active California Insurance License and a minimum of 2 years of experience in selling Medicare policies to qualify.**Simpler Horizons Insurance Solutions is committed to demystifying the intricacies of Medicare and insurance for our clients. Our goal is to deliver tailored and informed guidance to assist clients in...

About the RoleAs a Medicare Sales Representative at AMBA, you will play a vital role in helping seniors navigate the complexities of Medicare and find the right health insurance plan to meet their needs.Key ResponsibilitiesWork with seniors to determine their eligibility for Medicare benefits and help them choose a plan that meets their needs.Collaborate...

RN Case Manager for Medicare PatientsWelcome Health is a pioneering primary care organization committed to enhancing healthcare for senior citizens. Our care model is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to significantly enhance access to and quality of care for members...

RN Case Manager for Medicare BeneficiariesWelcome Health is a pioneering primary care organization committed to enhancing healthcare for senior citizens. Our care model is grounded in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to significantly enhance access to and quality of care for...

RN Case Manager for Medicare PatientsWelcome Health, Inc. is a pioneering primary care organization committed to enhancing healthcare for senior citizens. Our care model is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to improve access and elevate the quality of care for members...

Position Overview: RN Case Manager for Medicare PatientsWelcome Health, Inc. is a pioneering primary care organization committed to enhancing healthcare for older adults. Our care model is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily partner with Medicare Advantage plans to significantly enhance access to and quality...

Position Overview: RN Case Manager for Medicare PatientsWelcome Health, Inc. is a pioneering primary care organization committed to enhancing healthcare for older adults. Our approach is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to improve both access to and quality of care for...

Position: RN Case Manager for Medicare PatientsWelcome Health is a pioneering primary care organization committed to enhancing healthcare for older adults. Our approach is grounded in the principles of geriatric medicine. As a risk-bearing entity, we primarily partner with Medicare Advantage plans to significantly enhance access to and quality of care for...

Job Overview** Candidates must possess an active California Insurance License and a minimum of 2 years of experience in selling Medicare policies to qualify for this position.**Simpler Horizons Insurance Solutions is committed to demystifying the intricacies of Medicare and insurance for our clients. Our goal is to deliver tailored and informed guidance to...

Position Overview We are seeking a dedicated and empathetic Registered Nurse MDS Specialist to join our team at Care Navigators On Demand, focusing on providing exceptional care in a skilled nursing environment. Key Responsibilities: Under the guidance of the Director of Nursing Services, the Medicare/MDS Specialist is tasked with notifying and coordinating...

Overview:A prominent apparel organization is in search of a Customer Service Account Representative to primarily engage with Target Brands.Essential Requirements:Experience with Target Stores or other major retail chains is mandatory.Proficiency in using EDI is required.Key Responsibilities:Maintain continuous interaction with Target's POL system for item...

Overview:A prominent apparel company is in search of a Customer Service Account Representative to primarily engage with Target Brands.Key Requirements:Experience with Target Stores or other significant retail chains is essential.Proficiency in using EDI systems is mandatory.Responsibilities:Regularly interact with Target's POL system for item setup in PCN to...

Overview:A prominent client in the apparel industry is in search of a Customer Service Account Representative dedicated to managing Target Brands.Essential Requirements:Experience with Target Stores or other significant retail chains is mandatory.Proficiency in EDI is essential.Key Responsibilities:Engage consistently with Target's POL system for item setup...

Position Overview:Our client, a prominent name in the apparel industry, is in search of a Customer Service Account Representative dedicated to managing relationships primarily with Target Brands.Essential Qualifications:Proven experience with Target Stores or other major retail chains is required.Proficiency in using EDI systems is a must.Key...

Position Overview:Our client, a prominent name in the apparel industry, is in search of a Customer Service Account Representative with a focus on Target Brands.Essential Qualifications:Proven experience with Target Stores or other significant retail chains.Proficiency in EDI systems is mandatory.Key Responsibilities:Maintain continuous interaction with...

Job SummaryWe are seeking a highly skilled Actuarial Analytics Specialist to join our team at SpeakEZ Virtual Solutions LLC. As a key member of our team, you will play a critical role in developing actuarial models, analyzing data, and supporting the pricing and bidding process for Medicare Advantage plans.Key ResponsibilitiesActuarial Modeling: Develop and...

Position Overview: Our client, a prominent player in the apparel industry, is looking for a Customer Engagement Coordinator to manage relationships primarily with Target Brands.Essential Experience: Candidates must possess a background in working with Target Stores or other significant box retailers and demonstrate proficiency in EDI.Key...

POSITION SUMMARYThe Claims Assessment Specialist plays a crucial role in ensuring the precise and prompt evaluation of both paper and electronic claims submitted in CMS 1500 and UB-04 formats. This role involves processing all claims and relevant correspondence in alignment with Medicare and Medi-Cal regulatory standards, contractual obligations, and...