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Medicare Jobs in Los Angeles, CA

Last updated: 10 hours ago
  • Promoted
Account Manager III, Medicare

Account Manager III, Medicare

Kaiser PermanentePasadena, CA, US
$89,500.00–$115,720.00 yearly
Full-time
In addition to the responsibilities listed above, this position is also responsible for developing and implementing standard and non-standard competitive sales and retention strategies for Medicare...Show moreLast updated: 17 days ago
  • New!
Medical Economics Consultant (Medicare) - REMOTE

Medical Economics Consultant (Medicare) - REMOTE

Molina HealthcareGLENDALE, US
$80,412.00–$150,000.00 yearly
Remote
Full-time
Provides consultative support and medical cost-based analysis of markets and network initiatives.The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently.R...Show moreLast updated: 22 hours ago
  • Promoted
Medicare Collections Representative

Medicare Collections Representative

University of CaliforniaLos Angeles, CA, United States
$26.79–$38.05 hourly
Full-time
As a Medicare Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilitie...Show moreLast updated: 1 day ago
  • Promoted
MANAGERIAL CONSULTANT V, MEDICARE STRATEGY

MANAGERIAL CONSULTANT V, MEDICARE STRATEGY

Veracity SolutionsCA, United States
Full-time
Managerial Consultant V, Medicare Strategy.This position is remote from the following states only : CA, WA, OR, CO, GA, VA, MD and D. Employees must reside in one of these states.Remote I Atlanta, GA...Show moreLast updated: 1 day ago
Medicare Advantage Enrollment Representative

Medicare Advantage Enrollment Representative

UCLA HealthLos Angeles, CA, US
$21.93–$30.74 hourly
As a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by reviewing and submitting enrollment request...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
ANALYST II - REGULATORY AFFAIRS (MEDICAL / MEDICARE)

ANALYST II - REGULATORY AFFAIRS (MEDICAL / MEDICARE)

Inland Empire Health PlanCA, United States
$71,572.80–$93,038.40 yearly
Full-time
Before applying for this role, please read the following information about this opportunity found below.Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the...Show moreLast updated: 12 hours ago
  • Promoted
Senior Director, Risk Adjustment and Medicare STARs

Senior Director, Risk Adjustment and Medicare STARs

Hispanic Technology Executive CouncilWoodland Hills, CA, United States
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 ...Show moreLast updated: 30+ days ago
  • Promoted
Medicare Project Manager

Medicare Project Manager

VirtualVocationsVan Nuys, California, United States
Full-time
A company is looking for a Junior-Mid Level Project Manager with Medicare project experience.Key ResponsibilitiesManage and execute healthcare and Medicare-related projects, ensuring timely deliver...Show moreLast updated: 1 day ago
  • Promoted
Medicare Collections Representative

Medicare Collections Representative

University of California - Los Angeles HealthLos Angeles, CA, United States
$26.79–$38.05 hourly
Full-time
As a Medicare Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilitie...Show moreLast updated: 1 day ago
  • Promoted
Medicare Insurance Agent

Medicare Insurance Agent

Senior Benefits AgencyLos Angeles, CA, US
Full-time
As a Medicare Insurance Agent with Senior Benefits Agency, you will be the trusted advisor for our clients navigating their Medicare options. This role is crucial in helping clients understand Medic...Show moreLast updated: 9 days ago
Individual and Medicare Producer Support •Remote •

Individual and Medicare Producer Support •Remote •

ProvidenceCA, United States
Remote
Full-time
Providence Health Plan caregivers are not simply valued – they’re invaluable.Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mu...Show moreLast updated: 30+ days ago
  • Promoted
Medicare Advisor

Medicare Advisor

AMBALos Angeles, CA, United States
$100,000.00 yearly
Full-time
Our insurance agents help some of our most selfless public service employees.When our clients retire, they lean on.Whether our clients need Medicare Advantage or Medicare Supplement, Ancillary Plan...Show moreLast updated: 1 day ago
Medicare Inside Sales Representative

Medicare Inside Sales Representative

Highmark HealthCA, Working at Home, California
Full-time
Handle both inbound and outbound calls related to sales of and enrollment in Highmark Wholecare’s Medicare Assured® product. Generate leads and conducts outbound calls to prospective members to prom...Show moreLast updated: 30+ days ago
  • Promoted
Medicare Sales Field Agent - Los Angeles County

Medicare Sales Field Agent - Los Angeles County

HumanaLos Angeles, CA, United States
$31,800.00–$43,800.00 yearly
Full-time
Become a part of our caring community and help us put health first.Total compensation package (base pay +commission with guarantee) could exceed $125K depending on experience and location.Are you p...Show moreLast updated: 15 days ago
  • Promoted
MEDICARE QUALITY MANAGEMENT HEALTH PLAN DIRECTOR SR.

MEDICARE QUALITY MANAGEMENT HEALTH PLAN DIRECTOR SR.

Elevance HealthCA, United States
$142,208.00–$232,704.00 yearly
Full-time
Medicare Quality Management Health Plan Director Sr.Medicare Quality Management Health Planning Director Sr.This position will work in a hybrid model (remote and office). The ideal candidate will li...Show moreLast updated: 4 days ago
  • New!
Medicare Advantage Product Solutions Manager II

Medicare Advantage Product Solutions Manager II

L.A. Care Health PlanLos Angeles, CA, US
Full-time
The Product Solutions Manager II is responsible for working within the Product Strategy, Sales and Marketing (PSSM) service area to identify and implement projects, programs and initiatives that su...Show moreLast updated: 16 hours ago
Sr. Business Systems Analyst - Medicare Advantage

Sr. Business Systems Analyst - Medicare Advantage

Astrana HealthMonterey Park, California, US
$105,000.00 yearly
Remote
Full-time
Quick Apply
We are currently seeking a highly motivated Sr.This role will report to a Senior Manager of Value-Based Care Programs and work closely with the Operations, Data Analytics, and Market teams, focusin...Show moreLast updated: 4 days ago
Medical Director - Medicare Appeals

Medical Director - Medicare Appeals

CVS HealthCalifornia, Work At Home, US
Remote
Full-time
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
Medicare Direct Sales Representative, Advanced

Medicare Direct Sales Representative, Advanced

Blue Shield of CaliforniaWoodland Hills, CA, United States
Full-time
The Medicare Direct Sales team help cultivate, maintain, and build relationships with Blue Shield of California’s customers as they navigate through their transition to Medicare.The Medicare Direct...Show moreLast updated: 30+ days ago
  • New!
Medicare MDS Coordinator RN (Registered Nurse) - CV Westwood

Medicare MDS Coordinator RN (Registered Nurse) - CV Westwood

Westwood Healthcare & Wellness CenterLos Angeles, California
Full-time
Quick Apply
Under the direction and supervision of the Director of Nursing Services, the Medicare / MDS Coordinator is responsible for notifying and coordinating the Interdisciplinary Team (IDT) for MDS assessme...Show moreLast updated: 10 hours ago
Account Manager III, Medicare

Account Manager III, Medicare

Kaiser PermanentePasadena, CA, US
17 days ago
Salary
$89,500.00–$115,720.00 yearly
Job type
  • Full-time
Job description

Description : Job Summary :

In addition to the responsibilities listed above, this position is also responsible for developing and implementing standard and non-standard competitive sales and retention strategies for Medicare accounts; providing a positive experience to customers with Medicare accounts with minimal guidance; ensuring collaboration within teams to support customer needs for Medicare accounts; executing sales and renewals for Medicare accounts with minimal guidance; and meeting standard and non-standard goals for sales and retention of Medicare accounts.

Essential Responsibilities :

  • Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.
  • Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.
  • Provides a positive customer experience within market turnaround expectations by : building and maintaining strategic relationships with customers, consultants, brokers, and / or channels while acting as the KP representative to ensure contract, benefit / service, and renewal activities; demonstrating comprehensive product knowledge when educating customers, consultants, brokers, and / or channel partners, resolving moderately complex questions or concerns; building a comprehensive understanding of prospect or customer business to ensure that Request for Renewal (RFR) response and engagement strategies are in alignment with customer goals; partnering with engagement team / specialist to monitor engagement programs (e.g., member wellness) with minimal guidance; and providing accurate information including recommendations for new products, benefits / services offerings, and pricing models to address customer, consultant, broker, and / or channel needs with minimal guidance.
  • Demonstrates commitment to KP sales and retention goals by : implementing standard and non-standard strategies to meet or exceed targets for retention and growth for accounts in the Book of Business; holding accountability for Key Performance Indicators (KPIs) and maintaining updated Customer Relationship Management (CRM) platform. and contributing to the sustained growth and competitive position of KP in the market.
  • Contributes to the execution of sales and renewals by : implementing the RFR process end-to-end, following established timelines and best practices; executing standard and non-standard sales and renewals including administration, negotiations, and presentations and rate product and benefit / service validation; ensuring that contracts, pricing, and membership accounting implement the negotiated terms for sales and renewals; and creating cross-sell and upsell opportunities to increase growth and retention.

Minimum Qualifications :

  • Bachelors degree in Marketing, Finance, Business Administration, or related field AND minimum two (2) years of experience in sales, customer service, telemarketing, account management, health plan administration, insurance, or a directly related field OR minimum five (5) years of experience in sales, customer service, telemarketing, account management, health plan administration, insurance, or a directly related field.
  • Additional Requirements :

  • Knowledge, Skills, and Abilities (KSAs) : Negotiation; Benefits / Services; Benefits / Services Presentations; Sales Opportunity Orchestration; Sales / Partnership Strategy and Techniques; Customer Experience; Goal Setting; Member Service
  • Primary Location : California,Pasadena,East Annex - Parsons

    Scheduled Weekly Hours : 40

    Shift : Day

    Workdays : Mon, Tue, Wed, Thu, Fri

    Working Hours Start : 08 : 30 AM

    Working Hours End : 05 : 30 PM

    Job Schedule : Full-time

    Job Type : Standard

    Worker Location : Remote

    Employee Status : Regular

    Employee Group / Union Affiliation : NUE-PO-01|NUE|Non Union Employee

    Job Level : Individual Contributor

    Specialty : Account Management

    Department : Oakland Reg - 1800 Harrison - HP Mgr-Medicare Group - 7016

    Pay Range : $89500 - $115720 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.

    Travel : Yes, 20 % of the Time

    Remote : Work location is the remote workplace (from home) within KP authorized states. Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest