Medicare Jobs

Experienced medical billing professional needed to manage AR, pursue denials and appeals, and ensure timely payer reimbursements in a fully remote U.S.-based RCM team.

At UM BWMC, the Financial Clearance Specialist manages insurance verification and authorization processes to ensure patients are pre-registered and financially cleared for care.

Walmart Specialty Pharmacy is hiring a Certified Pharmacy Technician in Orlando to manage specialty medication fulfillment, inventory integrity, and patient support via phone.

Peraton’s SafeGuard Services is hiring an onsite Support Clerk in Miramar, FL to provide clerical and administrative support for teams investigating Medicare/Medicaid fraud and abuse.

Guidehouse seeks an experienced Patient Access Team Lead to oversee registration operations and lead a patient-facing access team at UAB St. Vincent's East in Birmingham, AL.

Brave Health seeks a licensed master's-level clinician (LMSW) to deliver outpatient telehealth mental health services within a fully remote, community-focused practice.

Remote RCM AR Specialist needed to manage denied claims, perform payer follow-up, and drive revenue recovery for a collaborative healthcare billing team.

Centinela Hospital Medical Center is hiring a CDS Trainee to conduct concurrent and retrospective clinical documentation reviews and collaborate with clinical teams to ensure accurate inpatient documentation and compliance.

Lead the design and execution of risk stratification engines and clinical workflows as a Senior Technical Product Manager for a remote healthcare technology team focused on population health and regulatory-compliant solutions.

Lead clinical operations for CenterWell Home Health's Danville location as an experienced Registered Nurse responsible for patient care oversight, staff supervision, and regulatory compliance.

Presbyterian Healthcare Services seeks a Patient Access Account Specialist I in Albuquerque to handle insurance verification, authorizations, and patient financial clearance to ensure timely, accurate billing.

The Patient Access Advocate I at Presbyterian Healthcare Services performs patient registration, insurance verification, and point-of-service collections while providing high-quality customer service at the Albuquerque hospital.

Lead Virta’s federal government affairs strategy to expand access through Medicare, Medicaid, and VA by building relationships with policymakers, driving policy advocacy, and ensuring lobbying compliance.

Inclusive & Diverse

Growth & Learning

Mission Driven

Diversity of Opinions

Lead enterprise-wide compliance strategy and risk mitigation at Included Health as a senior subject matter expert in healthcare regulatory and privacy matters.

AdvisaCare is hiring a Clinical Transition Registered Nurse to drive referral development and provide tailored home health and hospice support across Lansing and surrounding areas.

WelbeHealth is hiring a Senior Director, Eligibility Excellence to lead and scale eligibility operations and policy execution across our national footprint to ensure timely access, compliance, and revenue integrity.

UChicago Medicine Ingalls Memorial is hiring an Admitting Representative to manage patient registration, insurance verification, and EHR documentation for evening shifts in Harvey, IL.

Enhabit seeks an LCSW to deliver PRN home-based psychosocial assessment, case management, and supportive services to patients and families in Gainesville.

AbbVie is hiring a Field Reimbursement Manager in Salt Lake City to provide local reimbursement expertise, educate HCPs on access solutions, and support patient access for its oral migraine portfolio.

Lead a team of investigators at SGS/Peraton to drive high-quality Medicare fraud, waste, and abuse investigations, ensuring timely case development and referrals.

Brave Health is hiring a licensed LPC to deliver remote telehealth therapy, conducting assessments, treatment planning, and ongoing outpatient care for diverse clients.

Experienced, community-oriented Medicare Field Sales Agent needed to build relationships, educate prospects on Humana Medicare Advantage and supplemental plans, and drive sales through in-person visits and local outreach in Mesa, AZ.

Lead the development, review, and delivery of CMS Medicare Part D member materials for CVS Health as an individual contributor focused on accuracy, compliance, and timely execution.

Enhabit seeks a Regional Clinical Sales Program Director in Tampa to grow referral relationships, lead specialty program implementation, and drive admissions while ensuring clinical quality and regulatory compliance.

CVS Health is hiring a technical Manager for Medicare Complaints Operations to own analytics, QuickBase solutions, reporting, and process improvements for Medicare Advantage complaint operations.

Experienced acute-care RN needed to serve as a flexible Case Manager coordinating care, managing length of stay, and facilitating safe discharges across the Northwestern Medicine system.

Lead the technical product strategy and execution for Aledade’s risk stratification engine, translating clinical and regulatory requirements into scalable, production-ready solutions for Medicare Advantage and other lines of business.

Brave Health is hiring a Licensed Independent Social Worker (LISW) to deliver remote, outpatient telehealth therapy for Medicaid, Medicare, and commercial patients.

Manage and streamline medication prior authorization processes for OSU Health Plan to ensure timely, compliant access to medications while supporting providers, patients, and internal teams.

Brave Health seeks licensed Marriage and Family Therapists to deliver remote outpatient telehealth services to a diverse, often Medicaid/Medicare-covered patient population.

Lead clinical program strategy and managed-care initiatives for a healthcare technology partner, focusing on formulary management, drug pipeline review, and client-facing clinical consultation.

Experienced LPN needed to support Medicare Wellness visits, chronic care management, and transition-of-care workflows in an outpatient primary care clinic in Portsmouth, VA.

Enhabit is hiring a Hospice RN in Augusta to coordinate and deliver compassionate in-home end-of-life care while ensuring compliance with care plans and regulations.

Carenet Health is hiring a bilingual Certified Medical Assistant/Certified Pharmacy Technician to remotely process medication refill requests, ensure compliance with Medicare and HIPAA rules, and support patient care coordination.

Carenet Health is hiring a remote Certified Pharmacy Technician to manage prescription refill processing, ensure Medicare/HIPAA compliance, and provide excellent patient support.

Provide front-end financial clearance and patient registration at Presbyterian's Rev Hugh Cooper Admin Center, ensuring accurate insurance verification, authorizations, and compassionate patient communication.

A remote Licensed Marriage and Family Therapist role delivering outpatient telehealth services for Brave Health, focused on evidence-based care for diverse populations including Medicaid and Medicare patients.

Crowell & Moring is hiring a Health Care Claims Specialist to analyze payer/provider claim files and produce concise, actionable summaries that support litigation and client strategies.

Provide skilled, patient-centered physical therapy assistance in patients' homes as a PRN Physical Therapy Assistant with Enhabit Home Health & Hospice in Hattiesburg.

Presbyterian Healthcare Services is hiring a detail-oriented Provider Enrollment Coordinator to process and manage payer enrollment applications and maintain credentialing files to ensure providers can bill for services.

Provide accurate ED patient registration, insurance verification, point-of-service collections, and excellent patient-centered service at Presbyterian Hospital's Emergency Department during night shifts.

Accompany Health seeks an Actuarial Analyst to combine actuarial training and healthcare analytics to build medical trend and ROI reporting that drives program design and payer negotiations.

Lead strategy and operationalization for Humana's national retail channel by defining sales product strategy, building multi-year plans, and driving partner program performance.

Humana is hiring a Provider Engagement Executive to lead provider relationships and strategically drive value-based care performance for contracted partners in a remote Texas-based role.

Centene is hiring a seasoned Sr. Manager of Business Transformation to lead a remote, cross-functional team delivering enterprise process improvements, measurable ROI and organizational change across healthcare programs.

Humana/iCare seeks an experienced RN Care Manager in Milwaukee to deliver home- and community-based nursing assessments, care coordination, and safety monitoring for members in the Family Care Partnership program.

CircleLink Health is seeking an empathetic, persuasive part-time Care Ambassador to perform outbound calls enrolling Medicare patients into a monthly check-in program.

Humana is hiring a Medicaid Market Development Advisor to lead Medicaid product implementation, contract compliance, performance monitoring, and cross-functional program oversight for assigned health plans.

Provide remote, telehealth-based outpatient therapy as a licensed clinical social worker for a mission-driven company focused on expanding accessible mental health care.

Carenet Health is hiring a bilingual Certified Medical Assistant to handle medication refill processing remotely while supporting patients and clinical teams.