California or Mariposa or Merced or Salinas or Hollister or Scotts Valley
$34-$48/hrHybridTemporary
Central California Alliance for Health: Provides regional Medi-Cal managed care health insurance services.
5+ YOEBachelor's degree in a relevant field, 5+ years related Medicare membership/enrollment experience, knowledge of CMS and Medicare Advantage processes, strong data analysis and reporting skills, ability to interpret regulations and present insights.
Mariposa or Merced or Salinas or Hollister or Scotts Valley or California
$34-$48/hrHybridTemporary
Central California Alliance for Health: Provides non-profit managed health care plans in California.
5+ YOEBachelor's in related field required, 5+ years Medicare membership/enrollment experience, strong data analysis and reporting skills, knowledge of CMS/Medicare Advantage processes, CRM/enrollment systems experience, and ability to interpret regulations.
Medicare Field Sales & Community Agent / 1006937935
Alameda, California, United States
$83k-$125k/yrFieldFull Time
Alameda Alliance for Health: Administers public health insurance plans for Alameda County residents.
2+ YOEMust be California resident; 2+ years Medicare/Medicare sales experience; AHIP certification (2026/2027); valid driver and vehicle; cleared TB test and required immunities; familiarity with CMS/DHCS/DMHC guidelines; strong communication and organizational skills.
Kaiser Permanente: Provides integrated medical care and health insurance plans.
2+ YOEBachelor's plus 2 years (or 5 years without degree) in sales/account management/insurance; Medicare account experience and AHIP preferred; strong communication, CRM use, and analytical skills.
Long Beach or United States or Washington or Ohio or District of Columbia or California or Arizona or Colorado or Connecticut or Florida or Georgia or Maryland or Minnesota or Nevada or Oregon or El Dorado Hills or Lodi or Oakland or Rancho Cordova or Redding or San Diego or Woodland Hills or Alabama or Illinois or Virginia or Wisconsin or Texas
$91k-$136k/yrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
5+ YOEBachelor's degree, 5+ years program/project/operations experience in healthcare or managed care, Medicare/CMS knowledge, project management experience, process improvement (Lean Six Sigma preferred).
Medicare Integrated Care Management Supervisor (RN or LCSW)
South San Francisco, California, United States
$108k-$138k/yrOnsiteFull Time
Health Plan of San Mateo: Provides government-sponsored health insurance plans for San Mateo County.
3+ YOE1+ MgmtRequires CA RN or LCSW licensure; bachelor's degree in nursing, psychology, or social work; 3 years of care management experience preferred; and 1 year of supervisory experience preferred.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft Teams, Microsoft Visio, Microsoft PowerPoint, care management platforms, electronic documentation systems
Medicare MDS Coordinator Licensed Vocational Nurse (LVN) - San Jose
San Jose, California, United States
OnsiteFull Time
Pacific Retirement Services: Operates and manages senior living and continuing care communities.
Current RN licensure required, CPR preferred; strong communication, administrative and organizational skills; nursing and long-term care experience preferred.
Stanford University: Private research university providing academic education and medical services.
3+ YOEMaster's in biostatistics/statistics or related and ≥3 years experience; proficient in at least two of R, SAS, SPSS, STATA; experience with Cosmos, MarketScan, Medicare/Medicaid claims; OMOP, ETL, causal inference, ML (XGBoost, EBMs); strong communication and mentoring skills.
R, SAS, SPSS, STATA, Cosmos, Truveta, MarketScan, Medicare, Medicaid, OMOP common data model, XGBoost, Explainable Boosting Machines (EBMs), random forests, random survival forests, RedCAP, MySQL, Illustrator
Chicago or Las Vegas or San Diego or Atlanta or Salt Lake City or Austin or Houston or Denver or Sacramento or Phoenix or Los Angeles or San Francisco or Minneapolis or Charlotte or Dallas
$165k-$220k/yrRemoteFull Time
LivaNovaNASDAQ: LIVN: Manufactures medical devices for cardiac and neurological therapies.
10+ YOE10+ years advocating to payers, Medicare/Medicaid; payer engagement; reimbursement and health economics; neuromodulation experience preferred.
Baba: A healthcare that pairs older adults with advocates to coordinate insurance, medical, and social support.
Board-certified adult psychiatrist licensed in multiple states, with Medicare and telehealth experience and proficiency in EMRs, care management platforms, and telehealth workflows.
Capitola or Monterey County or Santa Cruz County or San Benito County
$170k-$185k/yrFieldFull Time
Continuum Hospice: Provides compassionate hospice and palliative care for terminal illnesses.
2+ YOE2+ Mgmt2+ years hospice or healthcare management experience with Medicare/Medicaid knowledge; bachelor's preferred; operations/sales leadership; relationship-building and compliance skills.
Generations Healthcare: Provide skilled nursing, behavioral health, and assisted living care.
Graduate of an approved physical therapy curriculum; must practice unencumbered, maintain good standing with licensing boards, understand Medicare and payors, and communicate in English.
The Villas at Saratoga: Providing skilled nursing and assisted living services for seniors.
Licensed SLP with master’s degree in Speech-Language Pathology; strong knowledge of Medicare/payor sources; CPR certified; experience in long-term care preferred.
ConcentraNYSE: CON: Provider of occupational health and urgent care services.
Requires an unrestricted medical license, DEA and state dispensing licenses, Medicare eligibility, and board certification or eligibility preferred. FMCSA NRCME certification is preferred or obtainable.