Medicare Advantage Jobs

This Principal Individual Contributor role within Humana's Supplemental Benefits Operations team focuses on the strategic execution and lifecycle management of the Spending Account Card. The position serves as a key thought partner to the Director, translating high-level strategy into actionable plans for benefit design, regulatory compliance, and operational optimization. Key responsibilities include leading cross-functional initiatives with technology and finance teams, managing vendor relationships, and ensuring adherence to CMS regulations while driving continuous improvement in member experience. The role offers the appeal of working for a leading healthcare organization with a mission to improve community well-being, providing significant autonomy to influence complex, high-visibility projects. While the position is primarily remote with a strong preference for Louisville, Kentucky, it includes occasional travel for meetings and training.

The Territory Vice President of Sales role at Jack Schroeder and Associates involves leading sales growth and agent recruitment within the Fort Myers region. Key responsibilities include developing regional sales strategies, managing and mentoring a high-performing sales team, and cultivating relationships with insurance carriers and partners. The position requires a background in life insurance and annuity sales with a focus on the senior market. This opportunity is appealing due to the company's supportive culture, advanced back-office technology, and commitment to work-life balance, highlighted by half-day Fridays during summer. The role offers significant professional development, comprehensive benefits, and requires frequent travel within the assigned territory.

The Senior Vendor Management Professional serves as a liaison between the organization and external vendors within the healthcare sector. Key responsibilities include negotiating contract terms, resolving invoice discrepancies, monitoring vendor performance, and influencing departmental strategy. This role requires managing moderately complex operational issues with a high degree of independence. The position is appealing due to the opportunity to make a tangible impact on consumer health experiences within a caring community. It offers a remote work arrangement with occasional travel for training or meetings, providing flexibility while supporting the mission of improving care for millions of members.

The Annuity Product Wholesaler role at Jack Schroeder and Associates focuses on driving national annuity sales growth and expanding the agency network. Key responsibilities include recruiting new insurance agents, providing comprehensive training on marketing and sales strategies, and managing ongoing relationships with existing partners to boost their business performance. The position requires up to 30% travel for industry events and agent meetings. This opportunity appeals to candidates seeking a supportive environment with a 50-year legacy, offering professional development, flexible summer schedules, and a collaborative culture that prioritizes work-life balance.

This virtual role connects fully licensed Marriage and Family Therapists with a platform designed to help them launch or expand their private practices by accepting insurance. The position involves managing client care through a comprehensive digital ecosystem that includes real-time scheduling, secure messaging, and end-to-end documentation tools. Key responsibilities include maintaining compliance with state regulations, utilizing built-in EHR features for efficient practice management, and providing care to clients covered by major insurance plans including Medicare and Medicaid. The opportunity is appealing for therapists seeking to increase their client base and earnings without administrative burdens, as the platform handles credentialing and offers free continuing education. The arrangement is entirely remote, allowing professionals to work from any location while supporting a mission to make mental health care more accessible.

The Sr. Director, Risk Adjustment Data & Analytics role is a senior leadership position within Alignment Health's data operations team, dedicated to advancing Medicare Risk Adjustment programs. The individual oversees the end-to-end data ecosystem, ensuring integrity and compliance while leading a multidisciplinary team of analysts and engineers. Key responsibilities include driving analytical insights for executive decision-making, maintaining rigorous data governance for audit readiness, and partnering with finance and clinical stakeholders to optimize revenue and care outcomes. This position appeals to candidates seeking to lead high-impact work in a mission-driven organization that prioritizes senior care. The role offers significant growth opportunities within a fast-growing company and is available in a remote work arrangement.

The Patient Access Advocate I-ED role is a PRN position within the emergency department of Presbyterian Hospital in Albuquerque, focusing on patient registration and financial clearance. Key responsibilities include verifying insurance eligibility, collecting point-of-service payments, updating patient demographics, and resolving billing inquiries or complaints using de-escalation techniques. The position appeals to candidates seeking to contribute to a locally owned, non-profit healthcare system dedicated to improving community health. The role offers a supportive environment with access to comprehensive employee wellness programs and opportunities for professional growth through specialized training. Work is performed on-site with varied shifts to accommodate emergency department needs.

The Federal Integrated Products Compliance Specialist role supports MetroPlus Health's mission to provide accessible care by overseeing regulatory compliance for Medicaid and Medicare Advantage products. The position involves conducting audits and monitoring activities to identify risks, driving corrective actions through root cause analysis, and collaborating cross-functionally to implement new federal and state regulations. Key duties include contributing to annual risk assessments, preparing data for board committees, and updating compliance training materials. This remote position offers the opportunity to work within a collaborative culture that values integrity and community impact, while providing professional growth through complex project management and strategic oversight of integrated health products.

This full-time Primary Care Physician role is based within a physician-led, mission-driven organization focused on transforming healthcare for seniors through a value-based care model. The position involves managing a panel of up to 450 patients, providing comprehensive care for acute and chronic conditions, and acting as a health coach to drive behavioral changes and improve patient outcomes. Key responsibilities include leading a dedicated care team, coordinating with hospitalists and specialists, and actively participating in center management and recruitment efforts. The role appeals to innovative and entrepreneurial-minded physicians seeking to fulfill a purpose-driven mission while enjoying a collaborative culture that emphasizes accountability, physician wellness, and professional growth. The position is primarily on-site with occasional travel required for training and regional events.

This full-time Primary Care Physician role is based within a physician-led, mission-driven organization focused on transforming care for seniors through a value-based Medicare Advantage model. The position involves managing a panel of up to 450 patients, providing comprehensive care for acute and chronic conditions, and acting as a health coach to drive behavior change and improve outcomes. Key responsibilities include leading a multidisciplinary care team, coordinating hospital and transitional care, and actively participating in center management and recruitment. The role appeals to innovative and entrepreneurial clinicians seeking to fulfill a purpose-driven mission while enjoying a collaborative culture that emphasizes physician leadership, professional growth, and work-life balance. The position is onsite with occasional travel required for training and regional activities.

This Physician role at Curana Health focuses on delivering person-centered care within skilled nursing facilities and senior living communities. The position involves conducting history and physicals, performing weekly rounds, and partnering with Advanced Practice Providers to manage complex patient visits and ensure regulatory compliance. A key responsibility includes mentoring APPs to elevate team performance and close quality gaps for vulnerable residents. The opportunity appeals to clinicians seeking the autonomy of private practice backed by the resources of a rapidly growing organization. It offers leadership potential, access to AI-driven data tools, and a supportive culture dedicated to transforming senior healthcare. The role is available full-time or part-time with travel required to assigned facilities.

The PRMC ED Paramedic-1 role is a part-time position within the emergency department at Presbyterian Healthcare Services in Clovis, New Mexico. The incumbent provides advanced patient care within the state-approved scope of practice, managing emergency medical calls, monitoring cardiac rhythms, and maintaining accurate electronic health records. Key responsibilities include organizing patient care, assisting with equipment maintenance, coordinating patient transfers with EMS agencies, and documenting treatments for billing. The position offers a supportive environment with access to tuition reimbursement, certification scholarships, and loan forgiveness programs. Employees benefit from a comprehensive wellness program, safety initiatives, and a collaborative culture focused on community health improvement. The role operates on a varied shift schedule.

The Device Clinic Nurse role at Presbyterian Heart and Vascular Care involves assessing and managing patients with cardiac implantable electronic devices such as pacemakers and defibrillators. Key responsibilities include interrogating, evaluating, and programming devices from major manufacturers, monitoring remote transmissions for alerts, and serving as an expert resource for the medical team. This full-time position offers a collaborative environment with opportunities for professional growth through tuition reimbursement and certification support. The role includes access to comprehensive wellness programs, safety initiatives, and cross-coverage at satellite facilities, reflecting a commitment to employee well-being and community health.

This virtual role connects fully licensed mental health therapists with a platform designed to help launch or expand private practices by accepting insurance. The position involves managing client sessions through a comprehensive digital system that includes real-time scheduling, secure messaging, and documentation tools. Key responsibilities include maintaining compliance with state regulations, utilizing built-in EHR features for efficient practice management, and providing care to clients covered by major insurance plans including Medicare and Medicaid. The opportunity is appealing for professionals seeking to increase their client base without administrative burdens, offering free credentialing support, predictable bi-weekly payments, and access to complimentary continuing education. The arrangement is entirely remote, allowing therapists to work from their own offices while leveraging a nationwide network to serve more people in need.

This full-time role is a New Grad Residency Program for newly licensed Registered Nurses within Presbyterian Healthcare Services in Albuquerque and Rio Rancho. The position offers a year-long Transition to Practice experience designed to build a strong foundation in quality nursing across diverse units such as Critical Care, Emergency, Pediatrics, and Operating Rooms. Key responsibilities include rotating through various clinical settings, completing required continuing education credits, and utilizing the EPIC electronic charting system. The opportunity is appealing due to its comprehensive support structure, including tuition and certification reimbursement, loan forgiveness options, and a robust wellness program with on-site gym access. The role provides full benefits, malpractice insurance, and a collaborative culture focused on staff safety and professional growth within a large, locally owned non-profit system.

This full-time Radiographer role at Presbyterian Healthcare Services in Santa Fe involves performing diagnostic imaging procedures and participating in CIT teams within a fast-paced hospital environment. Key responsibilities include ensuring high-quality patient care, adhering to hospital policies, and utilizing the EPIC electronic charting system. The position is appealing due to a strong commitment to employee well-being, offering access to free on-site gyms, nutrition coaching, and mindfulness resources. The organization supports professional growth through tuition reimbursement, certification opportunities, and shift differentials for evenings and weekends. As a locally owned non-profit, the role provides a collaborative culture focused on improving community health, with a work arrangement based at the Santa Fe facility.

This full-time RN Clinical Educator role supports the Family Birthing Center at Presbyterian Hospital in Albuquerque. The position serves as a clinical expert and instructional designer, responsible for assessing learning needs, developing evidence-based training programs, and leading projects to bridge performance gaps across the organization. Key duties include coaching staff, utilizing learning technology, and participating in professional speaking engagements. The role offers a Monday through Friday schedule with opportunities for career growth through tuition reimbursement and certification support. The position is appealing due to the organization's strong focus on employee well-being, including access to wellness programs and safety initiatives, within a collaborative, locally owned healthcare system.

This PRN paramedic role supports emergency care at Presbyterian Healthcare Services in Albuquerque, focusing on advanced patient treatment within the emergency department. Key responsibilities include responding to emergency calls, performing clinical assessments, monitoring cardiac rhythms, and maintaining accurate electronic health records. The position offers a supportive environment with opportunities for professional growth through tuition reimbursement and certification funding. Employees benefit from a comprehensive wellness program, safety initiatives, and a collaborative culture within a large, locally owned non-profit healthcare system. The role features varied shifts and requires prior paramedic experience in an emergency setting.

This PRN paramedic role supports the emergency department at Presbyterian Healthcare Services in Albuquerque, focusing on advanced patient care within the state-approved scope of practice. Key responsibilities include responding to emergency medical calls, triaging and treating injured or ill patients, monitoring cardiac rhythms, and maintaining accurate electronic health records. The position also involves coordinating patient transfers and collaborating with EMS teams. The opportunity is appealing due to the organization's strong commitment to staff well-being, offering access to on-site gyms, wellness programs, and tuition reimbursement. Additionally, the role provides malpractice insurance, loan forgiveness options, and a supportive culture within a locally owned, non-profit healthcare system.

This full-time Registered Respiratory Therapist role operates within Presbyterian Healthcare Services in Ruidoso, New Mexico, providing cardiopulmonary diagnostic and therapeutic support to hospital and outpatient patients. Key responsibilities include evaluating respiratory care patients, performing critical care procedures and EKGs, maintaining equipment readiness, and assisting with departmental policy development and quality improvement initiatives. The position offers a Monday through Friday weekday schedule with opportunities for professional growth through tuition reimbursement, certification support, and loan forgiveness programs. The role is appealing due to the organization's strong commitment to employee well-being, featuring on-site wellness resources, safety technology, and a collaborative culture within a locally owned, not-for-profit healthcare system.

This full-time Charge Nurse role operates within the specialized Vascular Cardiac Unit at Presbyterian Healthcare Services in Albuquerque. The position involves leading the nursing team during night shifts to oversee patient flow, ensure quality care processes, and manage clinical operations for patients undergoing cardiothoracic and vascular procedures. Key responsibilities include providing shift supervision, directing unit staff, and potentially delivering direct patient care in a fast-paced environment with continuous cardiac monitoring. The role is appealing due to the organization's strong commitment to professional growth through tuition reimbursement and certification support, as well as a comprehensive wellness program featuring on-site fitness resources. The position offers a collaborative leadership opportunity within a locally owned, not-for-profit system that is actively expanding its facilities.

This full-time evening role is based at Presbyterian Hospital in Albuquerque and supports the hospital's food services team. The position involves performing essential cleaning and maintenance duties within the kitchen and cafeteria, including operating dish machines, washing pots, and managing dirty utility areas. Key responsibilities also cover janitorial tasks such as sweeping and mopping, as well as assisting with the assembly and delivery of patient meals while adhering to strict sanitation standards. The role appeals to candidates seeking to contribute to a not-for-profit healthcare system dedicated to improving community health. Employees benefit from a comprehensive benefits package and access to an employee wellness program designed to support personal well-being.

This PRN Radiologic Technologist role supports diagnostic imaging at Presbyterian Healthcare Services in Albuquerque, New Mexico. The position involves performing radiographic examinations, evaluating image quality, and maintaining equipment and supply inventory within a fast-paced clinical environment. Key responsibilities include ensuring patient safety, adhering to departmental protocols, and participating in ongoing professional development. The opportunity is appealing due to the organization's strong commitment to employee well-being, offering access to wellness programs, tuition reimbursement, and loan forgiveness options. The role provides a collaborative culture within a large, locally owned non-profit system and features varied shifts to accommodate flexible scheduling.

This Speech Therapist role within Presbyterian Healthcare Services involves evaluating patients and developing comprehensive care plans to treat speech, language, and swallowing disorders across various settings including inpatient and home health. Key responsibilities include implementing therapeutic interventions, coordinating with multidisciplinary teams, and advocating for patient independence and discharge goals. The position appeals to professionals seeking growth through tuition reimbursement, certification support, and loan forgiveness opportunities. Employees benefit from a strong wellness culture featuring on-site gyms, mindfulness resources, and a collaborative environment within a large, locally owned non-profit system. The role is currently listed as PRN with day shifts based in Ruidoso, New Mexico.

This remote role connects fully licensed mental health therapists with a platform designed to help them launch or expand their private practices by accepting insurance. The position involves managing client sessions, utilizing built-in EHR tools for scheduling and documentation, and navigating credentialing processes to join major insurance networks. The opportunity is appealing due to the platform's support for stress-free insurance integration, predictable bi-weekly payments, and access to free continuing education resources. By working with Headway, therapists can increase their client base and earnings while maintaining the flexibility of a remote work arrangement.