- CenterWell (Atlanta, GA)
- …+ Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... care environment in a value based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional… more
- CenterWell (Decatur, GA)
- …of two to five years directly applicable experiencepreferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice ... in coordinated care environment in a value based relationship environment + Knowledge of Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS… more
- CenterWell (Stone Mountain, GA)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum...in a value based relationship environment . Knowledge of Medicare guidelines and coverage . Bilingual is a plus… more
- CenterWell (Savannah, GA)
- …of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... improving consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- Humana (Atlanta, GA)
- …solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Highmark Health (Atlanta, GA)
- …gain share and risk share models and will be implemented for the Organization's Medicare Advantage , Medicaid, ACA, and commercial populations with the goal of ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Ochsner Health (Savannah, GA)
- …Advanced knowledge of managed care and public programs such as those funded by Medicare , Medicaid, Medicare Advantage , and commercial insurance plans. + ... Proficiency in using computers, software, and web-based applications. + Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. +… more
- Molina Healthcare (Savannah, GA)
- …proficiency in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the ... Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing… more
- CVS Health (Atlanta, GA)
- …+ Performs accurate analysis and risk assessment for new business group Medicare Advantage opportunities. + Produces timely and accurate customer specific ... documents for RFP responses. + Work closely with the sales team to provide strategic solutions which are affordable and satisfactory to the member and plan sponsor. + Drives for results by working across departments and functions in a focused and collaborative… more
- Molina Healthcare (Augusta, GA)
- …+ Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes ... or healthcare compliance requirements **Ideal Candidate Attributes** + **Curious and Eager to Learn** : Interested in understanding healthcare data and willing to dig into unfamiliar topics. + **Team-Oriented** : Works well in a collaborative environment and… more