- Henry Ford Health System (Rochester Hills, MI)
- …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... Join Henry Ford Health Pharmacy Advantage team as a...+ Excellent computer skills including Microsoft Office and database management . + Excellent written/verbal communication, networking, and interpersonal skills.… more
- Baylor Scott & White Health (Temple, TX)
- …and sustain exceptional Medicare Advantage Star Ratings performance across the health plan . This role is responsible for developing and executing quality ... **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals,...compliance with CMS Star Ratings requirements. * Clinical Metrics Management : Analyze performance data and trends for clinical metrics… more
- Henry Ford Health System (Rochester Hills, MI)
- …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... Exciting opportunity to join Henry Ford Health as a Pharmacy Benefits Specialist. Make an...an impact on patient care and contribute to Pharmacy Advantage success. GENERAL SUMMARY: Schedule: Contingent, candidate must have… more
- Molina Healthcare (ID)
- …Masters Degree preferred; will consider previous experience in health plan setting in government programs management (Contract Manager) **Preferred ... and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing,… more
- LA Care Health Plan (Los Angeles, CA)
- Health Plan Territory Representative II Job Category: Sales & Marketing Department: Product Sales Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency...For the Medicare and Commercial lines of business, territory management /outreach and lead generation activities should be aligned to… more
- UCLA Health (Los Angeles, CA)
- …at New Century Health Plan and coordinate the care for our Medicare Advantage members. As a Care Management Nurse, you will focus on improving health ... coordination, or a related field + Experience with Medicare Advantage plans and knowledge of CMS regulations is highly...as part of a team + Proficiency in electronic health records (EHR) and care management software,… more
- Martin's Point Health Care (Portland, ME)
- …improvement tools + Experience in Health Plan utilization management + Experience in Medicare Advantage and/or TriCare preferred Required License(s) ... other plan functions that interface with Medical Management such as Health Management ,...management and strategic deployment. + Provides support to Health Plan risk adjustment activities as needed.… more
- Henry Ford Health System (Troy, MI)
- …three (3) years of leadership and/or management experience. + Familiarity with health plan operations and federal and state regulations. + Familiarity with a ... marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both...broad range of health plan options (HMO, PPO, CDHP). CERTIFICATIONS/LICENSURES… more
- Sanford Health (WI)
- …clients, internal and external colleagues within the organization to continue to push the Health Plan forward. Coaches colleagues to solve problems, grow and set ... high year-over-year. Acts as a positive representative of the Health Plan to the community and stakeholders....years of proven experience in sales, service or account management experience in health insurance industry, with… more
- BrightSpring Health Services (Knoxville, TN)
- … Advantage , an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) ... Overview Seeking a Sales Account Representative/Executive for our Signature Advantage Plan who will work with senior...With a dedicated nurse practitioner leading a personalized care plan , we strive to improve the health … more