- Molina Healthcare (Snohomish, WA)
- …M/F/D/V. Key Words: Community Health Worker, Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, CHW, Public Health, Healthcare, ... Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS , CAPHS, equity community health advisor, family advocate, advocacy, health educator, liaison, promoter,… more
- CareFirst (Baltimore, MD)
- …policies and procedures, achieve individual and departmental goals. Supports the Manager of Inpatient Management. + Oversees associates conducting care coordination ... member benefit contracts to assist with benefit determination. + Assists the Manager and Director with the development, design, and implementation of new Inpatient… more
- Essentia Health (Duluth, MN)
- **Job Description:** The Program Manager - Cardiometabolic Diseases develops, implements and coordinates the cardiometabolic program aimed at managing and improving ... Heart & Vascular Division and related specialties. The program manager will also help optimize access and streamline care...Epic EHR, clinical registries, and payer quality initiatives (eg, HEDIS , MIPS) + Knowledge of rural health challenges and… more
- CenterWell (Lexington, KY)
- …the care team through daily huddles. + Helps Regional Medical Director and Clinic Manager in setting a tone of cooperation in practice by displaying a professional ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Compensation & Benefits** + Competitive base salary + quarterly… more
- Molina Healthcare (Akron, OH)
- …Employer (EOE) M/F/D/V. \#PJHPO Key Words: Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, CHW, Community Health Worker, ... Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS , CAPHS, equity community health advisor, family advocate, advocacy, health… more
- CenterWell (New Albany, IN)
- …the care team through daily huddles. + Helps Regional Medical Director and Clinic Manager in setting a tone of cooperation in practice by displaying a professional ... Medicare guidelines and coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed base salary + annual bonus +… more
- Sharp HealthCare (San Diego, CA)
- …oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. **Required ... in pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation,… more
- CenterWell (Mesa, AZ)
- …in PCO center * Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience * Bilingual proficiency in English ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- CenterWell (Shreveport, LA)
- …years MA experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. + Bilingual proficiency in English ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- CenterWell (Atlanta, GA)
- …+ Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + bi-annual ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more