- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools ... leadership. Will direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services (HHS), Arizona's Medicaid… more
- CenterWell (Las Vegas, NV)
- …+ 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 (Fort Worth, TX)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... be required to be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Houston, TX)
- …of two to five years directly applicable experience preferred . 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
- ChenMed (Orlando, FL)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or...five (5) years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with… more
- Commonwealth Care Alliance (Boston, MA)
- …CAHPS, HOS) and value-based contract performance metrics + Experience with Medicare Advantage , Medicaid; and dually eligible populations **Desired Experience** ... to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid- Medicare Plan withhold measures, quality performance… more
- CenterWell (Las Vegas, NV)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... be required to be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- ChenMed (Memphis, TN)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- CenterWell (Phoenix, AZ)
- …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