- CenterWell (Phoenix, AZ)
- …+ 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. + Bilingual… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …working weekends and requires frequent travel to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located throughout the five (5) ... boroughs. Territory Management + Maintain Centers Plans for Healthy Living Advantage Care Medicare HMO Plan visibility in the community by monitoring multiple… more
- Point32Health (Canton, MA)
- …and experience working collaboratively with providers. + Preferred: 10-15 years of Medicare Advantage experience. Skill Requirements + Energetic, goal driven ... Contracting to ensure allied health and BH/SA networks and payment terms support Medicare division needs and goals. Assess and monitor allied payment rates and… more
- CenterWell (Orlando, FL)
- …**Preferred Qualifications:** + Clinical experience in value-based primary care or Medicare Advantage . + Knowledge of EMR optimization, documentation workflows, ... Curriculums. In this role, you'll blend your clinical expertise-especially in Medicare Risk Adjustment (MRA) and HCC coding-with instructional design skills to… more
- ChenMed (Fort Myers, FL)
- …is required. Working with seniors a plus, as is a general understanding of Medicare Advantage + A minimum of 2 years of business-to-business experience or ... talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Start cultivateing strong relationships… more
- CenterWell (Anderson, SC)
- …be required to be screened for TB. **Preferred Qualifications** + Experience managing Medicare Advantage panels of patients with understanding of best practice ... coordinated care environment in a value-based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. +… more
- ChenMed (Cincinnati, OH)
- …is required. Working with seniors a plus, as is a general understanding of Medicare Advantage + A minimum of 2 years of business-to-business experience or ... talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Cultivates strong relationships with health… more
- St Croix Hospice (Mendota Heights, MN)
- …compliance audit program tailored to meet the requirements of CMS, Medicaid, Medicare , Medicare Advantage plans, other government payors, private ... insurers, the Office of Inspector General (OIG) and the Department of Justice (DOJ). + Develop audit frameworks, methodologies and policies that align with regulatory requirements and best practices within healthcare. + Ensure audits are thoroughly documented… more
- CenterWell (Corpus Christi, 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
- CenterWell (Port Orange, FL)
- …of two to five years directly applicable experience preferred . 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 . Knowledge of HEDIS quality indicators .… more