- STG International (Milledgeville, GA)
- …+ Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and + commercial insurance payers. + Interpret ... the department's policies and procedures to personnel, residents, visitors and government agencies as required. + Participate in developing, maintaining, and updating written facility policies and procedures that govern the day-to-day functions of the nursing… more
- CenterWell (Tallahassee, FL)
- …PCO has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... primary care combined with an excellent patient experience. At PCO we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their… more
- ChenMed (Houston, TX)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... be America's leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary… more
- Trinity Health (Grove City, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive ... outreach and community wellness programs, Mount Carmel Health System (https://www.mountcarmelhealth.com/) serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of… more
- NHS Management, LLC (Prattville, AL)
- …Our company is experiencing significant growth, in part due to contracting with a Medicare Advantage Special Needs Plan, where we not only provide annual ... wellness visits to our geriatric population in our long-term care facilities, but also provide routine and preventive care and management, as well as strategic care to reduce avoidable hospitalization. We are currently accepting applications for physician… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Care Quality and Manager (CHQM) * Registered Nurse * Solid knowledge of Medicare Advantage Business Compensation and Benefits: Pay Range: $88,600.00 - ... $117,400.00 - $146,200.00 Annual Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job. We offer a comprehensive benefits package which may include: *… more
- ChenMed (North Lauderdale, FL)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... + CPR for Healthcare Providers is preferred **PAY RANGE:** $17.0 - $24.26 Hourly The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …+ Strong understanding of different insurance products such as HMO, PPO, and Medicare Advantage plans. + Strong organizational skills with ability to prioritize ... projects, work relatively independently, manage multiple tasks, and meet deadlines. + Comfortable talking to patients about their estimated balances and explaining benefits. + Sensitivity to and willingness to interact with persons of various social, cultural,… more
- ChenMed (Miami, FL)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... be America's leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary… more
- Datavant (Honolulu, HI)
- …teams to improve productivity and quality.** + Run various risk adjustment models for Medicare Advantage , Medicaid or ACA to forecast patient risk scores and ... return on investment based on historical data and project variables + Work closely with cross-functional teams, including clients, to understand business needs, and determine the right methodology for analysis and assumptions to provide data-driven insights… more