- Trinity Health (Westerville, 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
- Trinity Health (Columbus, 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
- Trinity Health (Columbus, 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
- Intermountain Health (Las Vegas, NV)
- …the opportunity to provide care in value-based care setting where we serve a large Medicare Advantage population. To be effective in this role this position is ... supported by 2 medical assistants, 3 nurses and 3 support staff. Oncology Nurse Navigators are also part of the care team to support patients during their treatment course. Work with established and experienced physicians and advanced practice providers. Those… more
- Martin's Point Health Care (Portland, ME)
- …financial departments. Knowledge, Skills, & Abilities: + Knowledge of or experience with Medicare Advantage programs. + Knowledge of or experience with medical ... cost, clinical or provider contracting analysis. + Excellent oral, written and presentation skills to support management briefings and presentations both internal and external. + Demonstrated understanding of and alignment with Martin's Point Values. +… more
- ChenMed (Berwyn, IL)
- …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
- Point32Health (Canton, MA)
- …Administration, or related field **Experience** + Required (minimum): 5 years in Medicare Advantage , Medicaid managed care, or healthcare product strategy. + ... Preferred: 5 years of experience with D-SNPs or dual-eligible populations. **Skill Requirements** + Strong analytical, strategic thinking, and problem-solving skills. + Excellent communication and stakeholder management abilities. + Proficiency in data… more
- Sutter Health (Sacramento, CA)
- …ensuring accurate setup in collaboration with Operations and MCF.** + **Validate CMS Medicare Advantage and ACA risk scores, along with payer codes, for ... accuracy, consistency, and compliance.** + **Develop and maintain SQL queries, automation tools, and advanced reporting to proactively identify anomalies and ensure data integrity across systems.** + **Collaborate with Finance, IT, and Health Plan partners to… more
- Capgemini (Cincinnati, OH)
- …of **Program Manager / Sr Project Manager** - Markets and Growth portfolio Medicare Advantage / DSNP/ Medicaid or Exchange program/ product build knowledge ... (Enrollment, Eligibility, Claims, Provider network, encounters etc) (Highly Recommended having exposure to one or many functions) E2E set of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center… more
- CenterWell (Orlando, FL)
- …Geriatric Medicine. * Active or eligible Florida medical license. * Experience managing Medicare Advantage panel pf patients with understanding of best practice ... in coordinated care environment in value based relationship environment. * TB screening participation required. **Use your skills to make an impact** **Additional Information:** + Guaranteed base salary + quarterly bonus + Excellent benefit package - _health… more