- Humana (Frankfort, KY)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... Qualifications** + Bachelor's Degree + 8+ years of experience in Medicare Advantage quality, Stars and/or member experience + Deep understanding of HEDIS… more
- Humana (Washington, DC)
- …US. At the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage , Medicaid, and other health plans to millions. By integrating ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, and identifying improvement opportunities for a… more
- CVS Health (Hartford, CT)
- …Sponsor Liaison [PSL] will serve as the Single Point of Contact for Aetna Medicare Advantage servicing to our Plan Sponsors human resources personnel [their ... 50 miles of Hartford, Connecticut** + 3 years experience in Group Medicare Business and Medicare Advantage Plans and Products + Strong Leadership and… more
- Hospice of the Valley (Phoenix, AZ)
- …customers in a professional and timely manner. + Assures accurate data entry of Medicare , Medicare Advantage , commercial insurance, and self-pay payments and ... of 3 years of healthcare revenue cycle experience. + Knowledge of Medicare , Medicare Advantage , commercial and AHCCCS insurance and billing regulations and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans provide peace… more
- CenterWell (Indianapolis, IN)
- …years' directly applicable experience. + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare ... such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational...or ability to obtain DEA license and/or Medicaid and Medicare numbers. + Familiarity with HEDIS quality indicators and… more
- Humana (Fort Mitchell, KY)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... help people with Medicare , or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care… more
- WTW (Philadelphia, PA)
- …health plans; and (ii) assist retirees in enrolling in individual health products, such as Medicare Advantage , Medicare Supplement, Medicare Part D and ... preferred candidate may also have knowledge of ERISA, state insurance laws, Medicare , and/or experience in the employee benefits or health insurance industries. The… more
- University of Rochester (Rochester, NY)
- …on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. Communicates, collaborates, and follows-up with patients, ... of adding newborns onto policy. Determines the primary payer through knowledge of Medicare and other payer regulations for the coordination of benefits. + Notifies… more