- BrightSpring Health Services (Bowling Green, KY)
- …of Business Abilis Health Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare ... Abilis Health Plan Overview * Abilis Health Plan was formerly Signature Advantage * Our Sales and Community Liaison is a relationship-driven field representative… more
- UCLA Health (Los Angeles, CA)
- …The NCQA and CMS Star Rating Program Manager will lead initiatives to drive the Medicare Advantage Plan's success in NCQA Health Plan Accreditation and CMS Star ... of NCQA survey process and IRT systems + Knowledge of Medicare Advantage operations, CMS regulations, and health services program requirements + Knowledge… more
- CommonSpirit Health (Phoenix, AZ)
- …systems architecture with organizational strategies related to value-based care, ACOs, Medicare Advantage , Medicaid, and commercial payer programs. Oversee ... with 5+ years in a leadership role. Experience with managed care models ( Medicare Advantage , ACO, Medicaid), HIE integration, and population health tools (eg,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …experience will be considered. * Experience in medical coding with a focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) ... certification * In-depth knowledge of ACA & Medicare Advantage risk adjustment methodology, coding guidelines (ICD-10-CM), healthcare compliance, and billing… more
- CenterWell (Nashville, TN)
- …Direct experience working with Homecare Homebase strongly preferred. * Experience supporting Medicare , Medicare Advantage , Medicaid, and commercial payers. * ... methodologies. **Compliance & Risk Management** * Ensure compliance with Medicare , Medicaid, and commercial payer authorization and revalidation requirements. *… more
- ChenMed (Louisville, KY)
- …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 (Richmond, VA)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum...in a value based relationship environment + Knowledge of Medicare guidelines and coverage + Bilingual is a plus… more
- ChenMed (Louisville, KY)
- …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 (Tamarac, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum...in a value based relationship environment . Knowledge of Medicare guidelines and coverage . Bilingual is a plus… more
- Highmark Health (Pittsburgh, PA)
- …Federal Segments - Individual, ACA and Senior Markets, Group and Direct Pay Medicare Advantage , Direct Pay Medicare Supplemental and Prescription Drug ... senior management Preferred + Master's Degree + 10 years of experience in Medicare /Medicaid + 10 years of experience in Sales & Marketing **SKILLS** + Strong… more