- Amazon (San Francisco, CA)
- …clinical quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in ... Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One...care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and other… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare ...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** ... of project communications and work with project sponsors or product owners to resolve issues, address changes and identify...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Nestle (Bridgewater, NJ)
- …service providers. This role focuses on creating value-based nutrition solutions for the Medicare Advantage population, offering a unique opportunity to shape a ... their collective strength to empower healthier lives. Our broad product portfolio includes renowned brands like Garden of Life(R),...and expand access to medical nutrition especially in the Medicare Advantage space + Gain alignment among… more
- Commonwealth Care Alliance (Boston, MA)
- …**Desired Experience (nice to have):** + Experience working in a health plan, with Medicare Advantage and/or dually eligible population + Experience with a care ... Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral… more
- Capgemini (Cincinnati, OH)
- … Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage / DSNP/ Medicaid or Exchange program/ product build knowledge ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- MVP Health Care (Tarrytown, NY)
- …Plan (EP), HARP, On-Exchange Qualified Health Plans (QHP), Off-Exchange Plans, and Medicare Advantage plans to individuals at Federally Qualified Health Centers ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Manager , Healthcare Sales** to join #TeamMVP. This is the opportunity for you… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responds to ... working with internal areas to resolve issues. Supports Account Manager (s) in offsite broker meetings and events and internal...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Centene Corporation (Austin, TX)
- …Opportunity**_** **_The ideal candidate will have:_** + **_Deep knowledge of the Medicare Advantage program, with hands-on experience in Dual Eligible Special ... Needs Plans (D-SNPs) (compliance, product , or operations)._** + **_Research skills to track and...Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities… more
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