- Centene Corporation (Queens, NY)
- …is critical in managing end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special ... + Oversee Medicare -specific VBP contracts, focusing on implementation, performance management, and education of provider partners regarding CMS-aligned… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... reports. + Write clear specifications and design data queries for healthcare performance measures. + Apply technical expertise to gather requirements and translate… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Solid understanding of Medicare and its related financial models, including Medicare FFS, Medicare Advantage , Medicare Part D, and ... work collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others… more
- Humana (Concord, NH)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical… more
- Humana (Carson City, NV)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... radiology, and genetics.** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid. + Utilization management experience in… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. Job Title: Medicare Advantage Enrollment Seasonal Associate Department: Medicare ... any other characteristics protected by law. Position Summary: The Medicare Advantage Enrollment Seasonal Associate will be...and willingness to adapt to changing business needs + Provide outstanding level of service to both internal and… more
- BroadPath Healthcare Solutions (Kapolei, HI)
- …lead a high-performing team of licensed sales agents who help consumers enroll in Medicare Advantage and Prescription Drug Plans. This is your chance to step ... levels are consistently met + Evaluate agent calls and provide coaching with clear performance documentation ....1+ year of recent **healthcare experience** , preferably in Medicare Advantage + Active **Health Producer License… more
- Henry Ford Health System (Troy, MI)
- …and planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for ... GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in… more
- BlueCross BlueShield of North Carolina (NC)
- …at least 9 years of relevant actuarial experience. **Bonus Points** + Experience in Medicare Advantage Risk Adjustment highly preferred **What You'll Get** + The ... lead initiatives that directly impact patient outcomes and business performance -whether it's designing innovative insurance products, optimizing pricing strategies,… more
- Humana (Indianapolis, IN)
- … performance , operational improvements and other areas as they relate to provider performance , member experience, market growth, provider experience and ... Medicare policies, processes and procedures + DSNP experience inclusive of Medicare Advantage + Long-term support services; experience working with or… more