- Health Care Service Corporation (Chicago, IL)
- … + Knowledge of Medicare Advantage provider networks, Medicare Advantage key performance indicators, trends, and financial acumen + Knowledge ... the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider network… more
- Highmark Health (Charleston, WV)
- …and provides strategic, hands-on, office based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies ... are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Manager of Healthcare Partnerships will drive Medicare Advantage channel growth through continued development of relationships at Medicare ... of business without attrition ensure positive account status, drive sales forecast performance , growth goals, and key initiatives + Schedule monthly (preferred) or… more
- BlueCross BlueShield of North Carolina (NC)
- …of degree, 7+ years of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience + Extensive Medicare ... the business/organization. + In the course of investigation, may be required to provide deposition and/or testimony May also be required to conduct interviews of… 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
- Humana (Miami Lakes, FL)
- …Based Role:** + **Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and ... Humana apart. + **Grow** : Drive self-generated sales, meet performance goals, and expand Humana's presence in the market...recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over… more
- CVS Health (Hartford, CT)
- …investments. **Business Performance & Communications** + Align KPIs across Medicare ; provide early-warning signals and recommend corrective actions. + Lead ... progressive Healthcare experience, including strategy/finance/actuarial with demonstrated focus on Medicare Advantage + Executive-ready communication skills; able… more
- Humana (Louisville, KY)
- …Financial or actuarial background + Medicare Risk Adjustment Experience + Medicare Advantage or Healthcare Industry Experience + Experience building Power BI ... decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Professional work assignments are varied… more
- Humana (Boston, MA)
- …skills to make an impact** **Required Qualifications** + Bachelor's degree + Medicare Advantage /Medicaid-specific industry knowledge and experience + 7+ years of ... and help us put health first** The Associate Vice President (AVP) of Medicare and Medicaid Encounter Submissions is responsible for the integrity, accuracy, and… more
- Elevance Health (Walnut Creek, CA)
- …regulations. The position also provides formulary strategy support across Elevance Health's Medicare Advantage Prescription Drug (MAPD) business. **How you will ... ** Medicare Formulary Strategy Manager** **Hybrid 1:** This role...product offering. **Group Retiree Solutions (GRS) Clinical Support** + Provide formulary strategy and clinical support for GRS programs.… more