- 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
- Centene Corporation (Providence, RI)
- … performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). This role ... is critical in analyzing provider performance , modeling contract terms, and generating...organization drive population health improvements and financial sustainability through Medicare VBP strategies. + Partner with Contract management and… more
- CVS Health (Trenton, NJ)
- …do it all with heart, each and every day. **Position Summary** The Medicare Performance Management Lead Business Consultant will facilitate and support ... process and operating model. This role will assist the Medicare Advantage market facing General Manager most...for success. Role will report to the Head of Medicare Performance Management. **Fundamental Job Components:** +… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …create monthly business review report that displays the key metrics of BCBSMA's Medicare Advantage business + Design and develop metrics, reports, and dashboards ... expense to suggest business improvements and efficiencies + Lead Medicare provider strategy workgroup by working with...We're Looking for : + Experience in Government Programs, Medicare Advantage Preferred + Ability to develop… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …considerations and recommendations We're Looking for : + Excellent knowledge of Medicare Advantage risk adjustment programs and industry trends + Knowledge ... experience. + 6-8 years of relevant experience, preferably in health insurance + Medicare Advantage and Prescription Drug Plan experience a plus #LI-HYBRID… more
- TEKsystems (Rochester, NY)
- …the job - Responsible for maintaining accurate and up-to-date knowledge of all Medicare Advantage regulations and possess the ability to communicate to members ... performance guidelines and standards set forth by the Medicare Division and the Centers for Medicare ...We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are… 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
- CVS Health (Nashville, TN)
- …will direct key team resources and associated project responsibilities managing Individual Medicare Advantage , Special Needs Plans (SNP) including Medicare ... in new and exciting ways every day. Aetna is recruiting for a VP, Medicare Territory Leader who will have overall accountability for the territory P&L and general… more
- Humana (Deland, FL)
- …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 ... us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in...applicants selected for leader review may be asked to provide their social security number, if it is not… more
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