- Humana (Albany, NY)
- …Humana's Marketing organization is seeking a Product Marketing Lead who is experienced with Medicare Advantage . As the Lead , Medicare Advantage , ... Medicare Advantage ?... Lead the development of go-to-market strategies for Medicare Advantage products, including positioning, messaging, and campaign… more
- Molina Healthcare (Buffalo, NY)
- **Job Summary** The Lead Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP * Develops custom health plan reports related to...like Python and R programming would be an added advantage . * Familiarity with Microsoft Azure, AWS or Hadoop.… more
- Humana (Albany, NY)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Albany, NY)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Albany, NY)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage , and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …the guidance and plans they need for healthy living. Outreach and Retention Associate (ORA)- Medicare Advantage CPHL is a Medicare Advantage Prescription ... calls to all prospect leads generated via marketing or lead purchase mediums + Assign prospective appointments to Licensed...products *Licensed Agents Only. + Educate potential members about Medicare Advantage / Special Needs Plans and the… more
- Humana (Albany, NY)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- University of Rochester (Brighton, NY)
- …Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New York State Medicaid). + Manage disputes, risks ... and Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage , and New York State Medicaid). Stays abreast of … more
- Humana (Albany, NY)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... case reviews of requests received by members of the Medicare population and reports to the Lead ...the Medicare population and reports to the Lead Medical Director.** **Other duties:** + Identify medical management… more
- Humana (Albany, NY)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... case reviews of requests received by members of the Medicare population and reports to the Lead ...the Medicare population and reports to the Lead Medical Director. **Other duties:** + Identify medical management… more