- Providence (WA)
- **Description** ** Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked ... strategies that result in improved Star ratings.** **The Stars Quality Program Manager will:** +... will:** + Develop and implement strategies to improve Medicare Advantage Star Ratings, driving clinical quality … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior ... complete and accurate medical record documentation and coding. The Program Manager will contribute to the development...operations, financing and revenue generating programs + Knowledge of Medicare Part D program , operations and industry… more
- Centene Corporation (Queens, NY)
- … Advantage with at least 2-3 years in a value-based care role overseeing Medicare VBP program implementation or performance preferred. 1-3 years of managerial or ... strategy in healthcare transformation aimed at improving positive health outcomes, advancing quality and ensuring equity in healthcare delivery today. The Manager… more
- Humana (Des Plaines, IL)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and train a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Elevance Health (Tampa, FL)
- …to Medicare or Accountable Care Organizations (ACOs) participating in the Medicare program strongly preferred. + Exposure and baseline knowledge of the ... ** Manager I Medical Management (Prior Authorizations) - Florida Medicare ** **Office Locations:** This role is based in Florida at either our Tampa or Miami… more
- Molina Healthcare (Layton, UT)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... needs and satisfaction, financial budgets, and current and future program initiatives. Ability to drive operational excellence and process-oriented efficiencies… more
- CVS Health (Hartford, CT)
- …in new and exciting ways every day. Aetna is currently seeking a **Senior Manager for the Test Center of Excellence** team. This individual will be responsible for ... functional testing support teams. Additionally, develop methodologies to achieve top-notch quality , cost efficiency, and timely deliverables. You'll make an impact… more
- Fallon Health (Springfield, MA)
- …rated among the nation's top health plans for member experience, service, and clinical quality . Fallon Health's NaviCare is a program for people age 65 and ... area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare ...achieves personal referral and outreach goals for the NaviCare program .Manages a territory and group of referral source accounts,… more
- Elevance Health (Costa Mesa, CA)
- **Medical Director- Medicare and Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... The **Medical Director** will be responsible for utilization review case management for Medicare and Medicaid in the California market while also assisting in the… more
- Amazon (San Francisco, CA)
- …activities-supporting patients during in-person visits, managing telehealth connections, organizing program operations and leadership within our Medicare ... an In-Office Senior VBC Coordinator, you'll support both direct patient engagement and program initiatives in partnership with our care teams. Reporting to the … more