- Novo Nordisk Inc. (Plainsboro, NJ)
- …contracting and pull-through execution Coordinates with aligned regional accounts team on ACO approach with health plan, PBM and health system customers Evolve ... Customer Engagement Strategy and Approach: Establishes and expands relationship with customers that goes beyond formulary access Understands customer strategy and continuously looks for ways to develop mutually beneficial solutions Assembles and coordinates… more
- Baystate Health (Springfield, MA)
- RN, ACO Nurse Care Manager, High Street Community Health Center The ACO Nurse Care Manager is responsible for the management of care for a defined group of ... care, health plans as well as complex lists of patients from the ACO . Conducts whole person assessments to determine individual patient needs and create… more
- Good Will Publishers, Inc. (Bigelow, AR)
- …Sales Opportunity with Purpose and High-Income Potential in Arkansas Position Overview We're looking for a motivated Territory Sales Manager to build relationships ... and grow our presence in small-town communities across Arkansas. This field-based role involves extensive travel and focuses on community outreach, partnership development, and brand visibility. If you're a people person who thrives on connection,… more
- Franciscan Health (Lafayette, IN)
- …to the appropriate staff member to meet the needs of the patient. Ensures services are in compliance with professional standards, state and federal regulatory ... Franciscan Health Lafayette Central 1501 Hartford St Lafayette, Indiana 47904 WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health… more
- Guidehealth (Rockford, IL)
- …management, transitions of care, care coordination and continuity, provider/staff education on ACO /MA Plan clinical programs, and helping to build and maintain a ... achieve utilization of business and financial goals Managing the successful integration of ACO Programs into current operations to meet the goals of all stakeholders… more
- Bluestone Physician Services (Minneapolis, MN)
- …also achieved Top Workplace USA 2021-2025! In 2022, Bluestone Accountable Care Organization ( ACO ) was the best performing ACO in the country as measured ... by the overall savings per Medicare beneficiary. Position Overview : As a GUIDE Model Dementia Case Manager , you will assist in delivering the 9 core elements outlined in the CMMI GUIDE Model of care delivery. You will build strong, collaborative… more
- South Side Healthy Community Organization Inc (Chicago, IL)
- …and assess clinical performance metrics, such as HEDIS, STAR ratings, ACO quality measures, and other relevant performance indicators. Develop actionable insights ... from data to improve clinical practices, patient engagement, and care coordination. Prepare and present regular reports to senior leadership on quality improvement progress, clinical performance outcomes, and trends in value-based care. Stakeholder… more
- NYC Health Hospitals (New York, NY)
- …reviews as per guidelines (eg CMS, NYS NYC DOH, T JC, IPRO, QHIP, ACO , PSI 90 Coordinates logistics related to the preparation, implementation, and coordination of ... Quality Committees (eg minutes drafting, scheduling, etc) Aggregate and analyze data Prepare summary report and data visualization Input abstracted data into databases (eg Premier, Quality Net) Liaise with department/services to discuss areas of opportunities… more
- UHS (Palmetto, FL)
- …the quality improvement activities needed to perform favorably on payer contracts and ACO financial incentives as well as to deliver overall high quality care to ... Medical Assistant. Fluency with medical terminology required. Extensive knowledge of ACO functions, Managed Care Quality programs including STAR ratings, HCC coding… more
- The Wright Center Medical Group (Jermyn, PA)
- …for Quality Assurance (NCQA) Participant in an Accountable Care Organization ( ACO ) Become familiar with provider tendencies and provider's established patient's ... conditions Distribute Patient Agenda Complete medication reconciliation every visit, including over the counter meds Complete Family and Social histories Move patients from waiting room to treatment room Perform vital signs, acquiring any recent test results,… more
- UnitedHealth Group (Nyack, NY)
- …with Meaningful Use guidelines Provides After visit Summary in compliance with ACO guidelines Prepares Batch Report daily to total and balance collections Begins ... the check in process in EPIC. Act on notations in all systems and completes the auto-flow process successfully Schedules /Cancels /Reschedules patient appointments as ordered by the physician adhering to scheduling policies and procedures Obtains or issues HMO… more
- Mount Sinai Medical Center (Hialeah, FL)
- …Management and/or Care Coordination programs preferred. Experience in a Managed Care or ACO settings, a plus. Benefits We believe in the physical and mental ... well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs. Our robust employee benefits package includes: *Health benefits *Life insurance *Long-term disability coverage *Healthcare spending accounts… more
- WellSpan Health (York, PA)
- …central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization ( ACO ) is the region's largest and one of the best in the ... nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and… more
- Intermountain Healthcare (Denver, CO)
- …related to the development of Medical Home, Accountable Care Organization ( ACO ), and other insurance carriers. Minimum Qualifications Current RN License in ... state of practice. Basic Life Support Certification (BLS) for healthcare providers. Practice specific certification as required by the clinical setting in which they work (ie, ALS, PALS, etc.). Ability to communicate effectively both verbally and in writing.… more
- El Camino Health Medical Network (Mountain View, CA)
- …progressive leadership experience within a medical group, health system, or ACO environment. Demonstrated success in leading quality initiatives, physician alignment ... strategies, and regulatory compliance efforts. Salary range: A reasonable starting salary expectation is between $400,000 and $450,000 based upon related/relevant experience and internal equity. If you or someone you know has the qualifications for this role,… more
- Hospital Sisters Health System (Springfield, IL)
- …Accountant (CPA) is preferred. *Experience with an employed physician group and/or ACO is highly preferred. Central IL Market Hospital Statistics: -St. John's ... Hospital - Springfield oHSHS Flagship hospital oLevel 1 trauma center oLevel 2 pediatric trauma center oStaffed Beds: 422 oAnnual admissions: 18,843 oActive Medical Staff: 1,094 oTotal colleagues: 2,010 oNursing staff: 1,178 oAnnual Surgical Cases: 13,970… more
- Texas Health Resources (Arlington, TX)
- …physician team. Assigns patients to and supports appropriate transition programs (eg ACO members) when applicable Updates and executes the discharge plan as needed. ... Communicates final transition plan 24-48 hours prior to transition. Facilitates care conferences for complex transitions, placement, and palliative care needs. Serves as a point of contact for all identified stakeholders. Proactively identifies and documents… more
- MLee Healthcare Staffing and Recruiting, Inc (Albuquerque, NM)
- …optimize workflows and improve patient outcomes. Support value-based purchasing contracts, ACO initiatives, and HEDIS compliance by analyzing performance data and ... providing actionable insights. Ensure ambulatory clinical protocols align with DNV accreditation standards and system-wide quality objectives. Provide training and education on quality improvement methodologies such as PDSA (Plan-Do-Study-Act). Assist with… more
- WellSpan Health (York, PA)
- …central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization ( ACO ) is the region's largest and one of the best in the ... nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and… more
- University of California San Francisco (San Francisco, CA)
- …and Value Based Care, 3) Analytics, and 4) Clinically Integrated Network and ACO Management. About UCSF At UCSF Health, our mission of innovative patient care, ... advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by US News & World Report - UCSF… more
