- Providence (WA)
- **Description** **Quality Program Manager - Medicare Advantage Stars** **The Quality Program Manager - Medicare Advantage Stars is tasked with ... result in improved Star ratings.** **The Stars Quality Program Manager will:** + Develop and implement strategies to improve... will:** + Develop and implement strategies to improve Medicare Advantage Star Ratings, driving clinical quality… 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 ... healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning...We're Looking for : + Experience in Government Programs, Medicare Advantage Preferred + Ability to develop… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …in a fast\-evolving industry\. Preferred candidates will have a strong background in Medicare / Medicare Advantage products, Excel, CMS guidelines & market ... insurance products? We are looking for a **Associate Product Manager \- Medicare ** to join our dynamic...Strong interpersonal and organizational skills + Excellent time and project management skills + Knowledge of medical and pharmacy… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** **PMO Project Manager ... continuous education. . Performs other duties as assigned. **PMO Project Manager II** Leads enterprise projects and...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Datavant (Providence, RI)
- …experiences to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. ... projects and ensure all parties remain on track with project requirements, deadlines, and schedules. **You will:** + Partner...up to date with current coding policies for ICD-10, Medicare Advantage , HHS (ACA), and other markets.… more
- Medical Mutual of Ohio (Dublin, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Under general ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
- Aveanna Healthcare (Atlanta, GA)
- Manager , Compensation ApplyRefer a FriendBack Job Details Requisition #: 204449 Location: Atlanta, GA 30339 Category: HR Salary: $90,000.00 - $125,000.00 per year ... meaningful impact in the communities we serve. Position Overview The Compensation Manager will implement and manage projects, policies, and processes related to… more
- WTW (Raleigh, NC)
- …a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... know that our people are always the source of our success. **The Senior Manager of Video Production** will serve as the strategic and operational leader of… more
- UCLA Health (Los Angeles, CA)
- …plan operations, compliance, or delegation oversight, required * In-depth knowledge of Medicare Advantage (MA), NCQA standards, and CMS regulatory requirements, ... Description We're seeking an Account Manager to join our Delegation Oversight Program and...like Kaizen events and A3 problem-solving * Familiarity with project management methodologies and tools UCLA Health welcomes all… more
- ChenMed (Miami, FL)
- …will interface with key health plan leaders and have laser focus on Medicare Advantage products, including understanding of CSNP and DSNP plans. Position ... documents and participates in internal sessions to synthesize and project current patient impact during AEP at market and...at Managed Care Insurance Health Plan (ie Humana) + Medicare Advantage Experience required + Value Based… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
- CenterWell (Honolulu, HI)
- …home care. + Extensive experience in working with Payer requirements, both traditional Medicare and Medicare Advantage plans, ADR requests, Denials, Appeals, ... in regulations, operations or clinical programs. + Participates in project team activities, and serves as a backup to...quality assurance or teaching position in/or related to a Medicare certified home health agency. + A thorough knowledge… more
- University of Pennsylvania (Philadelphia, PA)
- … Medicare data, and/ or VA data. This person will also work with the Project Manager to manage the data teams and produce the final data reports, tables, ... be shared externally. Research Coordinator will coordinate with the Project Manager to manage IRB protocols, ...care expenses with pre-tax dollars. + Tuition : Take advantage of Penn's exceptional tuition benefits . You, your… more
- CenterWell (Daytona Beach, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- CenterWell (Port Arthur, TX)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- CenterWell (Savannah, GA)
- …of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... of technical experience + 2 or more years of project leadership experience + Licensure requirements of the state...**Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Grand Prairie, TX)
- …of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- CenterWell (Port Orange, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- CenterWell (Myrtle Beach, SC)
- …for growing and expanding the IPA network by recruiting providers and growing the Medicare Advantage population of the IPA. In addition, would represent the ... Strong relationship building skills + 2 or more years of demonstrated project management experience and partnering with senior leadership on strategic initiatives. +… more
- WTW (Raleigh, NC)
- …a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... tactics and strategies. This is a high-impact position ideal for a collaborative manager with deep expertise in driving multiple channels and a passion for… more