- U of C NORC (Bethesda, MD)
- …, Medicare Parts C & D, and Medicaid policy including ongoing value - based care initiatives.Monitor and oversee the financial and administrative aspects of ... surveys, interviews, focus groups, and site visits; secondary data such as Medicare anRESPONSIBILITIES:Play a lead role in growing NORC's portfolio in the area… more
- Merck & Co. (St. Paul, MN)
- …and communicating our vision to the broader oncology community.This is a field- based sales position that is responsible for the St. Paul, Minnesota territory.Major ... to travel to visit with customers in-person and for national sales meetings. The amount of travel will vary... sales meetings. The amount of travel will vary based on the selected candidate's location within the territory… more
- Merck & Co. (North Wales, PA)
- …insights in the development of payer customer segment strategies, promotional resources, and value evidence planning. As a member of our Company's dedicated US PAH & ... promotional initiatives for US Payer & PBM (Health Plan, PBM, Medicaid, Medicare , Federal, Employer) to achieve market access goals.Proactively enable the US Payer… more
- Lundbeck (White Plains, NY)
- …Leadership - Ability to use digital tools and apply customer and data- based insights to build opportunities, develop strategy & tactics and prioritize resources ... multi-disciplinary customers using a total office call approach to communicate value proposition of a new delivery method. Customer Development - Entrepreneurial… more
- Lundbeck (Atlantic City, NJ)
- …Planning & Account Leadership - Ability to use digital tools and apply data- based insights to create opportunities, develop strategy & tactics, allocate resources to ... to promoted portfolio using Lundbeck resources. Utilize deep understanding of Medicare payer landscape in addition to other payer channels including Medicaid… more
- Lundbeck (South Bend, IN)
- …Planning & Account Leadership - Ability to use digital tools and apply data- based insights to create opportunities, develop strategy & tactics, allocate resources to ... Development - Build and maintain productive internal and external relationships based on customer needs and organizational goals, incorporating "total office"… more
- Insmed Incorporated (Bridgewater, NJ)
- …employee benefit programs; recommend changes to ensure continued compliance and value and implement as approved.Support compliance activities including but not ... compliance requirements, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, Medicare , and Social Security and DOL requirements. Experience in the day-to-day… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of population health concepts related to quality metrics and value - based contracts, care gaps, Quality Improvement, Medicare Stars, HEDIS measures ... by providing knowledge and experience to support performance in our value - based contracts. The Population Health Specialist works cross-functionally with… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …optimal health outcomes. Are you ready to realize your potential? This role is based in Plainsboro, NJ. The Position The Director Market Access Channel Strategy is ... a deep understanding of landscape, changes, and trends in the Commercial, Medicare , Medicaid, Health Insurance Exchange (HIX) channels across all NNI therapeutic… more
- Bright Health (Houston, TX)
- …Are you tired of your current routine? Have you considered a career as a Value - Based Care Medical Practitioner? With Centrum Health's Value - Based Care ... We are transforming healthcare to be value -driven, creating a seamless, consumer-centric care experience that...We offer a true salary guarantee that never changes based on the number of patients you see. Apply… more
- Atrium Health (Charlotte, NC)
- …interprofessional teams, providing leadership and strategic direction for multiple value - based initiatives, including clinical documentation integrity, pre-visit ... updates and testing as appropriate. Demonstrates knowledge and understanding of severity based DRG systems; All-Patient Refined and Medicare Severity (APR-DRG),… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …regardless of their position, identity, and background.encourage and support my coworkers. value and acknowledge others for their contributions to the success of ... program. Assesses the appropriateness of patient admission to the hospice program based on state, federal and regulatory requirements, hospice admission criteria and… more
- Cambia Health Solutions, Inc (Renton, WA)
- …medical policies; Medicare products; Procedural and diagnostic coding; and the national Resource Based Relative Value Schedule.Serves as primary support ... for CPT/HCPCS procedure and ICD-9/ICD-10 diagnosis coding questions across Cambia, ensuring decision-making related to coding is consistent, clinically appropriate and thoroughly documented.Applies coding expertise and judgment to assure medically appropriate… more
- Yoakum Community Hospital (Yoakum, TX)
- …policy and procedure. Demonstrates knowledge of medications and their correct administration based on the age of the patient and their clinical condition. ... with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) and company policy, CHC...free workplace. We are an equal opportunity employer and value diversity at our company. We do not discriminate… more
- The Cigna Group (Nashville, TN)
- **What You'll Do** The National Value - Based Contracting Account Owner position is an integral member of the National Network team and will be responsible ... for ensuring smooth end-to-end administration of contract operations for Cigna Medicare 's most advanced value - based provider partnerships and health systems.… more
- The Cigna Group (Scottsdale, AZ)
- …for improving Affordability and Total Cost of Care initiatives as part of the Medicare Business Optimization effort. This role will be a key member of the team ... and deliver results. + Drive fulfillment of affordability commitments for aligned value streams with creation of performance scorecards that show actual vs target… more
- Highmark Health (Charleston, WV)
- …programs. + Directly responsible to analyze and interpret data in government value - based reimbursement reports in the areas of Medicare STARS, Medicaid HEDIS ... outcomes, and engagement of primary care providers (PCP) enrolled in government value - based reimbursement programs and continuous improvement models. This job is… more
- The Cigna Group (Houston, TX)
- …in improving health outcomes among marginalized and underserved populations + Experience in value based payment models is a plus. + Excellent analytical skills, ... The Medicare Affordability Director serves as the strategic leader...will be responsible for shaping and influencing program and value stream strategy, along with plans designed to ensure… more
- AdventHealth (Altamonte Springs, FL)
- …23007379 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, ... Reimbursement Analyst is responsible for preparing and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and appeal… more
- CVS Health (Chantilly, VA)
- …not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual ... top sales talent! At CVS/Aetna we are expanding our Medicare Sales team and are looking for candidates who...other community leaders.* Identifies and pursues opportunities to cross-sell value -added products such as dental and vision. * May… more
