- The Cigna Group (Scottsdale, AZ)
- …related to affordability and deliver results. + Drive fulfillment of affordability commitments for aligned value streams with creation of performance ... Bachelor's degree preferred; HS Diploma required + 4+ years of stakeholder management, value tracking, and affordability related experience preferred + 3+ years'… more
- The Cigna Group (Baltimore, MD)
- …with expert-level technical support from manager. + Knowledge of quality and affordability metrics and tools; effective communication to inform external partners. + ... plan. + Educating providers on the performance requirements associated with value -based contracts. + Conducting regular provider visits to educate providers and… more
- BlueCross BlueShield of North Carolina (NC)
- …purpose to improve healthcare for all, + Deliver on optimal performance of the Medicare pharmacy program across Medicare Advantage, including DSNP. EGWP and ... the Medicare Prescription Drug Program (Part D) to include operational expense, medical expense,...the development and execution of strategic plans for the Medicare Segment that will improve affordability , improve… more
- The Cigna Group (Atlanta, GA)
- …including monthly action plans, reviews, and verification as it relates to value based incentive contracts and performance. + Providing feedback and recommendations ... initiatives. Developing and implementing programs to achieve enhanced quality and affordability through physician education, training and provision of reporting and… more
- Scripps Health (San Diego, CA)
- …experience in business development, product development and implementation, affordability initiatives, value -based contracting, legislative and regulatory ... strategies for all lines of business (including commercial, senior, fee for service and value based). This role serves as the face of the system to all payers… more
- The Cigna Group (Atlanta, GA)
- …Contract Network Management** serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a ... complex contracts and negotiations for fee for service and sophisticated value -based reimbursements with hospitals and other providers for both Cigna's US… more
- The Cigna Group (Bloomfield, CT)
- …project and program ideas across Cigna Healthcare (US Employer, Government ( Medicare and Individual & Family Plans (IFP)) and International Markets). + Manage ... and foundational capabilities. The US Employer Portfolio Leader will consider every program /project, across all Lines of Business (listed below), and its potential… more
- Spira Care, LLC (Liberty, MO)
- …care, integrated behavioral health, and attention to unmet complex needs. We value quality, affordability , patient experience, care team well-being and health ... off + Professional development courses, mentorship opportunities, and tuition reimbursement program + Paid parental leave and adoption leave with adoption financial… more
- The Cigna Group (Anaheim, CA)
- …**AVP, Network Management** serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a key ... complex contracts and negotiations for fee for service and sophisticated value -based reimbursements with hospitals and other providers for both Cigna's US… more
- The Mount Sinai Health System (New York, NY)
- …Mount Sinai, we have a responsibility to make healthcare better, optimizing its ** value ** for patients, purchasers, and communities. The health care industry has a ... number of problems; there is an affordability crisis as federal and state governments are unable...as federal and state governments are unable to keep Medicare & Medicaid solvent, employers are stretched to pay… more
- Cognosante (Mclean, VA)
- …to make a difference?** **Come Join Our Team** The Cognosante Enrollment Assistance Program (EAP) contracts with the Centers for Medicare & Medicaid Services ... Our multi-faceted technology and customer experience (CX) solutions achieve program outcomes, solve critical challenges and create meaningful change. Whether… more
- Cognosante (Mclean, VA)
- …to make a difference?** **Come Join Our Team** The Cognosante Enrollment Assistance Program (EAP) contracts with the Centers for Medicare & Medicaid Services ... Our multi-faceted technology and customer experience (CX) solutions achieve program outcomes, solve critical challenges and create meaningful change. Whether… more
- Softheon (Stony Brook, NY)
- …Culture: Our culture is built on collaboration, innovation, and appreciation. We value each employee's unique talents and contributions and understand that every ... Plans or Health Systems + Experience with commercial solutions including ACA, Medicare , and Medicaid products and services, ancillary products + Proficiency in MS… more
- The Cigna Group (Seattle, WA)
- …plan. + Educating providers on the performance requirements associated with value -based contracts. + Conducting regular provider visits to educate providers and ... + Understanding, developing, tracking, monitoring and reporting on key program performance metrics, such as utilization, coding, and Stars/quality performance.… more