- SUNY Upstate Medical University (Syracuse, NY)
- …and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit using established EMR ... Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This… more
- Bassett Healthcare (Oneonta, NY)
- …Under the direct supervision of an onsite physician, the Wellness Nurse will perform the Medicare Annual Wellness Visit for Medicare Part B ... the planning, and validation, and monitoring of regional KPI's related to Medicare Annual Wellness Visit activities Maintains professional relationships… more
- Guthrie (Binghamton, NY)
- …patient populations through nursing-patient collaboration and patient education. This nurse performs the Medicare Annual Wellness Visit under the direct ... Up to a $15,000.00 Sign on Bonus! Summary: The Wellness Nurse plays a key role in health promotion...illness prevention strategies. + Performs all elements of the Medicare AWV with beneficiaries in accordance with Documentation Standards… more
- Catholic Health Initiatives (Council Bluffs, IA)
- …customer/patient focus, effective communication, professionalism and teamwork. The RN will complete the Medicare Annual Wellness Visit according to CMS ... Health has an immediate need to add a Clinic Wellness RN role to our W Broadway Clinic located...weekends, No holidays & No call! **Job Summary/Purpose:** The Wellness RN-Clinic functions as a vital member of the… more
- Randolph Hospital (Asheboro, NC)
- …(AWV) and transition of care outreach phone calls. Identify patients who are eligible for a Medicare Annual Wellness Visit and educate the patients on ... or other in-patient facility, or had a recent ER visit , and communicate with those patients in order to...to answer any questions and schedule a follow up visit within 7 days of discharge, educating them on… more
- CVS Health (St. Louis Park, MN)
- …serves approximately 27,000 Medicare Beneficiaries and generates more than $387M in annual revenue. Aetna is recruiting for an AVP, General Manager who has ... Medicare market specific P&L accountability for Individual ...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- CVS Health (Scottsdale, AZ)
- …do it all with heart, each and every day. **Position Summary** As the Medicare Pharmacy Audit Programs Project Manager you will be responsible for administering ... Medicare Part-D Pharmacy Audit Programs. In this role, you...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- CVS Health (Hartford, CT)
- …US.** Responsibilities of this Medical Director role are related to Part C Medicare Appeals. This position is primary on the non-regulated appeals team, however the ... cross train for regulated appeals. * Provide support to Medicare appeal nurses * Provide after hours and weekend...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- CVS Health (Hartford, CT)
- …each and every day. **Position Summary** The Manager, Business Consulting for Medicare Stars Member Experience will be responsible for leading the planning, ... execution, and delivery of digital transformation initiatives within the Medicare Advantage program. We are looking for a visionary...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- CVS Health (Chicago, IL)
- …exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP and PDP Products. ... role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- CVS Health (Hartford, CT)
- …formulary and manufacturer rebate contracting strategy across Aetna and Silverscript's Medicare Part D and other government services pharmacy business. Use clinical ... formulary strategy protects financial integrity and prevents anti-selection within the Medicare business. Forecast formulary impacts to pricing and profitability of… more
- BlueCross BlueShield of North Carolina (NC)
- …with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. _*Based on annual corporate goal achievement and individual ... **Job Description** This role oversees the Medicare Prescription Payment Plan (M3P), working closely with...dental, and vision coverage along with numerous health and wellness programs + Parental leave and support plus adoption… more
- CVS Health (Miami Beach, FL)
- …part of a growing business segment, selling our competitive portfolio of Medicare products. Upon acquisition the Field Sales Representative will own the member ... and cross sell rates for acquisition of new members as outlined in the annual performance plan. + Contacting prospective members within the time limit outlined in… more
- CVS Health (Woonsocket, RI)
- …critical role will serve as a key financial lead supporting the Medicare Part D and SilverScript Organization. Primary responsibilities for this position include ... coordination and execution of Medicare Part D Bid requirements including; several round of...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- CVS Health (Albany, NY)
- …will play an instrumental role in helping to strengthen our Medicare Telesales organization. Our Implementation Manager will be responsible for coordinating ... Demonstrate clear understanding or legal and privacy requirements for Medicare Telesales business. **Required Qualifications** + 2+ years of...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- CVS Health (Jackson, MS)
- …- 5:30 EST or CST Work hours after training 10 - 6:30 pm EST The Medicare EAP WorkLife Analyst is part of the WorkLife Team and provides education about community ... of customers including childcare, elder/adult care, and basic/everyday needs. The Medicare EAP WorkLife Analyst is responsible for providing WorkLife consultation… more
- CVS Health (Hartford, CT)
- …every day. **Position Summary** We are seeking an Actuary to join the Group Medicare Advantage Actuarial team to assist with Part C pricing. More specifically, this ... intern and/or other entry-level actuarial students + Familiarity with Medicare Part C and/or Group pricing **Education** + Bachelor's...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- CVS Health (Boise, ID)
- …lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This ... product enhancements **Required Qualifications** 7+ years of experience with Medicare Advantage, DSNP, HIDE and FIDE plans. **Preferred Qualifications** Strategic… more
- CVS Health (Blue Bell, PA)
- …day. **Position Summary** We are seeking a Senior Actuary to join the Group Medicare Advantage Actuarial team to assist with Part C pricing. More specifically, this ... intern and/or other entry-level actuarial students + Familiarity with Medicare Part C and/or Group pricing **Education** + Bachelor's...pay range represents the base hourly rate or base annual full-time salary for all positions in the job… more
- BlueCross BlueShield of North Carolina (NC)
- …with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. _*Based on annual corporate goal achievement and individual ... 9 years of relevant actuarial experience. **Bonus Points** + Experience in Medicare Advantage Risk Adjustment highly preferred **What You'll Get** + The opportunity… more