- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …data from cross functional business leaders to improve the financial performance of BCBSLA's Medicare Advantage ( MA ) Line of Business (LOB).This is a ... Louisiana is preferred for all positions. **POSITION PURPOSE** The MA Healthcare and Financial Analyst will be...role required. Experience working in a Medicare Advantage organization with understanding of medical trend… more
- Trinity Health (Columbus, OH)
- …your own in Columbus. Learn more at www.experiencecolumbus.com ! **About the job:** The Medical Assistant ( MA ) assists the provider by performing basic ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive… more
- The Cigna Group (Bloomfield, CT)
- …is the primary conduit to the providers and the individual that represents Cigna Healthcare - Medicare Advantage . The Provider Performance Lead Analyst's ... limited to preventative and quality outcome metrics, risk adjustment, medical cost management, etc. + Schedules, prepares for, and...members contribute to the growth and profitability of the Medicare Advantage business in their market in… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … healthcare ? Bring your true colors to blue. What We Need The Medicare Advantage Network Performance Manager, as a member of a cross-functional team, ... engaging and collaborating with provider organizations to effectively manage our value-based Medicare Advantage contracts, advance our mutual goals of delivering… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …various levels of corporate leadership. + 3 years' experience working with healthcare products/programs, preferably Medicare Advantage or government ... Founded in 1934, Medical Mutual is the oldest and one of...of corporate leadership.** + **3 years' experience working with healthcare products/programs, preferably Medicare Advantage … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare ? Bring your true colors to blue. The RoleThe Clinical Care Manger is responsible for facilitating care for members and families ... of members who may have rising health risks or complex healthcare needs, to promote optimal health. This position is self-directed and works independently and… more
- Universal Health Services (West Palm Beach, FL)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... experience. Learn more at: https://prominence-health.com/ Job Summary: As the Float Medical Assistant Practice Support/Member Outreach Rep duties will consist… more
- The Cigna Group (Houston, TX)
- …with STARS, HEDIS, Risk Adjustment and medical expense reduction specific to Medicare Advantage required + Ability to apply an enterprise mindset with ... to the providers and the individual that represents Cigna MA .** The Provider Performance Lead Analyst's responsibilities include: +...members contribute to the growth and profitability of the Medicare Advantage business in their market in… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …integral member of the leadership team-driving BCBSMA's purposeful re-entry into the Group Medicare Advantage Market. The role will have responsibility for Group ... Medicare Advantage and Medicare Supplementary...communicable components + Minimum of 10 years of proven Healthcare sales or consulting experience; Group Medicare … more
- Highmark Health (Pittsburgh, PA)
- …Sigma and/or Process Improvement + Comfortable working in Matrix Environments **SKILLS** + Medicare Advantage + Lean/Six Sigma Healthcare + Leading Change ... and use of artificial intelligence to facilitate electronic clinical data acquisition and value. + Collaborate proactively with dyad quality leaders across… more
- VIP Care (Brandon, FL)
- THE OPPORTUNITY VIPcare is searching for a Float Medical Assistant (CMA, RMA, MA ) to provide preventative and chronic care management at our senior-focused ... BE SUCCESSFUL IN THIS ROLE, you should have previous medical assistant experience, including: + Performing direct...CMA) + Phlebotomy experience preferred + Knowledge of HEDIS, Medicare Advantage , HIPAA & OSHA, medical… more
- Somatus (Mclean, VA)
- …processing, customer service, enrollment etc. + Proven experience with commercial and/ or Medicare Advantage risk adjustment functions. + Proven track record of ... Overview The Director, Medicare Risk Adjustment (MRA) will lead the execution...and Experience:** + Bachelor's degree in business in business, healthcare administration, or related field. + 8+ years of… more
- Centerwell (Seneca, SC)
- …Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... providing a positive and welcoming environment for all. The Medical Assistant 2 is the first point...or work outside of their home. We are a healthcare company committed to putting health and safety first… more
- Centerwell (Raleigh, NC)
- …Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... providing a positive and welcoming environment for all. The Medical Assistant 2 is the first point...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Trinity Health (Grove City, OH)
- **Employment Type:** Full time **Shift:** **Description:** **Referral Specialist/ Medical Assistant ** **Why Mount Carmel?** With five hospitals ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive… more
- The Cigna Group (Westerville, OH)
- This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region ... advising the market on risk adjustment strategy based on knowledge of Cigna MA 's overall Risk Adjustment programs, with a strong focus on alternate prospective… more
- The Cigna Group (Charlotte, NC)
- …HEDIS, Risk Adjustment and medical expense reduction, preferably specific to Medicare Advantage + **Leadership:** 3+ years management experience required + ... members contribute to the growth and profitability of the Medicare Advantage business in their market in...their market in the following aspects: + Growing the MA Business: The Provider Performance Senior Manager is accountable… more
- HCA Healthcare (Brentwood, TN)
- …projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models (AAPM); Medicare Advantage ; and commercial payer value programs. This ... projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models; Medicare Advantage ; commercial pay for performance programs, Meaningful… more
- Martin's Point Health Care (Portland, ME)
- …with Generations Advantage (GA) leadership and EMT, analyze, develop, and submit Medicare Advantage and Prescription Drug ( MA /PD) plan Bid Pricing Tools ... Medicare product quotes, including, among others, employer EGWP ( MA /MAPD), SNPs, and other such products. + Oversee and...plans. Martin's Point also administers two health plans: Generations Advantage ( Medicare Advantage plans available… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …bid process, Blue-to-Blue conversion (age-in) initiatives. Product portfolio includes: Direct Pay Medicare ( Medicare Advantage Prescription Drug Plan, ... Ready to help us transform healthcare ? Bring your true colors to blue. The...the VP Product is responsible for developing and implementing Medicare and Federal Employee Program (FEP) products that result… more