- Northeast Georgia Health System, Inc (Gainesville, GA)
- …required.Minimum Experience: 7 or more years of successful experience organizing and negotiating value based payment terms with Medicare Advantage and ... our communities. About the Role:Job SummaryThis position shall contribute to the value - based contracting team responsible to support an enterprise wide portfolio… 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
- 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
- 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …for engaging and collaborating with provider organizations to effectively manage our value - based Medicare Advantage contracts, advance our mutual goals ... issues, reduce duplication, and design solutions to ensure the effective management our value - based Medicare Advantage contracts. + Coordinate with Network… more
- Medical Mutual of Ohio (OH)
- …. **_Eastern & Central Time Zones preferred._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...refills, and switch members to lower cost therapeutic alternatives based on discussions with providers. Documents all attempts in… more
- CVS Health (Harrisburg, PA)
- …not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual ... Aetna, a CVS Health Company, we are expanding our Medicare Sales team and are looking for candidates who... products. - Identifies and pursues opportunity to cross-sell value -added products such as dental and vision. -May aid… 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 (Tallahassee, FL)
- …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... products. * Identifies and pursues opportunity to cross-sell value -added products such as dental and vision. Required Qualifications… more
- CVS Health (Hartford, CT)
- …all aspects of driving collaborative decision-making and implementation of actions supporting broad- based , regional and local actions to maximize Medicare member ... enterprise.Aetna Medicare is dedicated to achieving best-in-class quality and value to Medicare Advantage beneficiaries. Optimizing business performance and… more
- NORC (Bethesda, MD)
- …, Medicare Parts C & D, and Medicaid policy including ongoing value - based care initiatives. + Monitor and oversee the financial and administrative aspects ... Principal Research Scientist - Health Care Program Integrity and Oversight: Medicare & Medicaid Programs Job no: 502272 Work type: Regular Full-Time Location:… more
- CVS Health (Lansing, MI)
- …not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual ... Candidates will be eligible for a $5k sign-on bonus.**We're looking for top MEDICARE Field Sales Representatives! At CVS/Aetna we are expanding our Medicare … more
- Universal Health Services (Reno, NV)
- Responsibilities Prominence Health is a value - based care organization bridging the gap between affiliated health systems and independent providers, building ... trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market… more
- CVS Health (Jackson, MS)
- …improving risk adjustment accuracy by partnering closely with leadership from our key value - based providers. The role drives, in collaboration with the ... working in provider offices, accountable care organizations and / or value - based provider relations* Strong time management, project management, change… more
- CVS Health (Atlanta, GA)
- …working in provider offices, accountable care organizations and / or value - based provider relations* Strong time management, project management, change ... not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual… more
- Elevance Health (Columbus, OH)
- …Payment Innovation with deep partnership with Health Care Networks (HCN). Oversee value - based provider performance. + Develop and implement network strategies ... for payment as part of consideration for employment. **RVP Medicare Market President (OH)** + Job Family: BUS >...(Ohio)** **Location:** This role requires the leader to be based in Ohio. Relocation assistance may be available. **Summary**… more
- The Cigna Group (Franklin, TN)
- …+ Manages complex contracting and negotiations for fee for service and value - based reimbursements with hospitals and other providers (eg, Hospital systems, ... groups). + Builds relationships that nurture provider partnerships and seeks broader value - based business opportunities to support the local market strategy. +… more
- The Cigna Group (Houston, TX)
- …health plan. + Educating providers on the performance requirements associated with value - based contracts. + Conducting regular provider visits to educate ... All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: Growing the MA… more
- Cleveland Clinic (Cleveland, OH)
- …Care, Value Based Contracts, Value Based Performance, Value Based Program, Medicaid, Medicare , Population Health Pay Range Minimum hourly: ... organizations in the world. As part of the CCHS Value Based Performance team, the Program Manager...CCF Hospitals, as well as external teams from various national and regional payor stakeholders to achieve the Triple… more
- Universal Health Services (Reno, NV)
- …or related field preferred. + At least 5 years of health care experience working with value based Medicare Advantage STARS/HEDIS programs. + At least 3 years ... Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and...be Riverside Medical Clinic and the advancement of its value based MSO strategy. The objective of… more
