- 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
- 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 Quality Measurement: Medicare , Medicaid, & Commercial Insurance Programs Job no: 502274 Work type: Regular Full-Time… 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
- 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
- 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
- Elevance Health (Atlanta, GA)
- …with payment innovation on clinical programs that support providers in value - based payment arrangements. Serves as a subject matter expert/collaborator ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...role will work on Cost of Care, trend management, value - based care support for STARS/HEDIS and correct… more
- The Cigna Group (Birmingham, AL)
- …**RESPONSIBILITIES** + Manages contracting and negotiations for fee for service and value - based reimbursements with hospitals and other providers (eg, Hospital ... groups). + Builds relationships that nurture provider partnerships and seeks broader value - based business opportunities to support the local market strategy. +… 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
- Mathematica (Chicago, IL)
- …health care delivery. The Analyst will support projects related to value - based care and healthcare policy, including Federal Medicare and Medicaid policy, ... system is highly desirable, as is prior experience working value - based care or Medicare policy....applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or report ... + Design Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data...into reports and dashboards + Experience in Medicaid and/or Medicare managed care + Experience working with big and… more
- Humana (Columbus, OH)
- …be responsible for leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy ... part of our caring community and help us put health first** The Sr. Value - Based Programs professional supports successful value - based provider… more