- Wind Crest by Erickson Senior Living (Highlands Ranch, CO)
- …part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health care with campuses ... Location:Wind Crest by Erickson Senior LivingJob DescriptionWind Crest is a beautiful 84-acre...in 11 states-and growing. The Rehabilitation Manager is responsible for the creative and effective administration… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… more
- The Cigna Group (Miramar, FL)
- … Network Development & Solutions). Reporting to the Provider Performance Senior Manager /Operations Director/Operations Senior Director (Market President), ... ensures the effective management of the performance outcomes of the provider network . The Provider Performance Manager 's responsibilities include: + Developing… more
- The Cigna Group (Houston, TX)
- …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... assists in the growth and development of the provider network . The Lead Analyst is the primary conduit to...development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial… more
- CVS Health (Houston, TX)
- …to make health care more personal, convenient and affordable. Position Summary The Senior Manager negotiates, executes, conducts high level review and analysis, ... and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee… more
- CVS Health (Des Moines, IA)
- …deliver solutions to make health care more personal, convenient and affordable. The Senior Manager negotiates, executes, conducts high level review and analysis, ... and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible for leading the research ... align with policies. + Collaborates with Government Regulatory Affairs, Network Management, Medical Economics, Benefit Administration, Provider Services, Audit, IT… more
- CVS Health (Indianapolis, IN)
- …and parameters, or accuracy of provider contract or demographic information. Network Performance/Oversight . Recruits' providers as needed to ensure attainment of ... network expansion and adequacy targets. . Responsible for identifying...knowledge of managed care business, regulatory /legal requirements. . Medicare Advantage knowledge and experience Education Bachelor's degree preferred/specialized… more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Senior Pharmacy Technician Homestar, under the direction of a pharmacist, delivers medications, ... of any medication or insurance related concerns. + Assists Pharmacy Manager with performing day-to-day activities and administration which may include daily… more
- The Cigna Group (Charlotte, NC)
- …in provider network and membershipDelivering our Services: The Provider Performance Senior Manager is accountable for the exceptional delivery of services in ... The Provider Performance Enablement (PPE) Senior Manager is an integral part...Risk Adjustment, Finance, Marketing, Cross-Segment Contracting, Provider Relations, and Network Development & Solutions). Reporting to the Medicare… more
- Aveanna (Atlanta, GA)
- Network , Voice and Collaboration Manager ApplyRefer a FriendBack Job Details Requisition #: 193843 Location: Atlanta, GA 30339 Category: Business Operations ... voice and collaboration configurations, procedures, and troubleshooting guides. Work closely with senior management to align network and voice strategies with… more
- WellSense (Boston, MA)
- Nurse Care Manager ( Senior Care Product) - Field Based WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... to making a difference in elders' lives. The Care Manager serves a central role on an interdisciplinary team...clinical and assessment skills + Experience with the Medicaid, Medicare , and Senior population + Experience with… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …participant to Information Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry ... and monitor effectiveness of pricing logic. + Provides statistical reports to Network Administration, Medical Management, Marketing and Medicare Advantage to… more
- NJ Sharing Network (New Providence, NJ)
- Hospital Services Manager Status: Full Time position Please ensure your cover letter and resume are attached General Summary: The Hospital Services Manager (HSM) ... plans to improve performance and outcome measures. Partner's with NJ Sharing Network departments to improve all aspects of the donation process. Utilizes skills… more
- MetroLink (Los Angeles, CA)
- Senior Engineer, State of Good Repair Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4210771) Apply Senior Engineer, State of Good Repair ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Senior Engineer, State of Good Repair will be responsible...Engineer, State of Good Repair will be a Project Manager in-charge of delivering Metrolink's portfolio of State of… more
- Humana (Louisville, KY)
- …of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role in developing and ... needs of Humana's customers while aligning with its business objectives. The **Medicaid Senior Insurance Product Manager ** plays a critical role in developing… more
- AdventHealth (Maitland, FL)
- …32751 **The role you'll contribute:** The Population Health Services Organization (PHSO) Senior Manager of Clinical Documentation Integrity (CDI) will be ... improvement efforts serving as a risk adjustment coding resource for network physicians, PHSO committees, members, medical services, health management, and member… more
- Banner Health (Glendale, AZ)
- …surgical suites and a new Emergency department. The **Patient Access Services Senior Manager ** will support the Emergency Department and have approximately ... is one of the largest campuses in the Banner network with over 3000 employees. BTMC was voted Best...of managed care contracts, other third-party payors, AHCCCS and Medicare , along with knowledge of medical terminology. Requires the… more
- Martin's Point Health Care (Portland, ME)
- …support to the company, including responsibility for the actuarial portion of all Medicare product bids to CMS, USFHP rate negotiations with the Department of Health ... with Generations Advantage (GA) leadership and EMT, analyze, develop, and submit Medicare Advantage and Prescription Drug (MA/PD) plan Bid Pricing Tools (BPTs) in… more
- University of Michigan (Ann Arbor, MI)
- Population Health Senior Analyst Apply Now **Summary** This position focuses on providing a combination of strategic and analytic support for the Michigan Medicine ... physician organizations across the state of Michigan who take part in a Medicare -sponsored program to improve quality of care for traditional Medicare … more
