- CenterWell Senior Primary Care (Las Vegas, NV)
- …Active and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Experience managing Medicare Advantage panel of patients with ... 20% of base earnings opportunity. Payout is based on performance The Primary Care Physician (PCP) works as a...team-based care environment. We are a value based care provider focused on quality of care for the patients… more
- CenterWell Senior Primary Care (Hermitage, TN)
- …care or Medicare Advantage settings. Active DEA license and Medicare /Medicaid provider numbers or ability to obtain DEA license and/or Medicaid and ... minimal call responsibilities, and CME time. Your Role & Responsibilities Provide comprehensive care to seniors in accordance with clinical standards. Collaborate… more
- CenterWell Senior Primary Care (Greer, SC)
- …to an organization focused on continuously improving consumer experiences Preferred Qualifications: Medicare Provider Number Medicaid Provider Number Minimum ... team-based care environment. We are a value based care provider focused on quality of care for the patients...to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding… more
- CenterWell Senior Primary Care (Atlanta, GA)
- …Medicine, Internal Medicine or Geriatric Medicine preferred Active and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Minimum of ... team-based care environment. We are a value based care provider focused on quality of care for the patients...to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding… more
- Conviva Senior Primary Care (Sarasota, FL)
- …Medicine, Internal Medicine or Geriatric Medicine preferred Active and unrestricted DEA license Medicare Provider Number Minimum of two to five years directly ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding… more
- Conviva Senior Primary Care (Belle Glade, FL)
- …Internal Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding… more
- Conviva Senior Primary Care (Corpus Christi, TX)
- …of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is… more
- CenterWell Senior Primary Care (Atlanta, GA)
- …Internal Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of ... team-based care environment. We are a value based care provider focused on quality of care for the patients...five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding… more
- Conviva Senior Primary Care (Port Orange, FL)
- …of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice ... coordinated care environment in a value-based relationship environment Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Bilingual… more
- Conviva Senior Primary Care (Port Orange, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... coordinated care environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators .… more
- Optum (Dallas, TX)
- …care setting and working with medically complex patients Working knowledge of Medicare Advantage Risk plans Understanding of HEDIS measurements and delivering ... symptoms related to chronic/serious illness. The aim is to provide comfort and improve quality of life for those...treatment and in partnership with the patient's primary care provider . The palliative program primarily manages care in the… more
- Signify Health (Boston, MA)
- …part-time board-certified nurse practitioners to conduct In-home Health Evaluations for Medicare Advantage , Medicaid, and certain commercial plan members. In ... area Primary coverage areas include but are not limited to: Springfield MA Provide at least 12 hours of availability weekly, consistently providing 50+ capacity… more
- Health Care Service Corporation (Chicago, IL)
- … + Knowledge of Medicare Advantage provider networks, Medicare Advantage key performance indicators, trends, and financial acumen + Knowledge ... the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider network… more
- Highmark Health (Buffalo, NY)
- …and provides strategic, hands-on, office based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies ... are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with… more
- CNO Financial Group (Chicago, IL)
- …skills and location. This position is bonus eligible.** The Account Representative - Medicare Advantage is responsible for working with all internal and external ... team members ( Medicare Advantage and other insurance carriers) in...in maintaining relationships with third-party vendors. + Deliver Training: Provide training sessions, including WebEx trainings, as directed by… more
- Humana (Concord, NH)
- **Become a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app ... pricing of Humana's largest segment of business, individual plan Medicare Advantage . The team consists of actuaries...Optimize Pricing Model SQL code where there are known performance issues. + Triage data/code/user error issues and resolve… more
- BlueCross BlueShield of North Carolina (NC)
- …accordance with timeliness, production, clinical quality/accuracy and compliance standards + Provide notifications to member and/or provider , according to ... denials and coordinate as needed + May coordinate peer-to-peer review upon provider request when members' health conditions do not meet guidelines Collaboration and… more
- CVS Health (Concord, NH)
- …of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group ... the overall financial performance and achievement of the budget of the Medicare plans within the Market. + Direction of senior leaders of specific functional… more
- Humana (Helena, MT)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical… more
- Humana (Miami Lakes, FL)
- …Based Role:** + **Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and ... Humana apart. + **Grow** : Drive self-generated sales, meet performance goals, and expand Humana's presence in the market...recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over… more
