- Aldevron (Miami, FL)
- …successful individual will drive project success to provide Aldevron with a competitive advantage in long-term quality customer management .This role is onsite at ... discovery, development and delivery of solutions that safeguard and improve human health .The Sr. Client Quality Manager is responsible for overseeing all duties… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health . As a Manager for Medicare Advantage Utilization Management , you'll provide direct management to a team of UM ... coordinators and nurses. You'll work closely with Medicare Advantage leadership to plan , execute, and manage..., and concurrent review ACM/CCM preferred + Knowledge of Health Plan , DMHC, CMS, HIPPA and NCQA… more
- UCLA Health (Los Angeles, CA)
- …of Medicare Advantage program rules, regulations, preferred + Working knowledge of health plan processes such as eligibility verification and health ... This role will be responsible for supporting the day-to-day management of the Medicare Advantage department. You...working knowledge of Microsoft Excel, PPT, and Word UCLA Health welcomes all individuals, without regard to race, sex,… more
- UCLA Health (Los Angeles, CA)
- …with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve health plan goals and KPIs + Presenting and managing all risk adjustment ... Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will...programs offered by the health plan + Act as a consultant… more
- Henry Ford Health System (Rochester Hills, MI)
- …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... Exciting opportunity to join Henry Ford Health as a Pharmacy Benefits Specialist. Make an...an impact on patient care and contribute to Pharmacy Advantage success. GENERAL SUMMARY: Eligible for $2,500 Sign on… more
- CVS Health (Chicago, IL)
- At CVS Health , we're building a world of health...seeking a Senior Actuary to join the Group Medicare Advantage Actuarial team to assist with Part C pricing. ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
- Wells Fargo (Los Angeles, CA)
- …for an overview of the following benefit plans and programs offered to employees. + Health benefits + 401(k) Plan + Paid time off + Disability benefits + ... **About this role:** Wells Fargo is seeking an Overland Advantage Product Specialist (Principal Strategic Investment Specialist) who will cultivate strong internal… more
- Advantage Pro Services (Houston, TX)
- Company Overview At Advantage Pro Services, we foster a culture built on continuous learning, communication, and teamwork at every level of our organization. Our ... ensuring proper documentation of interactions. + Quoting and Agreement Management : Provide quotes for designated services, including Gutter Cleaning, Window… more
- Advantage SCI (Washington, DC)
- …will assist our government customer in the implementation of a comprehensive Occupational Health and Safety program, responsible to plan , and evaluate the safety ... Federal Occupation of Health , etc.). concerning environmental health and safety issues and advise management ...to 15 pounds occasionally. Noise level: Low to moderate Keyword: Health and Safety Specialist From: Advantage … more
- LA Care Health Plan (Los Angeles, CA)
- Health Plan Territory Representative II Job Category: Sales & Marketing Department: Product Sales Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency...For the Medicare and Commercial lines of business, territory management /outreach and lead generation activities should be aligned to… more
- BrightSpring Health Services (Nashville, TN)
- … Advantage , an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) ... Overview Seeking an Account Representative for our Signature Advantage Plan who will work with senior...With a dedicated nurse practitioner leading a personalized care plan , we strive to improve the health … more
- AON (New York, NY)
- …producers and account executives to secure new client relationships as well as the management of ongoing US health and benefits client relationships and delivery ... sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-LR1 #LI-HYBRID 2561227 Health...to secure new client relationships as well as the management of ongoing US health and benefits… more
- Cardinal Health (Columbus, OH)
- …leveraging market intelligence, industry knowledge and cross-functional collaboration. Competitive advantage is created through supplier selection and management ... chain optimization and risk mitigation. The Global Sourcing Program Management Advisor will be responsible for supporting the Global...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) +… more
- Convey Health Solutions (Chicago, IL)
- … plans, offering scalable and flexible solutions that support health plan operations. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled ... of Medicare Advantage plans, the Star Ratings system, and project management best practices. Key Responsibilities: * Quality Star Solution Program Management… more
- BrightSpring Health Services (Louisville, KY)
- …Responsibilities + Configuration Management : + Configure and maintain the health plan systems to support benefit structures, provider networks, eligibility, ... operations, including benefits, claims, eligibility, and provider network management . + Experience with Microsoft Azure Environment and/or Data...of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …(5) boroughs. Territory Management + Maintain Centers Plans for Healthy Living Advantage Care Medicare HMO Plan visibility in the community by monitoring ... frequent travel to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located...ensure member satisfaction. Other Duties and Responsibilities + Keeps management abreast on any recommendation that can make a… more
- PNC (Dallas, TX)
- …an opportunity to contribute to the company's success. As a Senior Retirement Plan Advisor within PNC's Institutional Asset Management organization, you will be ... and service benchmarking. Responsibilities include working closely with clients on: plan design, investments, vendor management , participant education, and… more
- UCLA Health (Los Angeles, CA)
- …in a healthcare environment + Two or more years of managed care or health plan experience preferred + Experience processing ambulatory commercial, Medicare Fee ... Health . As a key leader within our Medicare Advantage team, you will be responsible for assisting with...Knowledge of the HMO referral process, eligibility verification, and health plan benefit interpretation a plus +… more
- Ventura County (Ventura, CA)
- …spending power through reimbursement of pre-tax dollars for IRS approved dependent care and health care expenses. + Pension Plan - Both the County and employees ... Health Care Agency Payroll Manager Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4736675) Apply...PeopleSoft 9X or later, UKG Workforce Dimensions, or CGI Advantage 3.1. Ability to: plan , organize, lead… more
- Ventura County (Ventura, CA)
- Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding ... Supervisor - Health Information Management Salary $94,952.15 - $132,946.07...applications to meet business needs. It is to your advantage to apply as soon as possible.) Examples Of… more
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