- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …This position manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program , including development and ... on Compliance objectives, projects, timelines, and deliverables for the Medicare Advantage Compliance Program . Create and maintain compliance… more
- Humana (Baton Rouge, LA)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests.… more
- CenterWell (Baker, LA)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... care 'on-call' program of CenterWell as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your time… more
- Evolent Health (Baton Rouge, LA)
- …plan for Evolent Primary Care and sub-plans for each business segment (MSSP, Medicare Advantage , and Commercial payer partnerships) + Sets clear goals and ... ECP launched as an internal start-up in 2020 with a wholly owned Medicare Shared Savings Program ("MSSP") Accountable Care Organization ("ACO") spanning four… more