- BlueCross BlueShield of North Carolina (NC)
- … plans. + Cross-departmental collaboration and stakeholder education. + Responsible for DSNP HEDIS program management which includes HEDIS Roadmap, production ... Program Administration, Program Documentation, Program Evaluations, Program Implementation, Program Management, Project Management, Resource… more
- CVS Health (Phoenix, AZ)
- …support service network oversight for the coordinated and integrated Special Needs products; DSNP , HIDE, & FIDE. The position will be responsible for oversight of ... maintenance the LTSS network for the integrated and coordinated Special Needs products; DSNP , HIDE, & FIDE. **Required Qualifications** + 3-5+ years managed care /… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …interpretation, periodic monitoring and auditing activities based on established compliance program , policies, and practices to ensure and maintain compliance with ... federal, state, and local regulatory, contractual and legal requirements. As a Compliance Manager , you will be part of a fast-growing team who develops and maintains… more
- ChenMed (Miami, FL)
- …laser focus on Medicare Advantage products, including understanding of CSNP and DSNP plans. Position is responsible for developing and launching collaborative growth ... First Look Benefit documents and participates in internal sessions to synthesize and project current patient impact during AEP at market and center level. Assists in… more