- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …+ Eligible for increase after completion of specified milestones as outlined in Medicare Member Service progression model + Annual raise/bonus based on performance + ... skills progress As a Member Service Seasonal Advocate for Medicare Markets, your role is one of the most...join our team, you will complete a comprehensive training program . Included in your learning, you will participate in… more
- BlueCross BlueShield of North Carolina (NC)
- …purpose to improve healthcare for all, + Deliver on optimal performance of the Medicare pharmacy program across Medicare Advantage, including DSNP. EGWP and ... the Medicare Prescription Drug Program (Part D) to include operational expense, medical expense,...the development and execution of strategic plans for the Medicare Segment that will improve affordability , improve… more
- Scripps Health (San Diego, CA)
- …experience in business development, product development and implementation, affordability initiatives, value -based contracting, legislative and regulatory ... strategies for all lines of business (including commercial, senior, fee for service and value based). This role serves as the face of the system to all payers… more
- The Cigna Group (Atlanta, GA)
- …Contract Network Management** serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a ... complex contracts and negotiations for fee for service and sophisticated value -based reimbursements with hospitals and other providers for both Cigna's US… more
- The Cigna Group (Bloomfield, CT)
- …project and program ideas across Cigna Healthcare (US Employer, Government ( Medicare and Individual & Family Plans (IFP)) and International Markets). + Manage ... and foundational capabilities. The US Employer Portfolio Leader will consider every program /project, across all Lines of Business (listed below), and its potential… more
- The Cigna Group (Nashville, TN)
- …an MA-focused group that provides direct and matrixed technology support for Cigna's Medicare Advantage and CareAllies business units. Our goal is to simplify how ... with high-impact technology solutions. This will accelerate innovation and drive medical affordability and quality care for our members. **The Opportunity** You will… more
- Spira Care, LLC (Liberty, MO)
- …care, integrated behavioral health, and attention to unmet complex needs. We value quality, affordability , patient experience, care team well-being and health ... off + Professional development courses, mentorship opportunities, and tuition reimbursement program + Paid parental leave and adoption leave with adoption financial… more
- The Cigna Group (Anaheim, CA)
- …**AVP, Network Management** serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a key ... complex contracts and negotiations for fee for service and sophisticated value -based reimbursements with hospitals and other providers for both Cigna's US… more
- The Mount Sinai Health System (New York, NY)
- …Mount Sinai, we have a responsibility to make healthcare better, optimizing its ** value ** for patients, purchasers, and communities. The health care industry has a ... number of problems; there is an affordability crisis as federal and state governments are unable...as federal and state governments are unable to keep Medicare & Medicaid solvent, employers are stretched to pay… more
- Softheon (Stony Brook, NY)
- …Culture: Our culture is built on collaboration, innovation, and appreciation. We value each employee's unique talents and contributions and understand that every ... Plans or Health Systems + Experience with commercial solutions including ACA, Medicare , and Medicaid products and services, ancillary products + Proficiency in MS… more
- The Cigna Group (Seattle, WA)
- …plan. + Educating providers on the performance requirements associated with value -based contracts. + Conducting regular provider visits to educate providers and ... + Understanding, developing, tracking, monitoring and reporting on key program performance metrics, such as utilization, coding, and Stars/quality performance.… more
- Astellas Pharma (Sanford, NC)
- …We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping our focus on addressing ... & bill continuum from product acquisition to billing & coding, patient affordability to payer coverage. + Proactively educate and on-board retina offices… more