• Cambia Health Solutions, Inc (Renton, WA)
    Provider Performance Director, Medicare Advantage ( HEALTHCARE )Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or WAWHO ... a Government Programs Provider Performance Director!Preferred Key Experience: Familiarity with Medicare Advantage and its business modelExperience at a provider… more
    JobGet (04/30/24)
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  • Provider Contracting Lead Analyst…

    The Cigna Group (Franklin, TN)
    …leadership on key Medicare Advantage contract terms. + Interface with Medicare Advantage Medical Economics team to ensure (1) due diligence performed ... + **1+ years prior Provider Servicing experience strongly preferred** + **Experience with Healthcare - Medicare Advantage , preferred** + Experience in… more
    The Cigna Group (05/09/24)
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  • MA , Medical Assistant

    Trinity Health (Grove City, OH)
    …your own in Columbus. Learn more at www.experiencecolumbus.com ! **About the job:** The Medical Assistant ( MA ) assists the provider by performing basic ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive… more
    Trinity Health (05/09/24)
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  • MA Performance Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …various levels of corporate leadership. + 3 years' experience working with healthcare products/programs, preferably Medicare Advantage or government ... Founded in 1934, Medical Mutual is the oldest and one of...of corporate leadership.** + **3 years' experience working with healthcare products/programs, preferably Medicare Advantage more
    Medical Mutual of Ohio (04/10/24)
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  • Marketing Advisor, DTC Advertising & Media…

    The Cigna Group (Atlanta, GA)
    **Marketing Advisor, DTC Advertising ( Medicare Advantage ) - Hybrid** Responsible for day-to-day management of direct-to-consumer advertising. Play a pivotal role ... with other channels, meet brand standards and can positively impact Cigna's Medicare Advantage growth goals. **Responsibilities** + Partner to provide the… more
    The Cigna Group (05/02/24)
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  • Float MA Support/Member Outreach…

    Universal Health Services (West Palm Beach, FL)
    …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... experience. Learn more at: https://prominence-health.com/ Job Summary: As the Float Medical Assistant Practice Support/Member Outreach Rep duties will consist… more
    Universal Health Services (03/29/24)
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  • Medicare Advantage Clinical Care…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    Ready to help us transform healthcare ? Bring your true colors to blue. The RoleThe Clinical Care Manger is responsible for facilitating care for members and families ... of members who may have rising health risks or complex healthcare needs, to promote optimal health. This position is self-directed and works independently and… more
    Blue Cross Blue Shield of Massachusetts (04/20/24)
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  • Medicare Provider Performance Lead Analyst…

    The Cigna Group (Houston, TX)
    …with STARS, HEDIS, Risk Adjustment and medical expense reduction specific to Medicare Advantage required + Ability to apply an enterprise mindset with ... to the providers and the individual that represents Cigna MA .** The Provider Performance Lead Analyst's responsibilities include: +...members contribute to the growth and profitability of the Medicare Advantage business in their market in… more
    The Cigna Group (04/27/24)
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  • Associate Director, Group Medicare Sales

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …integral member of the leadership team-driving BCBSMA's purposeful re-entry into the Group Medicare Advantage Market. The role will have responsibility for Group ... Medicare Advantage and Medicare Supplementary...communicable components + Minimum of 10 years of proven Healthcare sales or consulting experience; Group Medicare more
    Blue Cross Blue Shield of Massachusetts (04/22/24)
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  • VP, Enterprise Quality, Strategy & Operations

    Highmark Health (Pittsburgh, PA)
    …Sigma and/or Process Improvement + Comfortable working in Matrix Environments **SKILLS** + Medicare Advantage + Lean/Six Sigma Healthcare + Leading Change ... and use of artificial intelligence to facilitate electronic clinical data acquisition and value. + Collaborate proactively with dyad quality leaders across… more
    Highmark Health (03/15/24)
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  • Medical Assistant (Hurst)

    VIP Care (Hurst, TX)
    THE OPPORTUNITY VIPcare is searching for a Medical Assistant (CMA, RMA, MA ) to provide preventative and chronic care management at our senior-focused primary ... BE SUCCESSFUL IN THIS ROLE, you should have previous medical assistant experience, including: + Performing direct...CMA) + Phlebotomy experience preferred + Knowledge of HEDIS, Medicare Advantage , HIPAA & OSHA, medical more
    VIP Care (05/07/24)
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  • Director, Medicare Risk Adjustment (MRA)

    Somatus (Mclean, VA)
    …processing, customer service, enrollment etc. + Proven experience with commercial and/ or Medicare Advantage risk adjustment functions. + Proven track record of ... Overview The Director, Medicare Risk Adjustment (MRA) will lead the execution...and Experience:** + Bachelor's degree in business in business, healthcare administration, or related field. + 8+ years of… more
    Somatus (03/19/24)
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  • Medical Assistant - In Tune Health…

    ChenMed (Pembroke Pines, FL)
    …or equivalent education (GED) required + Graduation from a nationally accredited Medical Assistant program OR comparable healthcare vocational training ... to ensure the delivery of VIP care to the patient. "IntuneHealth is for Medicare Advantage seniors seeking PCP-led, high-quality care when and where they need… more
    ChenMed (05/01/24)
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  • Medical Assistant

    CenterWell (Murfreesboro, TN)
    …Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... clinics nationwide and counting - come join us. The Medical Assistant 2 performs clinical duties such...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    CenterWell (04/17/24)
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  • Medical Assistant - Capital

    CenterWell (Raleigh, NC)
    …Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... providing a positive and welcoming environment for all. The Medical Assistant 2 is the first point...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    CenterWell (04/10/24)
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  • Prospective Program Solutions & Performance…

    The Cigna Group (Westerville, OH)
    This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region ... advising the market on risk adjustment strategy based on knowledge of Cigna MA 's overall Risk Adjustment programs, with a strong focus on alternate prospective… more
    The Cigna Group (05/09/24)
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  • Provider Performance Enablement (PPE) Senior…

    The Cigna Group (Charlotte, NC)
    …HEDIS, Risk Adjustment and medical expense reduction, preferably specific to Medicare Advantage + **Leadership:** 3+ years management experience required + ... members contribute to the growth and profitability of the Medicare Advantage business in their market in...their market in the following aspects: + Growing the MA Business: The Provider Performance Senior Manager is accountable… more
    The Cigna Group (05/09/24)
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  • AVP Payor Initiatives

    HCA Healthcare (Brentwood, TN)
    …projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models (AAPM); Medicare Advantage ; and commercial payer value programs. This ... projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models; Medicare Advantage ; commercial pay for performance programs, Meaningful… more
    HCA Healthcare (04/25/24)
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  • Provider Performance Enablement Lead Analyst-…

    The Cigna Group (Seattle, WA)
    …All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: Growing ... primary conduit to the providers and the individual that represents Cigna MA . The Provider Performance Lead Analyst's responsibilities include: + Supporting the… more
    The Cigna Group (04/12/24)
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  • Principal, Healthcare Strategy

    Humana (Columbus, OH)
    …of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, and identifying improvement opportunities for a ... of the largest health benefits organizations in the country. Role Overview The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit.… more
    Humana (05/14/24)
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