• Senior Finance Medicare Reimbursement…

    AdventHealth (Altamonte Springs, FL)
    …23007379 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, ... Reimbursement Analyst is responsible for preparing and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and appeal… more
    AdventHealth (02/17/24)
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  • Medicare Field Sales Representative…

    CVS Health (Chantilly, VA)
    …not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual ... top sales talent! At CVS/Aetna we are expanding our Medicare Sales team and are looking for candidates who...other community leaders.* Identifies and pursues opportunities to cross-sell value -added products such as dental and vision. * May… more
    CVS Health (05/04/24)
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  • Medicare Field Sales Representative (Palm…

    CVS Health (Tallahassee, FL)
    …not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual ... top sales talent! At CVS/Aetna we are expanding our Medicare Sales team and are looking for candidates who... products. * Identifies and pursues opportunity to cross-sell value -added products such as dental and vision. Required Qualifications… more
    CVS Health (04/02/24)
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  • Medicare Stars Member Experience Manager…

    CVS Health (Hartford, CT)
    …all aspects of driving collaborative decision-making and implementation of actions supporting broad- based , regional and local actions to maximize Medicare member ... enterprise.Aetna Medicare is dedicated to achieving best-in-class quality and value to Medicare Advantage beneficiaries. Optimizing business performance and… more
    CVS Health (03/10/24)
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  • Principal Research Scientist - Health Care Quality…

    NORC (Bethesda, MD)
    …, Medicare Parts C & D, and Medicaid policy including ongoing value - based care initiatives. + Monitor and oversee the financial and administrative aspects ... Principal Research Scientist - Health Care Quality Measurement: Medicare , Medicaid, & Commercial Insurance Programs Job no: 502274 Work type: Regular Full-Time… more
    NORC (04/18/24)
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  • Medicare Field Sales Representative…

    CVS Health (Lansing, MI)
    …not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual ... Candidates will be eligible for a $5k sign-on bonus.**We're looking for top MEDICARE Field Sales Representatives! At CVS/Aetna we are expanding our Medicare more
    CVS Health (03/18/24)
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  • Manager, Medicare Enrollment

    Universal Health Services (Reno, NV)
    Responsibilities Prominence Health is a value - based care organization bridging the gap between affiliated health systems and independent providers, building ... trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market… more
    Universal Health Services (04/30/24)
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  • Medicare Risk Adjustment Educator, Senior…

    CVS Health (Jackson, MS)
    …improving risk adjustment accuracy by partnering closely with leadership from our key value - based providers. The role drives, in collaboration with the ... working in provider offices, accountable care organizations and / or value - based provider relations* Strong time management, project management, change… more
    CVS Health (03/29/24)
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  • Medicare Risk Adjustment Educator, Senior…

    CVS Health (Atlanta, GA)
    …working in provider offices, accountable care organizations and / or value - based provider relations* Strong time management, project management, change ... not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual… more
    CVS Health (03/20/24)
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  • Medicare Provider Performance Manager…

    The Cigna Group (Miramar, FL)
    …to provider engagement. + Preparing for and facilitating external physician meetings and value based contract administrative meetings (JOCs). + Preparing for and ... All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: + Growing the… more
    The Cigna Group (04/30/24)
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  • Medicare Provider Performance Lead Analyst…

    The Cigna Group (Houston, TX)
    …health plan. + Educating providers on the performance requirements associated with value - based contracts. + Conducting regular provider visits to educate ... All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: Growing the MA… more
    The Cigna Group (04/27/24)
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  • Program Manager IV - Value Based

    Cleveland Clinic (Cleveland, OH)
    …Care, Value Based Contracts, Value Based Performance, Value Based Program, Medicaid, Medicare , Population Health Pay Range Minimum hourly: ... organizations in the world. As part of the CCHS Value Based Performance team, the Program Manager...CCF Hospitals, as well as external teams from various national and regional payor stakeholders to achieve the Triple… more
    Cleveland Clinic (04/25/24)
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  • Sr. Director, Value Based Care

    Universal Health Services (Reno, NV)
    …or related field preferred. + At least 5 years of health care experience working with value based Medicare Advantage STARS/HEDIS programs. + At least 3 years ... Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and...be Riverside Medical Clinic and the advancement of its value based MSO strategy. The objective of… more
    Universal Health Services (03/29/24)
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  • Advisory Services/Project Management Analyst…

    Mathematica (Chicago, IL)
    …health care delivery. The Analyst will support projects related to value - based care and healthcare policy, including Federal Medicare and Medicaid policy, ... system is highly desirable, as is prior experience working value - based care or Medicare policy....applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as… more
    Mathematica (05/05/24)
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  • Value Based Program - Data…

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or report ... + Design Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data...into reports and dashboards + Experience in Medicaid and/or Medicare managed care + Experience working with big and… more
    Humana (04/12/24)
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  • Sr. Value - Based Programs…

    Humana (Columbus, OH)
    …be responsible for leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy ... part of our caring community and help us put health first** The Sr. Value - Based Programs professional supports successful value - based provider… more
    Humana (04/24/24)
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  • Senior Medical Value Liaison, Neuroscience…

    Bristol Myers Squibb (Princeton, NJ)
    …Reporting into the Medical Value Liaison Field Director, the Senior Medical Value Liaison (MVL)/Executive MVL is a field- based role focused on applying ... to ensure that payers, PBMs, IDNs, and insurance companies understand the value proposition, clinical differentiators, safety, and efficacy of Karuna's products by… more
    Bristol Myers Squibb (05/03/24)
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  • Principal Scientific Account Lead, Value

    J&J Family of Companies (Tallahassee, FL)
    …a Johnson and Johnson Company, is recruiting for a Principal Scientific Account Lead, Value and Evidence Scientific Engagement - Field Based to support Primary ... Principal Scientific Account Lead, Value and Evidence Scientific Engagement - Field (North...Management (PBM) companies, Governmental Agencies (CMS and VA/DoD System), Medicare , Medicaid, Long Term Care (LTC) facilities, Integrated Delivery… more
    J&J Family of Companies (04/26/24)
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  • Value Added Benefit Account Manager

    Mom's Meals (Ankeny, IA)
    Position SummaryThe Value Added Benefit Account Manager will maintain Managed Medicaid channel growth through continued development of relationships at managed care ... position will focus on account growth, encouraging utilization through field- based case managers and identifying opportunities for program expansion. This… more
    Mom's Meals (04/20/24)
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  • Value Office Financial Investment Analytics…

    Humana (Columbus, OH)
    …corporate strategy. The Financial Analytics Lead plays a pivotal role in our Value Office by collating, modeling, interpreting, and analyzing data to identify and ... calculate and analyze key financial metrics, including Net Present Value (NPV) and Internal Rate of Return (IRR), to...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (05/02/24)
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