- UCLA Health (Los Angeles, CA)
- …+ Two or more years working contact center environment or experience with Medicare Advantage health plan, highly desired + Working knowledge of Medicare ... Description As the Medicare Advantage Senior Contact Center Representative, you will be...resolving complex member inquiries, providing detailed information on intricate health plan benefits, and ensuring a seamless navigation of… more
- Trinity Health (Des Moines, IA)
- …in a complex delivery system with a multi-specialty medical group and a Medicare advantage health plan. Ability to develop and interpret financial statements and ... **Description:** Accountable for leading, guiding, and directing the Trinity Health regional area functional responsibilities. Enable regional level strategy to… more
- UCLA Health (Los Angeles, CA)
- …degree or equivalent experience + 3-4 years of experience working in a Medicare Advantage health plan or Managed Care team - Claims, Provider Relations, Provider ... all aspects of the provider information database across all health plan products. You will: + Ensure the accuracy...data visualization tools, required + Strong knowledge of the health care model, capitation and other managed care IPA… more
- CenterWell (Durham, NC)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary… more
- Erickson Living (Silver Spring, MD)
- …**How you will make an impact** + Facilitates efficient care for targeted Erickson Advantage health plan members in a variety of settings, focusing on returning ... RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior Living) that will be supporting,...Senior Living) that will be supporting, identifying, and evaluating health plan members at risk for, or experiencing, adverse… more
- VNS Health (Manhattan, NY)
- …handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines. * Ensure Compliance: Stay ... product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D, or Select Health ...Medicare Advantage (MA), Part D, or Select Health to ensure compliance with mandated regulatory processes and… more
- The Cigna Group (Houston, TX)
- …(RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred. + Prior experience with delivery of ... area.** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage 's Risk Adjustment & Stars program for assigned populations in an… more
- VNS Health (Manhattan, NY)
- OverviewVNS Health Medicare Advantage experiences accelerated year-over-year growth, doubling membership in the last 12 months. We continue to strengthen our ... environment required + Minimum two years experience specially related to Medicare Advantage bidding required + Knowledge of core health actuarial processes… more
- Corewell Health (Macomb Township, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. Here, ... Corewell Health is offering up to $15,000 as a...on bonus for this opportunity! About Trenton Hospital Corewell Health Trenton Hospital is a 193-bed, acute care teaching… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. Here, ... life care. Nurses must obtain the national institute of health stroke screening (NIHSS) competency certificate within the first...within 6 months of employment on the unit. Corewell Health Trenton Hospital Corewell Health Trenton Hospital… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. Here, ... while applying ALARA principles of radiation protection. Always follows Corewell Health philosophy of Patient and Family Centered Care. ESSENTIAL DUTIES: Verifies… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. It ... anytime. But when the unexpected happens, comprehensive care provided by the Corewell Health Trauma Center is something you can count on. Our multidisciplinary teams… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. It ... along with other specialties like orthopedics, neurosurgery, and women's health . Scope of work Nurses, under the ANA scope...the direction of the Nurse Leader according to Corewell Health 's policies and procedures. Applies the nursing process of… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. It ... along with other specialties like orthopedics, neurosurgery, and women's health . Scope of work The RN, under the ANA...the direction of the Nurse Leader according to Corewell Health policies and procedures and recognizes the impact of… more
- CVS Health (Columbia, KY)
- …that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are ... Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. It ... along with other specialties like orthopedics, neurosurgery, and women's health . Scope of work The RN, under the ANA...the direction of the Nurse Leader according to Corewell Health policies and procedures and recognizes the impact of… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. It ... along with other specialties like orthopedics, neurosurgery, and women's health . Scope of work The RN, under the ANA...the direction of the Nurse Leader according to Corewell Health policies and procedures and recognizes the impact of… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. It ... pulmonary specialties along with other specialties like orthopedics, neurosurgery, and women's health . Scope of work Provides care to the patient according to the… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. It ... Corewell Health is offering up to $750 as a...along with other specialties like orthopedics, neurosurgery, and women's health . Scope of work Assists licensed nursing staff in… more
- Corewell Health (Trenton, MI)
- …and surgical care for its patients and is one of four recipients of the Truven Health Advantage Award in the category of Health and Clinical Outcomes. Here, ... About this Location Corewell Health Trenton Hospital is a 193-bed, acute care...procedures and orthopedic and neurosurgery services; and comprehensive women's health services ranging from gynecological to advanced breast care.… more