- Humana (Raleigh, NC)
- …caring community and help us put health first** The Senior TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is ... incentives paid by the Government, and of sustaining Humana Military's competitive advantage for future contracts. + Respond in precise, comprehensive and timely… more
- Methodist Health System (Dallas, TX)
- …under the ACO. * Design, implement and oversee hospice monitoring program for Medicare Advantage value based agreements. * Design, implement and oversee home ... health needs assessment and program for Medicare Advantage value based agreements. *Design, implement...internal ACO members and participants * Develop understanding of community resources. * Develop and monitor scorecard to identify… more
- New York State Civil Service (Brooklyn, NY)
- …People With Developmental Disabilities, Office for Title Registered Nurse 2 ( Community ) (NY HELPS) Occupational Category Health Care, Human/Social Services Salary ... illness, developmental disabilities, addiction, or substance use disorders in a community setting.Substitution:A bachelor's degree in nursing may substitute for one… more
- Molina Healthcare (Rochester, NY)
- …Navigator, Assistor, Connecter, Promotora, Marketing, Growth, Manager, Supervisor, Leader, Management, Medicare Advantage , Pay Range: $66,560 - $129,589.63 / ... Healthcare is Hiring for a Manager of Growth & Community Engagement in Rochester, Buffalo, or Syracuse** To be...Medicaid space, however, will cross over to Marketplace and Medicare . This role will lead by example, working alongside… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
- Medical Mutual of Ohio (Dublin, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... administration/enforcement, project management, physical security, mainframe provisioning, and audit liaison . Works under close supervision and escalates issues to… more
- MetroHealth (Brooklyn Heights, OH)
- …(PCP) assignment, alignment to MetroHealth's Accountable Care Organization (ACO) or Medicare Advantage payer partners, and transitions from Pre- Medicare ... departments and more than 20 health centers.** **Summary:** **Serves as the primary liaison for aligning the potential and current Medicare patient population… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... opportunity seizing solutions to drive performance for value-based contracts for Medicare Advantage , Managed Medicaid and Commercial arrangements. * Support… more
- University of Pennsylvania (Philadelphia, PA)
- …non-federal (industry, etc.). Understanding and keeping current with FDA and Medicare regulations applicable to clinical trials. Understanding interaction of ... Medicare regulations and/or third-party insurance to develop clinical trial...duties. Manages facilities and facility related issues. Serves as liaison and maintains business relationships with internal and external… more
- New York State Civil Service (Tarrytown, NY)
- …include life skills, vocational and career training, family support, and community integration that assists individuals in achieving maximum participation in work ... and social activities.a. Plan, organize and oversee community activities in high needs group homes. Educate and...and modifies treatment plans or terminates services when appropriate.a. Liaison with the treatment team and placement coordinator to… more
- Fallon Health (Framingham, MA)
- …accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. ... health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care...of participants' situations. + Acts as an advocate and liaison when counseling services are needed. + Completes documentation… more
- New York State Civil Service (Thiells, NY)
- …that prepared graduates for positions treating individuals in clinical, forensic, community mental health, or school settings. Qualifying degree programs must have ... years of supervised post master's degree experience in a clinical, forensic, community mental health, or school setting, where your primary duties were providing… more
- Mount Sinai Health System (NJ)
- …Medical Oncology. Valley-Mount Sinai Comprehensive Cancer Care (VMSCCC), an exceptional community -based, multispecialty cancer program in northern New Jersey, is a ... further develop multi-disciplinary programs of clinical care, research, education, and community outreach. The Associate Chair will partner with the VMSCCC Quality… more
- Trinity Health (Westerville, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive ... each year, and we've been a pillar of this community for more than 130 years. As a proud...education for the healthcare team members. Serves as a liaison between the Nutrition Services Department and individual patient… more
- TEKsystems (Long Beach, CA)
- …(PAL) Specialist is the single-point of contact for all assigned dual members (Medi-Cal/ Medicare ). The PAL Specialist manages all initial & annual outreach to each ... member, supports member understanding, access to integrated benefits & community services/programs, conducts Health Risk Assessments (HRAs), completes member Care… more
- New York State Civil Service (New York, NY)
- …OPWDD to provide necessary services to individuals with disabilities. As a Unit Liaison , the incumbent will perform administrative duties related to the operation of ... brokers, residential and other service provider; in addition to community partners.* Foster effective collaboration and communication with individuals, families,… more