- Elevance Health (West Des Moines, IA)
- …throughout Iowa, positively impacting the affordability of respective Medicaid and Medicare Advantage health plan products. + Develops new provider networks that ... establish a competitive advantage , optimizing respective provider..., optimizing respective provider relationships to most effectively benefit health plan growth priorities. + Aligns contracting decisions with… 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
- UCLA Health (Los Angeles, CA)
- …Providing administrative support to the Chief Medical Officer (CMO) of the Medicare Advantage health plan and their team. + Managing schedules, coordinating ... of University systems like BruinBuy and Travel Express, highly desired UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender… 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
- Baylor Scott & White Health (Columbus, OH)
- …and Medicare Advantage plans to enroll prospective members into the health plan to increase enrollment. Helps new enrollment goals. Performs inbound and outbound ... SUCCESS FACTORS** Sales experience in HMO or PPO individual health insurance, Medicare Advantage insurance, group ...HMO or PPO individual health insurance, Medicare Advantage insurance, group health insurance, marketing, public… 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 (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, ... it has strengthened the relationship between staff and our leadership team. Corewell Health Trenton Hospital Corewell Health Trenton Hospital is a 193-bed, acute… 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 $1500 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. 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. 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. 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, ... 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
- 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, ... 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
- 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 $10,000 as a...along with other specialties like orthopedics, neurosurgery, and women's health . Scope of work The Surgical Technologist II will… more
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