- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health . As a Manager for Medicare Advantage Utilization Management , you'll provide direct management to a team of UM ... coordinators and nurses. You'll work closely with Medicare Advantage leadership to plan , execute, and manage..., and concurrent review ACM/CCM preferred + Knowledge of Health Plan , DMHC, CMS, HIPPA and NCQA… more
- LA Care Health Plan (Los Angeles, CA)
- …$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Medicare Advantage Product Solutions Manager II Job Category: Administrative,...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- Henry Ford Health System (Rochester Hills, MI)
- GENERAL SUMMARY: Under general supervision of the Pharmacy Advantage Management team, the Customer Service Representative (CSR) responds to telephone inquiries ... emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans… more
- Highmark Health (Harrisburg, PA)
- …Six Sigma, TQI, TQC or other quality management certification + Experience in health plan provider network performance management , population health ... Organization are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant...of user interfaces, predicative analytic tools, and other population health management tools endorsed by Highmark. +… more
- UCLA Health (Los Angeles, CA)
- …with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve health plan goals and KPIs + Presenting and managing all risk adjustment ... Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will...programs offered by the health plan + Act as a consultant… more
- CGI Technologies and Solutions, Inc. (Lafayette, LA)
- …Partner with client delivery teams with the implementation of the Human Resource Management (HRM) components of CGI Advantage ERP solution within the public ... tool, lifestyle management programs and more \#LI-KB5 \#CSG-TMC-F24 **Skills:** + Advantage HRM + ERP System CSB **What you can expect from us:** **Together, as… more
- Henry Ford Health System (Rochester Hills, MI)
- …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... + Evaluates any pharmacy related inquiries (ie, financial barriers, therapy management related outcomes, non-adherence to therapy) and communicates with nursing,… more
- Advantage SCI (Washington, DC)
- …will assist our government customer in the implementation of a comprehensive Occupational Health and Safety program, responsible to plan , and evaluate the safety ... Federal Occupation of Health , etc.). concerning environmental health and safety issues and advise management ...to 15 pounds occasionally. Noise level: Low to moderate Keyword: Health and Safety Specialist From: Advantage … more
- Advantage Solutions (Chicago, IL)
- …both agency cultural initiatives and IT support. **Responsibilities for Facilities Management include:** + Maintain overall building environment - including light ... etc. - across all three AMP offices and one Advantage Solutions office (on-site work is only expected in...appropriate point of contact for each location + Ongoing management and negotiation with building property managers (Chicago &… more
- Skyline Products (Colorado Springs, CO)
- …in the position + Attain quarterly and annual objectives assigned by management + Respond effectively to RFPs Preferred Skills: + Price negotiation experience ... Business Analysis, ability to determine the project goals from stakeholder interests + Plan , schedule and track project timelines and milestones + Ability to travel… more
- Henry Ford Health System (Troy, MI)
- …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... applications, including Word, Excel, and PowerPoint. Additional Information + Organization: HAP ( Health Alliance Plan ) + Department: Customer Service + Shift:… more
- Medical Mutual of Ohio (OH)
- …and individual plans. Facilitates and supports system/process/people improvement projects involving health plan performance assessment rating systems (Stars) and ... has the option to work fully remote; Ohio residents preferred._** **Responsibilities** ** Health Plan Quality Program Manager** + Facilitates projects to increase… more
- UCLA Health (Los Angeles, CA)
- Description As an Accountant with our New Century Health Plan , you will be responsible for providing technical and general accounting assistance to the ... accepted accounting principles (GAAP) and practices + Knowledge of management reporting and financial statement preparation + Experience with...other EPMs a plus + Experience working in Medicare Advantage space is a plus + Skill in financial… more
- LA Care Health Plan (Los Angeles, CA)
- …$117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make sure our… more
- CVS Health (Carson City, NV)
- 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 ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...the Chief Medicare Officer and support the market Medicare Advantage Strategy and annual bid process. The position will… more
- UCLA Health (Los Angeles, CA)
- …appropriate, cost-effective, and high-quality care for New Century Health Plan members + Conducting utilization management (UM) activities in accordance ... with health plan policies and regulatory guidelines + Identifying and reporting...* Two or more years of experience in utilization management , preferably in Medicare Advantage or managed… more
- Centers Plan for Healthy Living (Bronx, NY)
- …(5) boroughs. Territory Management + Maintain Centers Plans for Healthy Living Advantage Care Medicare HMO Plan visibility in the community by monitoring ... frequent travel to various Centers Plans For Healthy Living Advantage Care Medicare HMO Plan sites located...ensure member satisfaction. Other Duties and Responsibilities + Keeps management abreast on any recommendation that can make a… more
- Ventura County (Ventura, CA)
- Inpatient Coder-Certified - Health Information Management - HCA Administration Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4710948) Apply ... Inpatient Coder-Certified - Health Information Management - HCA Administration Salary...Eligible to participate in the County's 401(k) Shared Savings Plan and/or the Section 457 Plan . This… 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...comprised of utilization management , quality management , network management and… more
- New York State Civil Service (Rome, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Health Information Management Technician 1 (NY HELPS) Occupational Category Other ... Qualifications You must be currently certified by the American Health Information Management Association as a Registered...as the US Savings Bond and the College Savings Plan .* Voluntary pre-tax savings programs such as Health… more
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