- Highmark Health (Harrisburg, PA)
- …the Organization are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for ... STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess… more
- Humana (Columbus, OH)
- …highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Insurance Strategy Consultant , you will ... initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. We are ... mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans....self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Elevance Health (Roanoke, VA)
- … Sr.** for **Provider Success** is responsible for consulting with providers (Commercial, Medicare Advantage and Medicaid Lines of Business) to assess and deploy ... **Care Consultant Sr. (Provider Success)** **Location** : Must reside...action plans around population health management, patient satisfaction and quality and cost performance. + Facilitation of collaborative meetings… more
- Elevance Health (Louisville, KY)
- … Sr.** for **Provider Success** is responsible for consulting with providers (Commercial, Medicare Advantage and Medicaid Lines of Business) to assess and deploy ... Care Consultant Sr. (Provider Success) - JR135927 **Location** :...action plans around population health management, patient satisfaction and quality and cost performance. + Facilitation of collaborative meetings… more
- Adecco US, Inc. (Montgomery, AL)
- …with **2+ years preferred** . + **Healthcare Background** : Experience with ** Medicare Advantage !** + **Senior Community** : Familiarity with or experience ... Exciting opportunity for an **Outside Medical Sales Membership Consultant in Montgomery, AL.** + Your focus will...positive impact on seniors' lives by connecting them with quality medical care. Want to learn more? Apply now… 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. Medical Mutual' ... mind to more than 1.6 million Ohioans through our high- quality health, life, disability, dental, vision and indemnity plans....self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... mind to more than 1.6 million Ohioans through our high- quality health, life, disability, dental, vision and indemnity plans....self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… 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' ... mind to more than 1.6 million Ohioans through our high- quality health, life, disability, dental, vision and indemnity plans....self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... mind to more than 1.6 million Ohioans through our high- quality health, life, disability, dental, vision and indemnity plans....self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- CenterWell (Dallas, TX)
- …of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value… more
- The County of Los Angeles (Los Angeles, CA)
- …Facilities Inspection Division and are responsible for either survey services, consultant services, or licensing, enforcement and training services. These positions ... hospitals and other health care facilities to evaluate the quality of care provided with respect to State, Federal...and the coordination of work with other Sections. + Consultant Services: Directs a staff of consultants who provide… more
- ChenMed (Columbus, OH)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as… more
- Community Health Systems (Franklin, TN)
- …and value-based quality programs. This includes but is not limited to Medicare Traditional and Advantage , Commercial, governmental, ACO, BPCI, CJR, and other ... in-person visits to assigned provider practices. This position serves as a consultant to assist in the transition to value-based care by enhancing provider… more
- Mount Sinai Health System (NJ)
- …Develop standards of care in accordance with The Valley Medical Group's Quality Assurance/ Quality Improvement process **REPORTS TO** **: Chair, Primary ... immunize patients from communicable diseases. 10. Refers patients to specialist for consultant services when necessary for the patient's well being. 11. Physician… more
- ChenMed (Richmond, VA)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as… more
- ChenMed (Columbus, OH)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as… more
- Cedars-Sinai (Los Angeles, CA)
- …MH services, including maintaining the network of providers for the CSMN Medicare Advantage plan(s). + Assists Contracting with identification, engagement, and ... executive leadership within the CSMN, including but not limited to Quality , Population Health, Clinical Transformation, Network Management, Clinical Operations and… more
- Provider Solutions & Development (Walla Walla, WA)
- …Mary is one of seven hospitals in the state to earn a five-star rating for quality from the Centers for Medicare and Medicaid Services, while also having an ... a large research network, and opportunities for investigator-initiated trials. Take advantage of all these professional growth opportunities while enjoying life in… more
- ChenMed (Hallandale Beach, FL)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as… more
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