- Merck & Co. (MA)
- …to improving the lives of patients with cancer and our multi-billion-dollar immunotherapy program has helped thousands of patients in just a few short years. As ... our vision to the larger Oncology community.This is a field- based sales position that is responsible for covering the...to create a compelling and logical rationale for the value of products and how to contrast, compare, and… more
- Merck & Co. (Memphis, TN)
- …providing clinical information about products, educational information, clinical training programs and resources. We support healthcare providers and healthcare ... northern MS.This position may require overnight travel.Travel (%) varies based on candidate's location within the geography.Primary Responsibilities:Demonstrate in-depth… more
- Sutter Health (Emeryville, CA)
- …care environment, as well as an advanced understanding of key government programs (( Medicare /Medicaid) and market segments (individual, small group, etc.). + ... Monitors and reports on the performance of each business line, including Medicare Advantage and Preferred Provider Organization (PPO) health care plans. Participates… more
- AdventHealth (Altamonte Springs, FL)
- …risk- based Medicare Advantage and ACO REACH data + Perform analysis of risk- based Medicare populations and program data to identify key areas of ... teams, excellent analytical skills, a deep understanding of the Medicare Advantage program and data, and a...+ Minimum 5 years' experience in analytics with a Medicare Advantage Plan or senior value - based… 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 and oversee home health recertification … more
- Molina Healthcare (Columbus, OH)
- …process to completion. * Manages, plana and executes Medicare Star Ratings programs . Assigns and monitors work of program management staff providing support ... the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs...outcomes measurement. * Monitors and tracks key performance indicators, programs and initiatives to reflect the value … more
- Highmark Health (Harrisburg, PA)
- …strategic plans to meet identified program targets across all the Organization's value - based programs for both the commercial and government business ... Medicare STARS, Medicaid HEDIS and risk revenue programs and clinical evidence- based guidelines.The Medicare...expert in government value - based reimbursement programs and data analysis.This includes presentation of program… more
- Molina Healthcare (Columbus, OH)
- …implements new and existing healthcare quality improvement initiatives and education programs ; supporting Medicare Star Ratings improvement. Responsible for ... improvement strategies to ensure high level of performance across Medicare Stars and Quality programs . Lead enterprise...State Plans for intervention development and execution to support Medicare Stars measure level improvement and program … more
- Medical Mutual of Ohio (OH)
- …operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs . Configures, implements, maintains, and ... refills, and switch members to lower cost therapeutic alternatives based on discussions with providers. Documents all attempts in...with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs .… more
- Medical Mutual of Ohio (OH)
- …and experience. + 3 years of experience with government health insurance programs which includes exposure to Medicare Advantage, MA compliance protocols, ... oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to...sales compliance or equivalent experience with government health insurance programs which includes exposure to Medicare Advantage,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …plans. Implements and manages the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the ... and Federal Regulations that affect our various company products, specifically Medicare Advantage program regulations, and Statutory Requirements. . Proficiency… more
- AdventHealth (Altamonte Springs, FL)
- …a working knowledge of current laws and regulations of the Federal Medicare and State Medicaid programs , including changes affecting hospital reimbursement ... . Well organized and detail-oriented **Preferred Qualifications** **:** . Knowledge of Medicare and state Medicaid program reimbursement laws and regulations .… more
- CVS Health (Salt Lake City, UT)
- …other related teams. You'll make an impact by: + Responsibility for supporting Medicare programs with short-and-long term profitability and growth of the health ... is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products...of insurance regulatory and contractual requirements. + Knowledge of value based provider contracting. + Knowledge of… more
- NORC (WA)
- … Medicare program , including provider payment and delivery system reform, value - based care programs , innovative models of care (CMMI), provider ... a federal contractor, ideally with work focusing on the Medicare program . + Ability to independently write...Writing health care policy and research documents + Understanding value - based health care and alternative payment models… more
- BlueCross BlueShield of North Carolina (Durham, NC)
- …match, Paid Time Off (PTO), and competitive health benefits and wellness programs . _* Based on annual corporate goal achievement and individual performance._ ... dedicated to making healthcare better for ALL. Our internship program is highly regarded in our culture as a...work will be done at home, but we provide value -added opportunities for you to convene with your cohort… more
- Prime Healthcare (Redding, CA)
- …and organizational activities. Nurses are awarded annual bonuses for participation in the program and they increase in value at each level. Shasta Regional ... to tailor benefits according to their individual needs. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, ie… more
- Molina Healthcare (IA)
- …Writer, Campaign, Proposals, Creation, Digital Skills, Digital Marketing, Messaging, Communications, Medicaid, Medicare , VBC, Value Based Care, Managed Care, ... management of communications projects + 1+ year experience in Microsoft Office programs **Preferred Experience** + Experience in Associated Press (AP) Style +… more
- Abt Global Inc. (Cambridge, MA)
- …add a talented researcher to its team of experts conducting policy-relevant Medicare and Medicaid research and evaluation. The successful candidate will leverage ... key technical roles on projects for the Centers for Medicare and Medicaid Services (CMS). As a member of...with clients, external partners, and the public. **What We Value ** + Demonstrated expertise and desire to further develop… more
- CVS Health (Blue Bell, PA)
- …affect financial results and develop sound, unbiased recommendations on how to value and resolve these matters + Leverage strong technical skills and critical ... degree along with 3+ years related experience + Prior Medicare , Pharmacy, or Group Health Insurance experience + Experience...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Blue Bell, PA)
- …Act as a subject matter expert on Part D formularies, rebate structures, clinical program value , and integrate team's results with work performed by others, ... a small team that develops, analyzes, and reports on formulary strategies, manufacturer rebate value , and clinical programs - all with an eye toward optimizing… more
