- 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 (Harrisburg, PA)
- …and plan sponsor awareness of and engagement with Humana and its Group Medicare Advantage products and services, leveraging competitive intelligence. You will ... strategies and annual planning. **Key Role Functions** + Understand broker/ consultant and plan sponsor perceptions and needs, and lead...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- ChenMed (Philadelphia, PA)
- …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 ... **Coaching for health** : Act as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with… more
- Humana (Harrisburg, PA)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... provider contract negotiation process. Supports negotiation and acts as a consultant in efforts to establish market competitiveness and ensure contract compliance.… more