- The Cigna Group (Tucson, AZ)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... Administrators. Provider Performance Enablement (PPE) is responsible for...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- Banner Health (AZ)
- …and hybrid opportunities. In the role of Health Plan Program Manager Call Center Sales Medicare Advantage , you will supervise a Medicare Advantage Call ... Call Center Leadership is strongly preferred. Please note this role does require Medicare Advantage sales and coaching experience.** This position is fully… more
- Humana (Phoenix, AZ)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead, ... performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual … more
- Humana (Phoenix, AZ)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy ... performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual … more
- Humana (Phoenix, AZ)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Phoenix, AZ)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... general surgery preferable** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other Medical… more
- Highmark Health (Phoenix, AZ)
- …locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, implements and executes strategies ... the Organization are met and to optimize outcomes. Collaborates with the company's Medicare Advantage matrixed teams to improve processes, procedures and best… more
- Humana (Phoenix, AZ)
- …Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among ... grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance -based… more
- Humana (Phoenix, AZ)
- …Sales and Specialty Marketing will advance our approach to marketing for Group Medicare Advantage , Individual and Group Specialty health care plans. In addition, ... We believe our role goes beyond that of a provider of insurance to that of a well-being partner...Humana's broad range of insurance plans, including the robust Medicare Advantage portfolio. This incumbent will combine… more
- Humana (Phoenix, AZ)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Phoenix, AZ)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Phoenix, AZ)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... Medical Coding Coordinator 2 + Maintains required standards of performance and productivity to meet turnaround times and service...+ Works with other departments such as Claims, Finance, Provider Services, and Provider Configuration and Load… more
- Humana (Phoenix, AZ)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid, or other Medical management organizations,… more
- Humana (Phoenix, AZ)
- …in 4+ Star plans for six consecutive years. This quality measure of Humana's Medicare Advantage product offering directly impacts our members' health. **Use your ... to a broad range of audiences * Ensure solutions provide the highest quality of data * Contribute to...moving the team towards cloud-based analytical platforms Member and Provider Analytics, the department this role is a part… more
- CenterWell (Phoenix, AZ)
- …screened for TB **** **Preferred Qualifications** * Active and unrestricted DEA license * Medicare Provider Number * Medicaid Provider Number * Minimum of ... team-based care environment. We are a value based care provider focused on quality of care for the patients...five years directly applicable experience preferred * Experience managing Medicare Advantage panel of patients with understanding… more
- CenterWell (Mesa, AZ)
- …preferred + Bilingual English/Spanish is preferred * Active and unrestricted DEA license * Medicare Provider Number * Medicaid Provider Number * Minimum of ... team-based care environment. We are a value based care provider focused on quality of care for the patients...five years directly applicable experience preferred * Experience managing Medicare Advantage panel of patients with understanding… more
- Humana (Phoenix, AZ)
- …to identify and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit ... on opportunities to improve member health outcomes, member and provider experience, clinical quality, and savings to medical costs....to analyze complex problems and issues related to our Medicare Advantage population using data and insight… more
- CVS Health (Phoenix, AZ)
- …will be to continue to build and maintain our existing PPO, Extend, DMO and Medicare Advantage networks in a specific geographic area + Explaining the value in ... **Preferred Qualifications** + Dental industry knowledge + Knowledge of PPO and Medicare advantage methodologies + Negotiation skills + Sales presentation skills… more
- CVS Health (Phoenix, AZ)
- …of quality performance and leadership of Aetna's quality government programs ( Medicare , Medicaid, IFP, Duals). This leader will focus on HEDIS Hybrid, STARS, ... Performance Improvement Plans, provider & member enablement,...experience in healthcare/managed care leadership roles with experience in HEDIS/Medicaid/ Medicare /Duals/IFP Quality program performance management, analytics, reporting… more
- CenterWell (Phoenix, AZ)
- …business in business, healthcare administration, or related field. + Proven experience with Medicare Advantage risk adjustment functions + Proven track record of ... of people, processes, and technology enablement (including GenAI) + Responsible for performance management and strategy development for PCO risk adjustment at the… more