• Medicare Advantage Quality

    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
    Highmark Health (10/24/24)
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  • Insurance Strategy Consultant

    Humana (Harrisburg, PA)
    …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
    Humana (11/05/24)
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  • Value-Based Reimbursement Strategic Partners…

    Highmark Health (Harrisburg, PA)
    …gain share and risk share models and will be implemented for the Organization's Medicare Advantage , Medicaid, ACA, and commercial populations with the goal of ... maximizing quality while reducing healthcare costs. + Work with reimbursement,...+ Collaborate with and support the senior Strategic Partners Consultant role as needed + Other duties as assigned… more
    Highmark Health (10/10/24)
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