• 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 (07/02/24)
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  • Center Medical Director - North

    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
    ChenMed (04/27/24)
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  • Data and Reporting Professional

    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
    Humana (07/04/24)
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