- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) ... program management experience * Knowledge of HIPAA regulations * Knowledge of Medicare Advantage , STARS/HEDIS program, and NCQA technical specifications, a plus… more
- TEKsystems (Los Angeles, CA)
- …will have lab billing/denials experience. * Best candidates may have Medicaid and Medicare Advantage experience. * Certified coders are a plus * Experience ... Revenue Cycle Management, managing revenue cycle projects, driving performance in operations related to reimbursement and providing direction and oversight of… more
- LA Care Health Plan (Los Angeles, CA)
- …well as strategic partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage , with experience serving duals ... and implementation efforts for the product line. Identifies potential risks, project charge, and scope. Recommends in design of appropriate mitigation and… more