- Centene Corporation (Lubbock, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex or high risk/high acuity… more
- Centene Corporation (Tallahassee, FL)
- …cost- effective healthcare outcomes. May develop or assist with developing a personalized care plans/ service plans for long-term care members and educates ... to ensure identified services are accessible to members + Monitors care plans/ service plans, member status and outcomes, as appropriate, and provides… more
- CVS Health (Hartford, CT)
- … care more personal, convenient and affordable. Job Purpose and Summary: The LTSS /SAI National Senior Medical Director, reporting to a Regional CMO of ... quality, and population health t teams and others to drive comprehensive, innovative care solutions for LTSS members. * Participate in SAI/MEU reviews with… more
- Humana (Lafayette, IN)
- …affecting food intake and eating behavior. + Serve as a resource for Humana's care management and service coordination teams and have duties that include ... community and help us put health first** The Nutritionist ( Senior Dietician) is dedicated to the Contractor's Indiana Medicaid...serve to achieve their best health - delivering the care and service they need, when they… more
- CVS Health (Columbus, OH)
- …Support all Clinical Quality initiatives and peer review processes including Quality of Care and Quality of Service (grievance) issues.* Actively participate in ... * Be able to effectively communicate these finding to Senior Management and staff at all levels.* Develop and...* Three 3+ years of experience in the managed care industry. * One 1+ year LTSS /MLTSS… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Vice President, Internal Audit & Enterprise Risk Management (Remote) will lead the company's Internal Audit Program ... and reporting, enterprise risk scorecards and dashboards, ERM Office senior leadership and Board/Audit Committee materials and reports, ORSA...Required Education: + Bachelor's degree in a business, health care or related area of study + CPA and/or… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Director, Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and Risk ... and leads the Third-Party Compliance Oversight department for Commonwealth Care Alliance (CCA). This position effectively leads our Third-Party Compliance… more
- Commonwealth Care Alliance (Boston, MA)
- …insurance and managed care products and services, including Medicare, Medicaid, MMP, LTSS , SNP, Duals, CHIP and behavioral health, as well as the associated and ... processes across the CCA enterprise, including all health plan and care delivery activities. These responsibilities include planning, executing, and evaluating… more
- Greater Lynn Senior Services (Lynn, MA)
- …challenges *Employee referral bonuses of up to $1,000 Position Overview: The LTSS Program Clinical Care Nurse will complete program Comprehensive Assessments, ... Flexible Spending Accounts (FSA) - Healthcare reimbursement & dependent care assistance + 12 paid holidays each year +...starting year 1 and increasing with your years of service + 403b Retirement Savings Plan with an Agency… more
- Molina Healthcare (Nederland, TX)
- …package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Seniors, Senior Health, Long Term Care , health care , insurance, health ... a "subject matter expert" (SME) by community and influencers on the health care delivery system and wellness topics. + Delivers presentations, attends meetings and… more