- Elevance Health (Costa Mesa, CA)
- ** Medicare Quality Management Health Planning Director Sr.** **Location:** This position will work in a hybrid model (remote and office). The ideal ... of one of our California Elevance Health PulsePoint locations. The ** Medicare Quality Management Health Planning Director Sr.** will be responsible… more
- Corewell Health (Grand Rapids, MI)
- …Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare members to improve medication adherence to cholesterol, diabetic, ... (CMR) and document clinical information in the Medication Therapy Management (MTM) platform that is compliant with CMS requirements....+ Perform other duties assigned by the Manager of Medicare Quality or preceptor Qualifications Required +… more
- RWJBarnabas Health (Oceanport, NJ)
- Quality Officer III ( Medicare )Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - ... set due to the complexity and risk relative to Medicare patients. Quality Officer 3 must also...Health ! RWJBarnabas Health is the premier health care destination providing patient-centered, high- quality academic… more
- CVS Health (Nashville, TN)
- …effectiveness of Medicare regulatory activities, including intuitiveness, timeliness, accuracy, quality , and business partner and health plan satisfaction. + ... to deliver solutions that balance the demands of a highly regulated Medicare environment including health plan contractual obligations, enterprise priorities,… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- …for the development and management of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central ... Medicare Biller The CommuniCare Family of Companies currently...Indiana, West Virginia, Virginia, and Maryland. Since 1984, CommuniCare Health Services has provided superior, comprehensive management … more
- BrightSpring Health Services (Chattanooga, TN)
- …facility roll-out meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and ... will use a consultative sales approach to encourage enrollment in a Medicare Advantage plan by present product options to prospective members while understanding… more
- UCLA Health (Los Angeles, CA)
- …Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ), preferred * Master's degree in health services administration, ... goals, track progress, address challenges, and maintain the highest quality standards, ensuring programs align with UCLA Health...in healthcare program management , ideally within a Medicare Advantage plan or health insurance setting,… more
- Medical Mutual of Ohio (OH)
- …and the communities around us and help our members achieve their best possible health and quality of life. ** Medicare Sales Operations Specialist** Executes ... mind to more than 1.6 million Ohioans through our high- quality health , life, disability, dental, vision and...month). Technical Skills and Knowledge: + Comprehensive knowledge of Medicare health care products and services, sales… more
- The Cigna Group (Bloomfield, CT)
- …pharmacist is primarily tasked with meeting the clinical needs of the Medicare Standard Formulary and Utilization Management product offering. This position ... in ICOG, the Standard Criteria Team in ICOG, the Medicare Formulary Management team, the Medicare...internal clinical committees for review and approval. + Performing quality control on Medicare criteria branching logic… more
- Medical Mutual of Ohio (OH)
- …we are trusted by businesses and nonprofit organizations throughout Ohio to provide high- quality health , life, disability, dental, vision and indemnity plans. We ... all attempts in tracking software. . Collaborates with Clinical Intervention Pharmacists on Medicare Stars and other quality initiatives, with a strong focus on… more