Medicare Advantage Jobs
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Search Results - Medicare Advantage Jobs
CommunityCare-Tulsa
Job Description
JOB SUMMARY:
The Director of Risk Adjustment is responsible for the strategic design, implementation, and oversight of CCOK’s risk adjustment program for both ACA and Medicare Advantage businesses. This individual will coordinate...
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Premier Physician Services, LLC-Dundee (FL)
Join a thriving and expanding managed care group in Dundee, Florida that is dedicated to delivering value-based care and improving patient outcomes. We are seeking a Primary/Managed Care Physician with Medicare Advantage experience to become part...
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MASC Medical Recruitment Firm-San Diego
and mission-driven physician leader to serve as the Program Medical Director for multidisciplinary care programs supporting complex Medi-Cal, Medicare Advantage, and dual-eligible populations.
This role blends clinical leadership with strategic oversight...
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Amazon-San Francisco
include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an actuarially sound monthly reserving process for Total Medical Expense (TME) estimation, and lead continuous evaluation of TME performance compared...
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Impresiv Health-Huntington Beach
Ratings and HEDIS.
What You Will Do:
• Develop and execute the enterprise-wide Medicare Advantage risk adjustment strategy aligned with organizational goals and CMS requirements.
• Serve as a subject matter expert on CMS-HCC models, risk score...
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Ami Network-Pasadena
that offers full-service Medicare Advantage coverage across multiple counties in California, currently serving over 60k+ members from major Health Plans like Anthem, SCAN, and Alignment Health.
As the Utilization Review Director, you'll oversee 4 direct...
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Premier Physician Services, LLC-Palmetto (FL)
Join a thriving and expanding managed care group in Palmetto, Florida that is dedicated to delivering value-based care and improving patient outcomes. We are seeking a Primary/Managed Care Physician with Medicare Advantage experience to become part...
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1 similar job: Bradenton
myMDcareers-Memphis
Growing group in Memphis, TN seeks a cardiologist to work with primary care providers. The role involves lots of geriatrics, primarily office-based with occasional inpatient duties. Managed Care/Medicare Advantage experience is preferred...
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Presbyterian Healthcare Services-Socorro (TX)
14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free...
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mindmatch.ai -
CoxHealth-Lake Spring
Description
• Negotiate a multitude of contract documents, including, but not limited to, Managed Care Organization, Medicare Advantage, Medicaid Managed Care, Accountable Care, Commercial, workers compensation and employer group contracts; utilize...
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The Laurels of Bon Air-Richmond
for claims generated by facility:
• Review the Medicare, Managed Care, Medicare Advantage and Medicaid UB, CHAMPS, WebDenis.
• Record deposits and withdrawals in Resident Trust.
• Close Resident Trust accounts timely and complete bank reconciliation monthly...
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Holly Creek-Centennial
physician certifications for Medicare, Medicare advantage, and other covered stays per defined procedures.
• Provides educational training to other staff on confidentiality issues and changes or updates of state or federal regulations.
• Responsible...
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National Coalition Of Healthcare Recruiters-Arcadia (FL)
patient base.
• Must have Medicare Advantage and value based-care experience.
• Full Benefits Package
• All inquiries and conversations are strictly confidential....
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nchcr.com -
TekWissen LLC-Detroit
and Public
Job Description:
Top 3 Required Skills/Experience:
• Four-year college degree.
• Working in healthcare with retirees and retiree populations
• Knowledge of healthcare industry and Commercial and Medicare Advantage health plans
Required Skills...
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jobvertise.com -
Senior Benefits Agency-Tampa
their Medicare insurance needs.
• Provide comprehensive information about Medicare Advantage plans, Supplement plans, and other related products.
• Guide clients through the application and enrollment process, ensuring compliance with regulations.
• Build...
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resume-library.com -
3 similar jobs: Scranton, Norfolk, Sacramento
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