Project Manager - Medicare Advantage & CMS Programs Work from Home, within the Continental United States @Orchard... for under-served communities. The Project Manager will support the Services Related to Oversight Activities of Medicare Advantage...
Project Manager – Medicare Advantage & CMS Programs Work from Home, within the Continental United States @Orchard... for under-served communities. The Project Manager will support the Services Related to Oversight Activities of Medicare Advantage...
knowledge of Medicare Advantage operations, NCQA Standards, CMS Star Ratings, and health services program requirements... of key initiatives for the UCLA Health Medicare Advantage Health Plan. In this role, you will: Oversee the planning...
knowledge of Medicare Advantage operations, NCQA Standards, CMS Star Ratings, and health services program requirements... of key initiatives for the UCLA Health Medicare Advantage Health Plan. In this role, you will: Oversee the planning...
for bid filing in CMS’ Health Plan Management System (HPMS). The Senior Manager will also be responsible for either directly... experience with three to five years of experience with Medicare insurance products required. At least two years of CMS bid...
and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage... and assist in the review of provider agreements. Acts as project manager over large internal risk adjustment projects (e.g...
care operations including HEDIS, CMS reimbursement models, and Medicare Advantage Proficiency in Microsoft Word, Excel... and analysis of data and business processes. The Senior Account Manager will develop and sustain a strong day-to-day relationship...
initiatives across all lines of business (Medicare Advantage and other applicable programs). The HEDIS Manager is a key leader... in HEDIS, quality improvement within a Medicare Advantage, DNSP or Medicaid health plan. Minimum 4 years of leading staff...
of and experience with of Medicare payment, Medicare Advantage, and other healthcare policies and systems Ability to analyze...5200 Virginia Way, Brentwood, Tennessee, 37027, United States of America The Healthcare Regulatory Policy Manager...
audits for CMS (for Medicare Advantage), HSAG (for QUEST Medicaid), and NCQA (all HMSA lines of business) Performs...-matter experts in handling appeals for each HMSA line of business (i.e., QUEST Medicaid, Medicare Advantage, self-insured...
or certification in Accounting, Finance, or related field. Knowledge and experience on Medicare Advantage Member and Enrollment... monitoring, establishing tasks, setting goals and evaluating of employee work performance, reviewing operational programs...
by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people going the extra mile... Five (5) years of project management experience Two (2) years of experience using Microsoft Office, including Excel...
clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special... Commercial, Medicare, Medicare Advantage, Medicaid or associated lines of business New population identification, program design...
five-star rating by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people.... Develop and implement quality control programs. Inspect and review projects to monitor compliance with building and safety...