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Working knowledge in any of the following areas: Medicare Advantage, Medicare Shared Savings Program (MSSP), Managed Medicaid and DSRIP, Commercial HIX, managed care regulations, quality reporting, care management, population management, ACO strategy implementation and operations, and supporting providers in risk-based contracts.
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All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. Acts as a key member of the team and is instrumental in creating a scalable, high-quality partnership model responsible for delivering sustainable population health outcomes in collaboration with health systems, payers, and providers.
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Merchandiser Retail Coverage - Walmart - PRIMARY General Information Company: ACO-US Location: MARIETTA, Georgia, 30060 Ref #: 43384 Function: Merchandising Employment Duration: Part-time Description and Requirements As a Merchandiser Retail Coverage - Walmart - PRIMARY at Acosta, you’ll ensure Acosta’s client brands stand out at Walmart stores by driving product availability.
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Working knowledge of the CMMI Direct Contracting or Accountable Care Organization (ACO) program(s) Support the Government Programs & Provider Risk Actuarial Models team's development of actuarial models to be used for medical expense and trend analysis and forecasting, provider risk contract evaluation, and ACO REACH / MSSP performance evaluation.
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The Senior Actuarial Consultant will lead actuarial workflows in support of ACO REACH & MSSP performance evaluation and forecasting. 2+ years working with a CMMI ACO Model (of any kind) is strongly preferred.
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Lead provider risk contract evaluations and ACO REACH / MSSP performance evaluations, interfacing with internal NeueHealth team and external consulting actuaries. Lead the evaluation of financial implications of provider participation in networks for ACO REACH / MSSP opportunities.
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Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multi-specialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
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Outside Sales Representative PERSONAL and Protected Territory in IN
$45,000 - $75,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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About Steward Health CareNearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. Steward will consider requests for exemptions from this vaccine requirement on the basis of medical condition or sincerely held religious belief in accordance with applicable Federal laws.
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Perform ad-hoc data analysis using Excel, SAS, SQL (Databricks). In addition, this role leads value-based contracting (VBC) workflows to include evaluation and forecasting of full and partial risk arrangements between NeueHealth affiliated providers and payors from multiple LOBs (Commercial, Medicare Advantage, Medicaid, etc.
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As pioneers in value-based care and innovators in medicine, we are consistently ranked as a top Accountable Care Organization (ACO) nationally. Success in Value-Based Care: Our ACO is among the most successful in the country, consistently achieving high-quality ratings and shared savings bonuses.
$220,000 - $260,000 a yearExpandUpdated 6 days ago - UpvoteDownvoteShare Job
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Proficient in Microsoft Excel (VBA, advanced data visualization, etc.) Experience with forecasting, modeling, SQL (Databricks experience is a plus) Lead quarterly medical expense analysis, IBNR / Reserving (monthly), and forecasting process, with assistance from actuarial analyst staff.
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Healthcare Domain Knowledge: Conceptual understanding of how hospitals and systems work, how theyre paid by commercial carriers and the government, and how changing reimbursement is necessitating that hospitals and health systems be able to identify and manage risk; be able to decipher the healthcare-alphabet-soup that includes ACA, ACO, AMA, BMI, CMS, through to HIE and HIPAA, etc.
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Prepares and communicates all needed documentation requested by carriers and ACO. Busy internal Medicine and Primary Care office in Rockledge Florida, is seeking a Certified Medical Assistant or LPN for immediate need.
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Bachelors degree required in Math, Statistics, Economics, Actuarial Science, or a related field. 2+ years working with individual/small group ACA rate filings or Medicare Advantage bids is preferred. 4+ years of actuarial experience with 5+ years working within healthcare.
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aco job
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