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Must have 3+ years of experience in Medicare/Medicare Advantage along with value based care. Value based care contracting support and ongoing financial and risk analysis.
Full-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The role utilizes data platforms and produces reports related to healthcare administrative data (including but not limited to healthcare eligibility and claims data) as well as clinical data relevant to population health management initiatives and value-based contract performance such as data elements necessary for traditional Healthcare Effectiveness Data and Information Set (HEDIS) quality measure reporting and data related to care coordination interventions.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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As an actuarial leader on the team you will own key processes across Total Medical Claims projections, forecasting, pricing, and value-based contract analytics. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.
RemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Analysis of Medicare Advantage and Accountable Care Organization data primarily. Lead continuous evaluation of risk based funding and scoring performance compared to plan expectations. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes.
RemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Serves as a subject matter expert in quality and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Schedules appointments related to preventive care, chronic disease management, and/or integrated behavioral health.
Work from homeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Define Marketing approach for the existing fee-for-service and emerging value based care business models in home health, with consideration for how the business fits within the overall care delivery system at Humana.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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NCA Directors shape company direction including developing value-based paymentmodels, evaluating new business opportunities within and beyond kidneycare, and shaping company-wide strategies and initiatives to solve suchproblems as: increasing accessibility to critical procedures for kidneypatients, improving home dialysis adoption, and defining early stageChronic Kidney Disease value-based care models.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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RNDC values the health and well-being of our associates, inside and outside the office, offering dynamic health and wellness benefits that supply exceptional care and value. Requires a current Class B CDL driver's license (Class A CDL license also allowed and may be required for positions based on location); ability to meet company vehicle insurance requirements.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
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Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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We take our value, Dedicated to Diversity & Inclusion, very seriously and will never discriminate against a candidate or client based on any protected classes. To Apply for this Job Click Here Our client is seeking to add an Acute Care Nurse Practitioner to their growing team.
$125,000 - $130,000Full-timeExpandUpdated 23 days ago - UpvoteDownvoteShare Job
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Our value-based care model and competitive bonuses are structured to reward outcomes, drive low hospital admissions, deliver preventive medicine, and result in an unmatched patient experience.
$122Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Manages day-to-day research activities of a team of advanced analysts in a particular subject matter domain (e.g. Value-Based Care, Care and Disease Management, Vendor Solutions, Utilization Management, Performance Guarantees, etc.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Sound understanding of health plan and health system corporate, behavioral health and value based care strategies. Negotiate large complex value based care deals which includes proforma development.
RemoteExpandApply NowActive JobUpdated 5 days ago
value based care jobs in Tulsa, OK
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