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The Segment Marketing Senior Manager will oversee direct-to-consumer (DTC) marketing for the Cigna Medicare Part D (PDP) business, reporting to the VP of Marketing. DTC Marketing Senior Manager - Medicare - Hybrid page is loaded.
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The programs the AVP will have oversight for include but are not limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models (AAPM); Medicare Advantage; and commercial payer value programs.
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DTC Marketing Senior Manager - Medicare - Hybrid. Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. About Cigna Healthcare. This role will be responsible for developing and executing a multi-channel DTC marketing strategy focused on driving smart and measurable growth across the PDP product portfolio.
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Sound Physicians is forming its own Medicare Accountable Care Organization called Sound Physicians Long Term Care Management, LLC (LTCM) which will be a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) for Medicare Beneficiaries who reside in long-term care (LTC) facilities.
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Experience with Medicare Advantage STARS or Risk Adjustment. Works to develop and deliver high impact interventions, supporting content development and practice transformation embedded capabilities to significantly improve provider performance that drive cost of care and improve HEDIS/Stars where applicable.
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The AVP will play a key leadership role on the HQRI team, partnering directly with the HQRI leadership team, leaders across the enterprise, including Market leadership, and external companies to create Medicare Risk Adjustment strategies to support Humana's industry leading position.
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An active, independent California Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Clinical Psychologist Residence in Tennessee Though we do not require our providers to see Medicare patients, you must not have opted out from Medicare Have access to reliable and stable internet while working remotely; experience with Google Suite is a plus.
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Under direction of the Vice President for Strategic Planning and Marketing, provides business intelligence insights to executive leadership and marketing, by extracting, analyzing, trending, visualizing, mapping and reporting hospital market data (state and Medicare data), as well as demographic data, strategic planning information, and other research findings.
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Analytics experience with Medicare Advantage, Medicare FFS, MSSP and ACO programs, and commercial populations. Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for providers and health systems.
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Proficiency with data visualization tools such as PowerBI, Tableau, or Sigma Familiarity with Snowflake or other cloud-based query applications Actuarial/statistical based analysis Experience with extraction, transformation, and loading disparate healthcare data sources Demonstrated ability to work on multiple projects simultaneously while leading a team Understand current issues in health care financing, delivery, policy, and regulations.
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You have a general understanding of healthcare areas, such as claims processing, EHRs, medical billing and coding, value-based care models, and Medicare/Medicare Advantage. You have a general understanding of healthcare areas, such as claims processing, EHRs, medical billing and coding, value-based care models, and Medicare/Medicare Advantage.
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Provide education and support related to regulatory bodies/surveys, including but not limited to: FDA/MQSA; Nuclear Regulatory Commission (NRC); specific state laws related to imaging equipment and licensure; Joint Commission; CMS/Medicare.
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Our primary care physicians are true hands-on caregivers transforming the health and lives of seniors on Medicare Advantage. Holistic Health Services: Acupuncture, Tai Chi, Yoga and Nutrition. Through our Value Based Care approach, you and your patients thrive in our high-touch, relationship-centered model – something the traditional, FFS healthcare model cannot provide.
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Working knowledge of Medicare compliance, OSHA, and HIPAA. Comprehensive understanding of fee schedules, payor policies and managed care contracts, including Medicare and Medicaid. Strong working knowledge of ICD-10, CPT, HCPCS, referrals and pre-certification procedures, as well as documentation guidelines.
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Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and return on investment based on historical data and project variables. Experience in using business intelligence, data visualization, query, analytic and statistical software to build solutions, perform analysis and interpret data (SSRS, Power BI, Tableau.
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medicare job in Brentwood, TN
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