• ACO Value Based

    RWJBarnabas Health (Somerset, NJ)
    ACO Value Based Program Coordinator (Part-Time) - Somerset, NJReq #:0000173345 Category:Nurse Case Manager Status:Part-Time Shift:Day ... the right care, at the right time, by the right people. The Value Based Program Coordinator will utilize skilled intervention, clinical best practice… more
    RWJBarnabas Health (10/25/24)
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  • ACO Behavioral Health Care Coordinator…

    Fallon Health (Waltham, MA)
    …as Behavioral Health and Long-Term Services and Supports. + May refer members to Flex Program as applicable depending upon the ACO the member is affiliated with. ... **Overview** **The ACO Behavioral Health Care Coordinator position is working...+ Refers qualifying members to Behavioral Health Case Management based on program protocol. + Maintains and… more
    Fallon Health (10/25/24)
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  • Executive Director, Payor Medical Economics…

    CVS Health (Springfield, IL)
    …for pricing, reserving, and medical cost/utilization trends under a variety of program requirements including value - based arrangements, MLR calculations, ... a CVS Healthspire business, is a strategic partner in value - based care serving more than 1M Medicare...and over 60K provider partners across 230 clients in ACO REACH, Medicare Shared Savings Program (MSSP),… more
    CVS Health (11/03/24)
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  • Coordinator, ACO Quality - Hawaii Health…

    Hawaii Pacific Health (Honolulu, HI)
    …and support in the development, implementation, and maintenance of HHP quality programs, and value based program management and initiatives. We are looking ... the development of new programs and make viable recommendations based on solid data to achieve our mission to...or clinical health care experience involving support, office or program management skills, progressive level of responsibility with a… more
    Hawaii Pacific Health (10/18/24)
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  • Partner Engagement Manager

    Genesis Healthcare (Kennett Square, PA)
    ACO contracted primary care groups to optimize their success in LTC ACO 's Medicare Shared Saving Program . The Partner Engagement Manager's top priorities are ... Partner Engagement Manager to join our Advanced Care Organization ( ACO ) team. This is a 100% remote position. The...of experience in Practice Management is required. Experience in value - based care programs or long-stay facility operations… more
    Genesis Healthcare (10/29/24)
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  • Executive Director - Population Health

    CVS Health (Austin, TX)
    …and maintain these programs, as well as drive innovation in service of value - based care principles and outcomes. Together with the clinical teams, product ... and Partner Success leaders to meet long term goals of collaborative, value - based reimbursement arrangements. - Actively collaborates and partners with the… more
    CVS Health (10/24/24)
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  • Business Analytics Lead Analyst (Medicare…

    The Cigna Group (Nashville, TN)
    …Lead will be an individual contributor responsible for providing analytics supporting value - based care capabilities for Accountable Care. This role will be ... responsible for executing analytics around ACO /Risk Bearing Entity programs to help measure and evaluate...provide analytical reporting for use in evaluation of our value - based care programs. **Responsibilities** + Create tools… more
    The Cigna Group (11/08/24)
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  • Post-Acute Liaison

    Methodist Health System (Dallas, TX)
    …managed under the ACO . * Design, implement and oversee hospice monitoring program for Medicare Advantage value based agreements. * Design, implement ... and oversee home health needs assessment and program for Medicare Advantage value ... agreements. *Design, implement and oversee home health recertification program for ACO physician offices. With continuous… more
    Methodist Health System (10/08/24)
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  • Program Manager for Primary Care Strategy…

    State of Massachusetts (Boston, MA)
    …Care and Behavioral Health Unit manages a variety of programs including the ACO program , Community Partners program , Flexible Services program ... addition to their role supporting the primary care sub-capitation program , this person may also support broader ACO...incentives for primary care providers to focus on the value of services provided, shifting away from volume- based more
    State of Massachusetts (10/25/24)
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  • Government Health Actuary Consultant

    Deloitte (Fort Lauderdale, FL)
    …product strategy + Experience with reimbursement models including value based care/ ACO modeling + Ability to program using SQL + ASA with progression to ... and human resource performance and establish a culture focused on adding business value ? That is what the new generation of human resource transformation is all… more
    Deloitte (11/08/24)
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