- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and ... Other Administrators. Provider Performance Enablement (PPE) is...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- The Cigna Group (Atlanta, GA)
- …Georgia market, incumbent candidate will work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of a ... groups. The role of Senior Advisor with the Provider Performance Enablement team takes...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- The Cigna Group (Denver, CO)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative's ... Advantage business in their market in the following aspects: **Growing the Medicare Advantage** **Business** The Provider Performance External Representative… more
- Baylor Scott & White Health (Dallas, TX)
- …and commercially available for B2B customer channels. - Achieve breakeven or better performance on Medicare Advantage line of business with demonstrably better ... Reporting to the EVP, Chief Financial Officer, the SVP Value-based Care Enablement & Employer Solutions will be responsible for providing strategic direction and… more
- Humana (Frankfort, KY)
- …and direction. The candidate will be a member of the Procurement Center of Enablement 'C4E' team and will be responsible for the following: + Lead/manage the ... arise, deliver guidance / training on processes and systems, provide subject matter expertise and insight on future projects...internet expense. + A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is… more
- Humana (Montgomery, AL)
- …us put health first** The Associate Vice President (AVP) of Sales, Group Medicare and Specialty Marketing and Enablement plans and executes marketing campaigns ... an impact** **Key Responsibilities** This incumbent will specifically lead the Sales Enablement and Engagement, Group Medicare and Group Specialty and Individual… more
- CVS Health (New Albany, OH)
- …will focus on HEDIS Hybrid, STARS, Performance Improvement Plans, provider & member enablement , regulatory and accreditation compliance. This individual ... experience in healthcare/managed care leadership roles with experience in HEDIS/Medicaid/ Medicare /Duals/IFP Quality program performance management, analytics, reporting… more
- Conviva (Tallahassee, FL)
- …of the divisional teams through use of people, processes, and technology enablement (including Annual Proof of Documentation (APD) tool) + Responsible for ... performance management and strategy development for PCO risk adjustment...establish risk adjustment analytics to identify coding improvement opportunities, provider coding improvement opportunities, risk score trending and tracking.… more
- Conviva (Tallahassee, FL)
- …of the divisional teams through use of people, processes, and technology enablement (including GenAI) + Responsible for performance management and strategy ... to establish risk adjustment analytics to identify coding improvement opportunities, provider coding improvement opportunities, risk score trending and tracking. +… more
- Humana (Louisville, KY)
- …Management, Configuration, Availability and Change management routines. This leader will provide the vision, plan, and governance to guide the IT organization ... fast incident resolution, effective problem root cause analysis, and seamless change enablement - all delivered with industry-leading stability. Reports to the VP of… more