\ \ As an enabler of Enterprise Strategic Priority for Medicare Advantage Growth, the Cornerstone program will drive a competitive administrative cost…
\ Job Summary:This position will focus on Stars and Risk Adjustment (RA) performance and solution enablement activities, with an emphasis on process…
\ \ As an enabler of Enterprise Strategic Priority for Medicare Advantage Growth, the Cornerstone program will drive a competitive administrative cost…
\ This is a hybrid role and will require the ability to work in person. Must reside near one of these locations:…
\ \ Work Location Remote, United StatesSummary:The Quality Review & Governance Lead Auditor for IFP supports the U.S. Government Governance team as…
\ POSITION SUMMARY: The Pharmacy Auditor, Lead Analyst is responsible to identify pharmacy audit risks using analytical skills and audit tools and…
\ Hours: 8:30 am 5:00 pm based on your time zone Position Summary: Responsible for collaborating with healthcare providers, members, and business…
\ On Site Locations (requires individual to work in office, must live in/or near one of these locations): Scottsdale, AZ Bloomfield, CT…
\ Office Locations Bloomfield, CT; Philadelphia, PA; Nashville, TN; Austin, TX, Houston, TX or Scottsdale, AZ (Must live in/or near one of…
\ The Quality Review and Audit Lead Representative is responsible for supporting Accredo\\xe2\\x80\\x99s organizational goals of delivering high quality service to our…
\ Hours: 8:30 am 5:00 pm based on your time zone Position Summary: Responsible for collaborating with healthcare providers, members, and business…
\ We are seeking a detail oriented organized Risk Adjustment Analyst to join the Individual and Family Plans (IFP) Operations Team. Reporting…
\ Job Description Summary Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and…
\ Hybrid Role Must reside near Philadelphia, PA Summary The Provider Performance Enablement Sr. Analyst will be a key representative in Medicare…
\ Job Summary:The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role,…
\ \ Work Location Remote, United StatesSummaryGeneral Purpose: To perform standardized telephonic evaluations of both internal and external agents in order to…
\ \ Work Location Remote; Nashville, TN or Birmingham, AL or Mobile, AL or Houston, TX (must be located in/or near one…
\ \ Quality Review and Audit Lead Representative AbstractionThe Quality Review and Audit Lead Representative is responsible for supporting our efforts to…
\ What You\\\'ll Do CareAllies Provider Engagement Representative is designed for someone early in their career to further develop management skills and…
\ \ Work Location Remote; Nashville, TN or Birmingham, AL or Mobile, AL or Houston, TX (must be located in/or near one…