Candidates must possess an active and unencumbered medical license in the state of Ohio, demonstrating a commitment to providing quality medical care. Furthermore, they should be comfortable learning and adapting to new technologies, and a willingness to obtain additional state licenses for collaborations is preferred.
Candidates must possess an active and unencumbered medical license in the state of Georgia, along with a willingness to obtain other state licenses for additional collaborations. Familiarity with evidence-based guidelines and comfort with learning new technologies are also required.
Candidates should possess 10+ years of experience in recruiting and managing provider networks, including negotiating, reviewing, and amending contracts with hospitals, physicians, physician groups, and ancillary providers using various payment methodologies. Strong knowledge of contracting processes and various payment methodologies is required, along with the ability to navigate Google or MS Suite of products.
Candidates should possess a strong background in healthcare economics, data analysis, and strategic planning, coupled with a deep understanding of healthcare delivery systems and reimbursement models. They should have prior experience in a public company setting, understanding how to identify and manage medical cost drivers effectively, and demonstrate skills of a Medical Expense Actuary with operational, financial planning, and corporate finance analytical expertise. A Bachelor’s degree in Actu…
Candidates should possess a strong background in healthcare economics, data analysis, and strategic planning, along with a solid understanding of healthcare delivery systems and reimbursement models. A relevant advanced degree, such as a Master’s in Actuarial Science, Public Health, or a related field, is preferred, and professional actuarial credentials (e.g., ASA, FSA) are highly desirable. Experience in medical economics and/or medical expense analysis is also required.
Candidates must possess a valid State Health Insurance License in good standing, an unrestricted driver’s license, strong presentation and communication skills (both verbal and written), and active listening skills. They should also demonstrate strong organizational skills, relationship-building abilities, and the capacity to collaborate effectively. Knowledge of systems and technology, data analytics, marketing strategy, and value proposition, along with adherence to CMS Medicare Marketing Guid…
Candidates should possess a college degree preferred, and must be licensed as an insurance producer in the state of residence or obtain such license within 90 days of hire and maintain it in good standing. They should also have proven ability to engage in community-based marketing, stellar communication skills, and the ability to easily adapt to an agile work environment, along with technical savviness and a customer-service oriented approach.
Candidates should possess at least 5 or more years of experience in the healthcare industry, preferably supporting Medicare Advantage, and 5-10 years of experience in a sales position is preferred. Previous training experience is preferred, along with proficiency in PowerPoint, Word, and spreadsheet skills, and familiarity with learning management systems. Strong analytical and problem-solving skills, excellent written and verbal communication skills, and the ability to work independently and mu…
Candidates should possess a Bachelor’s degree in healthcare, business, finance, accounting, or a related field, and a minimum of 3 to 5 years of overall auditing experience within the healthcare industry, encompassing both external and internal auditing. They should have experience evaluating financial (MAR and SOX), technological, operational, and compliance risks and controls, along with professional certifications such as Certified Internal Auditor, Certified Fraud Examiner, Certified Public …
Candidates should possess a Bachelor’s degree in a related field and 3-5 years of relevant actuarial experience in a health plan or insurance regulatory setting, with progress toward the Associate of the Society of Actuaries designation demonstrated by passing 2 or more actuarial exams. They must also have familiarity with statutory accounting principles, regulatory reporting requirements, and risk-based capital, along with strong analytical skills and the ability to work in a fast-paced startup…
Candidates must possess an active and unencumbered Alabama state Medical License and be comfortable learning and adapting to new technologies. The role requires maintaining an active and valid medical license.
Candidates must possess a PharmD or equivalent advanced degree in pharmacy and have 4-6 years of experience in pharmacy utilization management, specifically with Medicare Part B drugs and biologics, or in health plan strategy roles. A strong understanding of Medicare Part B and D regulations, CMS audit protocols, and pharmacy benefit design is essential, along with proven experience leading cross-functional initiatives using data for improvements. Exceptional written and verbal communication, as…