Associate Director, Actuarial - Remote
following: Government Programs, Medicare Advantage (MA) products, CMS ACO/Alternative Payment Models, and/or VBC modeling...
following: Government Programs, Medicare Advantage (MA) products, CMS ACO/Alternative Payment Models, and/or VBC modeling...
-support tools aligned with CMS guidance, plan benefits, and industry standards Collaborate and engage on authorization... meet CMS standards and timelines;partner with PBM for operational execution Quality, Analytics and Performance...
working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects Knowledge of the...
working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects Knowledge of the...
Affairs to assist the nursing department in addressing and meeting regulatory requirements (such as CMS, DOH, TJC...
compliance with standards from The Joint Commission, CMS, NJDOH, OSHA, and other governing bodies. Conduct rounding...
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Expertise in CMS programs and VBC performance metrics Strategic and analytical mindset Strong negotiation and relationship...
(e.g., national mortality data, CMS), link datasets, and build processes for novel data types (geospatial, environmental...
Experience with Martech platforms including GA4, Eloqua, Sitecore CMS, Sprout Social, and Dynamics CRM Metro DC (DC/VA/MD...