Health Plan Operations

Sentara, Cone Health to form $11.5B system | Becker’s Hospital Review | 8/12/2020

… Optima Health Plan and Virginia Premier Health Plan, which serve 858,000 members, while Cone Health runs a Medicare Advantage plan with 15,000 members. Mr. Akin said the health systems plan to eventually combine their health plan operations . The deal, which is subject to regulatory approval, is expected to close in mid-2021. Mr. Kern and Mr. Akin said merger discussions began about a year ago, but slowed at some points …

DataLink’s Evoke360 Automates Data Extraction from Electronic Health Records to Continuity of Care Document files, Closes Care Gaps and Improves Payer and Provider Connectivity | Business Wire | 8/11/2020

… payer and provider. Giarth adds, “Our nation’s healthcare systems need what Evoke360 offers: optimized care quality, reduced administrative burden, enhancements for value-based care and improved financial performance and communication, with visibility into all health plan operations in one point-of-care solution.” About DataLink Software DataLink Software (DataLink) is a healthcare technology company that empowers better health by enabling payers, providers and risk-bearing entities with real-time data …

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VP, Employer Sales | 8/6/2020

… Develop broker marketing strategies and materials. Responsible for sales call center stand-up and execution as well as the broker service unit for Self-funded sales. Assist with product design, marketing, new technology products, health plan operations . This position has supervisory responsibilities for the Self-funded Distribution team. EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE Bachelor’s degree required, Graduate degree preferred or fifteen (15) years of experience in self-funded sales and …

Clever Care of Golden State Receives Knox-Keene License From California Department Of Managed Health Care | PRWeb | 7/29/2020

… launch Medicare Advantage products this Fall to serve Medicare eligible enrollees in Southern California” said Dave Firdaus, CEO of Clever Care Health Plan . The DHMC is the state regulatory agency that oversees California HMO health plan operations to ensure that health care service plans provide enrollees with access to quality health care services and protect and promote the interests of enrollees. It grants health service plans with the license under …

Peter Janelle Joins Vital Data Technology as Director of Risk Adjustment Solutions | PR Newswire | 6/30/2020

… has joined the company as Director of Risk Adjustment Solutions. Peter brings a decade of experience working with health plans as they developed and implemented their risk adjustment strategies and programs. His expertise in health plan operations and risk adjustment programs and extensive knowledge of Medicare Advantage finance, including risk adjustment, Star, value-based arrangements, and healthcare economics will drive value both for Vital Data Technology and its clients. “Vital …

Medicare Advantage plans face ‘double whammy’ of pent-up care demand and risk scores: experts | FierceHealthcare | 6/5/2020

… then could be faced with higher healthcare costs due to pent-up demand from delayed care. “You see a double whammy with the impact of risk scores,” said David Weathington, senior vice president of health plan operations for Clover Health, during the virtual series. RELATED: Half of physicians now using telehealth as COVID-19 changes practice operations After the SARS epidemic in the early 2000s, over the next 6 to …

UCare: Business Reporting Analysis Senior - EDI | Star Tribune | 3/31/2020

… limited to BusinessObjects and SQL • Other projects and duties as assigned. Education Bachelor’s degree in business, IT or related field; demonstrated experience may be considered. Required Experience Seven years of business analysis experience within health plan Operations or IT. Five years of data analysis experience. Five years of experience in report development, including SQL queries. Experience working with business experts to evaluate complex data requirements. Preferred Experience Health Plan Operations

Rvp Medicaid East Regional Ops - USA-FL-Fort Lauderdale | 3/27/2020

Profile RVP Medicaid East Regional OpsThe candidate will be responsible for leading and directing Regional Operations areas of a Medicaid Region in East Central or West. Oversight of the Health Plan operations strategies for the Region, as well as initiatives. Primary duties may include, but are not limited to: Oversees Health Plan Operational leads, as well as Regional Operations pillars, currently including: 1.Provider Oversight and Execution Team. 2.Escalated …

Health Plan Operations Transportation Coordinator - Metairie, LA - UnitedHealth Group - Metairie, LA | 3/15/2020

… of Transportation Vendor claims Possess strong attention to detail with the ability to think in a logical and structured manner to identify problems and present solutions for consideration Complete research as needed by the Health Plan Operations team analyzing and composing data into a useable format. Leverage strong communication skills (verbal, non-verbal, and written) with a demonstrated ability to communicate ideas clearly and concisely with peers, superiors, members, and …

Senior Analyst - RMHP/UHC C&S - Grand Junction, CO (telecommute option) - UnitedHealth Group - Grand Junction, CO | 3/6/2020

… anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct research, statistical, and analytical studies as directed on health plan data to fulfill internal and external reporting requirements related to health plan operations and a variety of health plan related issues Interpret and analyze information, conduct cost benefit analyses, and financial assessments to be used in business planning. Provide pros and cons of various potential options …

(USA) VP & GM - Accountable Care (Health Plan Operations) | 12/19/2019

… delivering the highest possible quality and value health care in partnership with the faculty of the School of Medicine and Stanford Children’s Health, Stanford Health Care. The Vice President (VP) is responsible for leading Health Plan Operations reporting to the Chief Financial Officer of Stanford Health Care. The VP will partner with colleagues in finance, clinical services, operations and corporate health care services to deliver health care offerings to the …

Kaiser Permanente mental health clinicians launch 5-day strike | Becker’s Hospital Review | 12/16/2019

… 11 to Nov. 15 but was rescheduled for Dec. 16 to Dec. 20 after the death of Kaiser Chairman and CEO Bernard J. Tyson. Michelle J. Gaskill-Hames, senior vice president of hospital and health plan operations for Kaiser Permanente Northern California, told The Sacramento Bee Kaiser has made proposals that would provide excellent benefits, keep Kaiser therapists among the highest paid in the state, and provide workers with more …

Kaiser mental health workers start five-day strike – The San Francisco Examiner | 12/16/2019

… overwhelmed with unsustainable caseloads. Kaiser mental health workers previously went out on a five-day strike in December last year. In a statement Friday, Michelle J. Gaskill-Hames, senior vice president of hospital and health plan operations for Kaiser Permanente Northern California, said Kaiser has been working with an external, neutral mediator to help us reach a collective bargaining agreement with the NUHW. That mediator, Gaskill-Hames said, recently delivered …

(USA-LA-Metairie) Health Plan Operations Transportation Coordinator - Metairie, LA | 12/12/2019

Job Information UnitedHealth Group Health Plan Operations Transportation Coordinator - Metairie, LA in Metairie , Louisiana Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work. Let’s face it, no industry is moving faster than health care. And no organization …

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | PR Newswire | 11/27/2019

… than 22 years and is a recognized leader in providing outstanding service and high quality care to its members. Evolent and Passport formed an initial partnership in 2016 and Evolent currently provides support in health plan operations , clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake in Passport in partnership with University of Louisville and several other …

(USA-WA-Bothell) Specialist, Provider Appeals & Disputes | 11/27/2019

Molina Healthcare Specialist, Provider Appeals & Disputes in Bothell , Washington Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan’s operational departments, programs and services, in alignment with Molina Healthcare’s overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Inquiry/Services staff are responsible for the submission, research, and resolution …

(USA-OH-Columbus) Rep, Provider Appeals & Disputes | 11/27/2019

Molina Healthcare Rep, Provider Appeals & Disputes in Columbus , Ohio Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan’s operational departments, programs and services, in alignment with Molina Healthcare’s overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Inquiry/Services staff are responsible for the submission, research, and resolution …

(USA-WA-Bothell) Specialist, Provider Inquiry R | 11/27/2019

Molina Healthcare Specialist, Provider Inquiry R&R in Bothell , Washington Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan’s operational departments, programs and services, in alignment with Molina Healthcare’s overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Inquiry/Services staff are responsible for the submission, research, and …

(USA-CA-Long Beach) Manager, Provider Inquiry Research & Resolution | 11/27/2019

Molina Healthcare Manager, Provider Inquiry Research & Resolution in Long Beach , California Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan’s operational departments, programs and services, in alignment with Molina Healthcare’s overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Inquiry/Services staff are responsible for the submission, research …

Statement of Organization, Functions, and Delegations of Authority | 11/25/2019

… and Vol. 84, No. 32, p. 4470, dated February 15, 2019) is amended reflect the establishment of the Office of Program Operations and Local Engagement (OPOLE), and the abolishment of the Consortium for Medicare Health Plan Operations (CMHPO), the Consortium for Financial Management and Fee for Service Operations (CFMFFSO), and the Consortium for Quality Improvement and Survey and Certification Operations (CQISCO) to improve business alignment of the regional locations with …

North Carolina-based MCO Eastpointe Selects Altruista’s Technology Platform to Enable Integrated Care Management for Health Plan Members | PRWeb | 11/18/2019

North Carolina-based MCO Eastpointe Selects Altruista’s Technology Platform to Enable Integrated Care Management for Health Plan Members Share Article GuidingCare Platform is Foundational to Eastpointe’s Member Service Strategy Altruista Health has strong experience in clinical health plan operations , behavioral health and the social determinants of health. This experience makes it the best choice for us to improve our member services – Eastpointe CEO Sarah N. Stroud RESTON, Va. (PRWEB) November …

HAP Names Laurie Doran Chief Financial Officer | PR Newswire | 11/13/2019

… Most recently, she was a consulting partner to the Association of Community Affiliated Health Plans (ACAP) and served as a business strategy advisor to providers, payers, and government with a focus on growth opportunities, health plan operations and provider payment innovations. During her career, she served as chief financial officer and chief customer officer of BMC HealthNet Plan, which was established by Boston Medical Center and is one of the …

First Edition: November 11, 2019 | Kaiser Health News | 11/11/2019

… At 60 Kaiser named Gregory Adams, an executive vice president and group president, as interim chief executive and chairman. Mr. Tyson joined Kaiser Permanente roughly 30 years ago and held roles in hospital and health plan operations before succeeding George Halvorson as CEO, Kaiser said. As he rose through the ranks at Kaiser Permanente, Mr. Tyson become a prominent voice for the type of integrated care the nonprofit system delivers …

Kaiser Permanente CEO Bernard Tyson Dies Unexpectedly At Age 60 | Kaiser Health News | 11/11/2019

… At 60 Kaiser named Gregory Adams, an executive vice president and group president, as interim chief executive and chairman. Mr. Tyson joined Kaiser Permanente roughly 30 years ago and held roles in hospital and health plan operations before succeeding George Halvorson as CEO, Kaiser said. As he rose through the ranks at Kaiser Permanente, Mr. Tyson become a prominent voice for the type of integrated care the nonprofit system delivers …

Health Plan Operations Change Management Consultant - Sugar Land, TX (Telecommuter) - UnitedHealth Group - Sugar Land, TX | 11/8/2019

Experience working with encounters CSP system knowledge Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That’s why you’ll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach …

Medicare Advantage

Medicare Advantage plans face ‘double whammy’ of pent-up care demand and risk scores: experts | FierceHealthcare | 6/5/2020

Medicare Advantage plans need to figure out how the delay of care due to the COVID-19 pandemic will impact their risk scores in the long term, experts say. Experts gave insights into the long … of risk scores,” said David Weathington, senior vice president of health plan operations for Clover Health, during the virtual series. RELATED: Half of physicians now using telehealth as COVID-19 changes practice operations After the …

Medicaid

Medicare Advantage plans face ‘double whammy’ of pent-up care demand and risk scores: experts | FierceHealthcare | 6/5/2020

… delayed care. “You see a double whammy with the impact of risk scores,” said David Weathington, senior vice president of health plan operations for Clover Health, during the virtual series. RELATED: Half of physicians now … experts said. A few months ago, the Centers for Medicare & Medicaid Services allowed diagnoses to be submitted to Medicare via telehealth. RELATED: Insurers concerned over how CMS will calculate Medicare Advantage star ratings in next …

Medicare

Medicare Advantage plans face ‘double whammy’ of pent-up care demand and risk scores: experts | FierceHealthcare | 6/5/2020

Medicare Advantage plans need to figure out how the delay of care due to the COVID-19 pandemic will impact their risk scores in the long term, experts say. Experts gave insights into the long … of risk scores,” said David Weathington, senior vice president of health plan operations for Clover Health, during the virtual series. RELATED: Half of physicians now using telehealth as COVID-19 changes practice operations After the …

Mental Health

Kaiser Permanente mental health clinicians launch 5-day strike | Becker’s Hospital Review | 12/16/2019

Psychologists, mental health therapists and other medical professionals at Oakland, Calif.-based Kaiser Permanente began a five-day strike Dec. 16 at facilities across California, according to the union that represents them. The National Union … Michelle J. Gaskill-Hames, senior vice president of hospital and health plan operations for Kaiser Permanente Northern California, told The Sacramento Bee Kaiser has made proposals that would provide excellent benefits, keep Kaiser therapists among …

University of Louisville

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract – Company Announcement - FT.com | Financial Times | 11/27/2019

… health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake in Passport in partnership with University of Louisville and several other provider organizations. That transaction is anticipated to close by the end of the year. Evolent will continue to provide services to Kentucky Medicaid beneficiaries through the existing contract period ending June 30, 2020 , independent …

Specialty Care Management

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract – Company Announcement - FT.com | Financial Times | 11/27/2019

… health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake in Passport in partnership with University of Louisville and several other provider organizations. That transaction is anticipated to close by the end of the year. Evolent will continue to provide services to Kentucky Medicaid beneficiaries through the existing contract period ending June 30, 2020 , independent …

Health Management

North Carolina-based MCO Eastpointe Selects Altruista’s Technology Platform to Enable Integrated Care Management for Health Plan Members | PRWeb | 11/18/2019

… Plan Members Share Article GuidingCare Platform is Foundational to Eastpointe’s Member Service Strategy Altruista Health has strong experience in clinical health plan operations, behavioral health and the social determinants of health. This experience makes it … About Altruista Health Altruista Health delivers care management and population health management solutions that support value-based and person-centered care models. Its GuidingCare® technology platform integrates care management, care coordination and quality improvement programs …

Population Health

North Carolina-based MCO Eastpointe Selects Altruista’s Technology Platform to Enable Integrated Care Management for Health Plan Members | PRWeb | 11/18/2019

… Plan Members Share Article GuidingCare Platform is Foundational to Eastpointe’s Member Service Strategy Altruista Health has strong experience in clinical health plan operations, behavioral health and the social determinants of health. This experience makes it … connectivity. About Altruista Health Altruista Health delivers care management and population health management solutions that support value-based and person-centered care models. Its GuidingCare® technology platform integrates care management, care coordination and quality improvement …

Utilization Management

Evolent Health Inc (EVH) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/6/2019

… oriented care model over a large geographic region and payers tend to managed care with claims based data and a utilization management approach versus a whole patient focus. This tension ultimately leads to friction between … MPC will begin the implementation process this month with full health plan operations slated to launch in January 2021. We believe this partnership will be a perfect example of how our integrated health plan and …

Home Health

True Nature Holding Announces New Board Member and CEO | Globe Newswire | 10/7/2019

… Inc., a leading healthcare analytics firm specializing in long-term and post-acute care using predictive analytics for skilled nursing, home health, Medicare & Medicaid payers, hospitals, and ACOs. While VP of Insignia Health he grew … he was Vice President driving their Medicare Advantage, pharmacy products, health plan operations, and M&A. He began his career at Merrill Lynch in private client banking. He earned his M.B.A. at the University of …

Integrated Health Network

McLaren Health Care To Acquire Indiana Health Plan | PR Newswire | 11/2/2017

… Health Care To Acquire Indiana Health Plan Acquisition marks system’s first expansion outside of Michigan; more than doubles size of health plan operations 09:15 GRAND BLANC, Mich. and INDIANAPOLIS , Nov. 2, 2017 /PRNewswire/ – McLaren Health … Health Care, headquartered in Grand Blanc, Michigan , is a fully integrated health network committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals, ambulatory surgery centers, imaging centers, a …

UnitedHealth

Peter Janelle Joins Vital Data Technology as Director of Risk Adjustment Solutions | PR Newswire | 6/30/2020

… of experience working with health plans as they developed and implemented their risk adjustment strategies and programs. His expertise in health plan operations and risk adjustment programs and extensive knowledge of Medicare Advantage finance, including … he spent eight years as Manager of Healthcare Economics for UnitedHealth Group. “Peter will lead the continued development and vision of the Vital Data Technology Risk Adjustment product offering. He will be working with customers …

Health Plan Operations Change Management Consultant - Sugar Land, TX (Telecommuter) - UnitedHealth Group - Sugar Land, TX | 11/8/2019

Experience working with encounters CSP system knowledge Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That’s why you’ll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach …

UnitedHealth Group

Peter Janelle Joins Vital Data Technology as Director of Risk Adjustment Solutions | PR Newswire | 6/30/2020

… of experience working with health plans as they developed and implemented their risk adjustment strategies and programs. His expertise in health plan operations and risk adjustment programs and extensive knowledge of Medicare Advantage finance, including … he spent eight years as Manager of Healthcare Economics for UnitedHealth Group. “Peter will lead the continued development and vision of the Vital Data Technology Risk Adjustment product offering. He will be working with customers …

Health Plan Operations Change Management Consultant - Sugar Land, TX (Telecommuter) - UnitedHealth Group - Sugar Land, TX | 11/8/2019

… and government partners to heal health care and create positive change for those who need it most. This is the place to do your life’s best work. SM Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender …

Evolent Health

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | PR Newswire | 11/27/2019

WASHINGTON Evolent Health, a company providing an integrated value-based care platform to the nation’s leading providers and payers, today announced that its partner Passport Health Plan received notification from the Kentucky Cabinet for Health … initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake …

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | PR Newswire | 11/27/2019

WASHINGTON, Nov. 27, 2019 /PRNewswire/ – Evolent Health, a company providing an integrated value-based care platform to the nation’s leading providers and payers, today announced that its partner Passport Health Plan received notification from the … initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake …

Tabula Rasa HealthCare

TRHC’s Peak Health Plan Management and eClusive Merge Operations | 9/6/2019

MOORESTOWN, NJ, September 6, 2019 – Tabula Rasa HealthCare (NASDAQ:TRHC), a leading provider of technology-enabled solutions to mitigate medication risk and improve health plan operations, today announced that its Peak Health Plan Management and eClusive units, providers of third party administration services (TPA), have combined and now operate as PeakTPA. PeakTPA processes insurance claims and provides “back office” services to healthcare organizations for optimized financial management and regulatory compliance …

TRHC’s Capstone Performance Systems Gains New Clients and Expands Services in 1Q19 | Globe Newswire | 5/14/2019

TRHC’s Capstone Performance Systems Gains New Clients and Expands Services in 1Q19 Technical assistance advising and Medicare risk adjustment services spur growth May 14, 2019 08:00 ET Source: Tabula Rasa HealthCare, Inc. MOORESTOWN, N.J., May 14, 2019 (GLOBE NEWSWIRE) – Capstone Performance Systems, a subsidiary of Tabula Rasa HealthCare, Inc . (TRHC) (NASDAQ: TRHC), a leading provider of technology-enabled solutions to mitigate medication risk and improve health plan operations, has introduced …

RAM Technologies

RAM Technologies Recognized by Philadelphia Business Journal for Innovations in Medicare Advantage Administration | PRWeb | 6/4/2019

RAM Technologies Recognized by Philadelphia Business Journal for Innovations in Medicare Advantage Administration Share Article Philadelphia Business Journal names RAM Technologies, Inc. to list of Top Tech Employers. We set out to simplify Medicare Advantage … administration of government sponsored healthcare programs, providing unparalleled automation across health plan operations including enrollment and disenrollment, benefit administration, provider contracting, reimbursement & credentialing, medical & utilization management, care management, premium billing, encounter / claims administration, overpayment recovery …

RAM Technologies Recognized by Philadelphia Business Journal for Innovations in Medicare Advantage Administration | Markets Insider | Business Insider | 6/4/2019

… Greater Philadelphia area and identified the organizations providing the greatest impact in the space. 2019 marks the tenth consecutive year RAM Technologies has been recognized, this time for its innovations in Medicare Advantage administration. “Being … administration of government sponsored healthcare programs, providing unparalleled automation across health plan operations including enrollment and disenrollment, benefit administration, provider contracting, reimbursement & credentialing, medical & utilization management, care management, premium billing, encounter / claims administration, overpayment recovery …

Kaiser Permanente

Kaiser Permanente mental health clinicians launch 5-day strike | Becker’s Hospital Review | 12/16/2019

Psychologists, mental health therapists and other medical professionals at Oakland, Calif.-based Kaiser Permanente began a five-day strike Dec. 16 at facilities across California, according to the union that represents them. The National Union … Michelle J. Gaskill-Hames, senior vice president of hospital and health plan operations for Kaiser Permanente Northern California, told The Sacramento Bee Kaiser has made proposals that would provide excellent benefits, keep Kaiser therapists among …

First Edition: November 11, 2019 | Kaiser Health News | 11/11/2019

… of-living raise for 2020 that works out to about $24 a month for the average retired worker. (11/8) Reuters: Kaiser Permanente CEO Bernard Tyson Dies Unexpectedly At 60 Bernard J. Tyson, chairman and chief … roughly 30 years ago and held roles in hospital and health plan operations before succeeding George Halvorson as CEO, Kaiser said. As he rose through the ranks at Kaiser Permanente, Mr. Tyson become a prominent …

Kentucky Cabinet for Health and Family Services

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract – Company Announcement - FT.com | Financial Times | 11/27/2019

… platform to the nation’s leading providers and payers, today announced that its partner Passport Health Plan received notification from the Kentucky Cabinet for Health and Family Services (CHFS) that Passport has not been awarded a … initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake …

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | Markets Insider | Business Insider | 11/27/2019

… platform to the nation’s leading providers and payers, today announced that its partner Passport Health Plan received notification from the Kentucky Cabinet for Health and Family Services (CHFS) that Passport has not been awarded a … initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake …

HCA

Nashville Health Care Council Announces 2018 Fellows Class | Business Wire | 12/12/2017

HCA James Corbett, J.D., M.Div. , Senior Vice President, Community Health Improvement and Values Integration, Centura Health Jonathan Dhillon , Enterprise Securities and Corporate Governance Counsel, Envision Healthcare Corporation Mary S. Flipse , Chief Legal and Administrative Officer, Tivity Health, Inc. Charles Girard , Director, Government Relations, HCA Chris Harber , Vice President, Health Plan Operations, Availity Jim Jamieson , COO, EvidenceCare Bryan Kaegi , Senior Vice President, Government Relations, Acadia Healthcare Kevin Klauer , CMO–Emergency Medicine …

Nashville Health Care Council Announces 2018 Fellows Class | Business Wire | 12/12/2017

HCA James Corbett, J.D., M.Div. , Senior Vice President, Community Health Improvement and Values Integration, Centura Health Jonathan Dhillon , Enterprise Securities and Corporate Governance Counsel, Envision Healthcare Corporation Mary S. Flipse , Chief Legal and Administrative Officer, Tivity Health, Inc. Charles Girard , Director, Government Relations, HCA Chris Harber , Vice President, Health Plan Operations, Availity Jim Jamieson , COO, EvidenceCare Bryan Kaegi , Senior Vice President, Government Relations, Acadia Healthcare Kevin Klauer , CMO–Emergency Medicine …

McLaren Health Care

McLaren Health Care To Acquire Indiana Health Plan | PR Newswire | 11/2/2017

McLaren Health Care To Acquire Indiana Health Plan Acquisition marks system’s first expansion outside of Michigan; more than doubles size of health plan operations 09:15 GRAND BLANC, Mich. and INDIANAPOLIS , Nov. 2, 2017 /PRNewswire/ – McLaren Health Care has signed a definitive agreement to acquire MDwise, a non-profit HMO that serves more than 360,000 Indiana individuals and families and generates in excess of $1.5 billion in annual revenue. The transaction …

McLaren Health Care To Acquire Indiana Health Plan | CNBC | 11/2/2017

GRAND BLANC, Mich. and INDIANAPOLIS, Nov. 2, 2017 /PRNewswire/ – McLaren Health Care has signed a definitive agreement to acquire MDwise, a non-profit HMO that serves more than 360,000 Indiana individuals and families and generates … providing a platform for future growth in Indiana, expanding our health plan operations allows us to create greater economies of scale and new opportunities to share data and best practices, all of which will improve …

Passport Health Plan

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | PR Newswire | 11/27/2019

… company providing an integrated value-based care platform to the nation’s leading providers and payers, today announced that its partner Passport Health Plan received notification from the Kentucky Cabinet for Health and Family Services (CHFS … initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake …

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | PR Newswire | 11/27/2019

… company providing an integrated value-based care platform to the nation’s leading providers and payers, today announced that its partner Passport Health Plan received notification from the Kentucky Cabinet for Health and Family Services (CHFS … initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase a 70 percent ownership stake …

Molina Healthcare

(USA-WA-Bothell) Specialist, Provider Appeals & Disputes | 11/27/2019

Molina Healthcare Specialist, Provider Appeals & Disputes in Bothell , Washington Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan’s operational departments, programs and services, in alignment with Molina Healthcare’s overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Inquiry/Services staff are responsible for the submission, research, and resolution …

(USA-OH-Columbus) Rep, Provider Appeals & Disputes | 11/27/2019

Molina Healthcare Rep, Provider Appeals & Disputes in Columbus , Ohio Job Description Job Summary Molina Health Plan Operations jobs are responsible for the development and administration of our State health plan’s operational departments, programs and services, in alignment with Molina Healthcare’s overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Inquiry/Services staff are responsible for the submission, research, and resolution …

MDwise

McLaren Health Care To Acquire Indiana Health Plan | PR Newswire | 11/2/2017

McLaren Health Care To Acquire Indiana Health Plan Acquisition marks system’s first expansion outside of Michigan; more than doubles size of health plan operations 09:15 GRAND BLANC, Mich. and INDIANAPOLIS , Nov. 2, 2017 /PRNewswire/ – McLaren Health Care has signed a definitive agreement to acquire MDwise, a non-profit HMO that serves more than 360,000 Indiana individuals and families and generates in excess of $1.5 billion in annual revenue. The transaction …

McLaren Health Care To Acquire Indiana Health Plan | CNBC | 11/2/2017

GRAND BLANC, Mich. and INDIANAPOLIS, Nov. 2, 2017 /PRNewswire/ – McLaren Health Care has signed a definitive agreement to acquire MDwise, a non-profit HMO that serves more than 360,000 Indiana individuals and families and generates … providing a platform for future growth in Indiana, expanding our health plan operations allows us to create greater economies of scale and new opportunities to share data and best practices, all of which will improve …

Bernard J. Tyson

Kaiser Permanente mental health clinicians launch 5-day strike | Becker’s Hospital Review | 12/16/2019

… Bernard J. Tyson. Michelle J. Gaskill-Hames, senior vice president of hospital and health plan operations for Kaiser Permanente Northern California, told The Sacramento Bee Kaiser has made proposals that would provide excellent benefits, keep Kaiser therapists among the highest paid in the state, and provide workers with more time for patient appointments and administrative duties. She also said Kaiser has asked the union to continue to work with a …

First Edition: November 11, 2019 | Kaiser Health News | 11/11/2019

… about $24 a month for the average retired worker. (11/8) Reuters: Kaiser Permanente CEO Bernard Tyson Dies Unexpectedly At 60 Bernard J. Tyson, chairman and chief executive officer of not-for-profit health insurer Kaiser … roughly 30 years ago and held roles in hospital and health plan operations before succeeding George Halvorson as CEO, Kaiser said. As he rose through the ranks at Kaiser Permanente, Mr. Tyson become a prominent …

Frank Williams

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | PR Newswire | 11/27/2019

Frank Williams . Passport has provided services to Medicaid beneficiaries in the Commonwealth of Kentucky for more than 22 years and is a recognized leader in providing outstanding service and high quality care to its members. Evolent and Passport formed an initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase …

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | PR Newswire | 11/27/2019

… Frank Williams. Passport has provided services to Medicaid beneficiaries in the Commonwealth of Kentucky for more than 22 years and is a recognized leader in providing outstanding service and high quality care to its members. Evolent and Passport formed an initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in 2019, Evolent agreed to purchase …

Bob East

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract – Company Announcement - FT.com | Financial Times | 11/27/2019

… quality care to its members. Evolent and Passport formed an initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in … a commitment to achieve results. For more information, visit evolenthealth.com . Bob East , 443.213.0500, Investor Relations, [email protected] ; Kim Conquest , 540.435.2095, Media Relations, [email protected] View original content to download multimedia: http://www.prnewswire.com/news-releases/evolent …

Evolent Health Partner Passport Health Plan is Not Initially Selected for Kentucky Managed Medicaid Contract | Markets Insider | Business Insider | 11/27/2019

… quality care to its members. Evolent and Passport formed an initial partnership in 2016 and Evolent currently provides support in health plan operations, clinical programs and specialty care management for Passport’s 300,000 members. Earlier in … a commitment to achieve results. For more information, visit evolenthealth.com . Bob East , 443.213.0500, Investor Relations, [email protected]; Kim Conquest , 540.435.2095, Media Relations, [email protected] View original content to download multimedia:https://www.prnewswire.com/news-releases/evolent …

Gregory Adams

First Edition: November 11, 2019 | Kaiser Health News | 11/11/2019

… Gregory Adams, an executive vice president and group president, as interim chief executive and chairman. Mr. Tyson joined Kaiser Permanente roughly 30 years ago and held roles in hospital and health plan operations before succeeding George Halvorson as CEO, Kaiser said. As he rose through the ranks at Kaiser Permanente, Mr. Tyson become a prominent voice for the type of integrated care the nonprofit system delivers, with the health-insurance …

Kaiser Permanente CEO Bernard Tyson Dies Unexpectedly At Age 60 | Kaiser Health News | 11/11/2019

… Gregory Adams, an executive vice president and group president, as interim chief executive and chairman. Mr. Tyson joined Kaiser Permanente roughly 30 years ago and held roles in hospital and health plan operations before succeeding George Halvorson as CEO, Kaiser said. As he rose through the ranks at Kaiser Permanente, Mr. Tyson become a prominent voice for the type of integrated care the nonprofit system delivers, with the health-insurance …

Jim Parke

McLaren Health Care To Acquire Indiana Health Plan | PR Newswire | 11/2/2017

… Health Care To Acquire Indiana Health Plan Acquisition marks system’s first expansion outside of Michigan; more than doubles size of health plan operations 09:15 GRAND BLANC, Mich. and INDIANAPOLIS , Nov. 2, 2017 /PRNewswire/ – McLaren Health … Care will be an ideal choice to acquire MDwise,” said Jim Parker , President and CEO of MDwise. “With their strong track record operating a successful health plan in Michigan , they have the expertise needed to …

McLaren Health Care To Acquire Indiana Health Plan | CNBC | 11/2/2017

… President and CEO of McLaren Health Care. “In addition to providing a platform for future growth in Indiana, expanding our health plan operations allows us to create greater economies of scale and new opportunities to … Care will be an ideal choice to acquire MDwise,” said Jim Parker, President and CEO of MDwise. “With their strong track record operating a successful health plan in Michigan, they have the expertise needed to …

Jim Parker

McLaren Health Care To Acquire Indiana Health Plan | PR Newswire | 11/2/2017

… Health Care To Acquire Indiana Health Plan Acquisition marks system’s first expansion outside of Michigan; more than doubles size of health plan operations 09:15 GRAND BLANC, Mich. and INDIANAPOLIS , Nov. 2, 2017 /PRNewswire/ – McLaren Health … Care will be an ideal choice to acquire MDwise,” said Jim Parker , President and CEO of MDwise. “With their strong track record operating a successful health plan in Michigan , they have the expertise needed to …

McLaren Health Care To Acquire Indiana Health Plan | CNBC | 11/2/2017

… President and CEO of McLaren Health Care. “In addition to providing a platform for future growth in Indiana, expanding our health plan operations allows us to create greater economies of scale and new opportunities to … Care will be an ideal choice to acquire MDwise,” said Jim Parker, President and CEO of MDwise. “With their strong track record operating a successful health plan in Michigan, they have the expertise needed to …