Health Plan Operations

Selected news for the healthcare topic - Health Plan Operations, collected since 11/2017. This healthcare topic shares news with Medicaid, Medicare, Evolent Health and many others.

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Selected Headlines

Date Headline (link) Source Relevant Snippet
8/5/2021 UPMC names Perri VP, chief Medicare officer thecranberryeagle.com ... builds upon Perri's current role at UPMC Health Plan as vice president for strategy alignment transformation, where she has directed the development of advances such as innovation tools, apps and internal software critical to health plan operations ...
7/19/2021 NYSNA names Maimonides nurse as next president nycaribnews.com ... a native of Haiti, and was first elected to NYSNA’s board in 2015, and to the position of treasurer in 2019. Hagans is also a trustee of the NYSNA Benefits Plan overseeing NYSNA health plan operations and executive council president of the 1,000-member bargaining unit, as well as a member of the Maimonides Staffing and Staff Development Committee. Currently, Hagans is the NYSNA resource nurse providing direct representation ...
7/18/2021 Maimonides nurse elected as president of NYS Nurses Association brooklyneagle.com ... TOP BROOKLYN NEWS News for those who live, work and play in Brooklyn and beyond Leave this field empty if you're human:Hagans is also a trustee of the NYSNA Benefits Plan overseeing NYSNA health plan operations and executive council president of the 1,000-member bargaining unit, as well as a member of the Maimonides Staffing and Staff Development Committee.With her experience at Maimonides and in oversight of the ...
7/16/2021 NEW YORK STATE NURSES ASSOCIATION ANNOUNCES THE ELECTION OF NANCY HAGANS, RN, CCRN AS PRESIDENT empirereportnewyork.com ... unit president at the hospital in 1993. Currently, Hagans is the NYSNA Resource Nurse providing direct representation to NYSNA members at Maimonides. Hagans is also a trustee of the NYSNA Benefits Plan overseeing NYSNA health plan operations , Executive Council President of the 1,000-member bargaining unit, as well as a member of the Maimonides Staffing and Staff Development Committee. With broad experience at Maimonides and in oversight of the union ...
7/16/2021 New York State Nurses Association Announces The Election Of Nancy Hagans As President harlemworldmagazine.com ... unit president at the hospital in 1993. Currently, Hagans is the NYSNA Resource Nurse providing direct representation to NYSNA members at Maimonides. Hagans is also a trustee of the NYSNA Benefits Plan overseeing NYSNA health plan operations , Executive Council President of the 1,000-member bargaining unit, as well as a member of the Maimonides Staffing and Staff Development Committee. Hagans is also a trustee of the NYSNA Benefits Plan overseeing ...
7/14/2021 Devoted Health Announces Maine Office Expansion, Creating at Least 40 New Jobs in Cumberland County | Financial Buzz financialbuzz.com ... experience for seniors. We’re proud to have our own families as members, and we’re looking to add employees who share our innovative spirit,” said Larry Henry, Senior Vice President, Head of Health Plan Operations at Devoted Health. “Our team in New Gloucester is filled with talented and dedicated people who improve the healthcare experience for our members every day by building authentic human relationships and trust with ...
4/7/2021 Local health leaders team up with MDwise for COVID-19 vaccine webinar | Fox 59 fox59.com ... Department, Dr. Virginia Caine, who’s been advocating for those underserved. The chief medical officer for Eskenazi, Dr. David Crabb will also be on the panel, as well as vice president for MDwise’s health plan operations , Torriaun Everett.Everett says the point of the panel isn’t to change everyone’s mind.“It’s not about forcing the vaccine on anyone. But it’s about ensuring that we do ...
3/11/2021 Jeff Davis Named President of Healthy Blue in Missouri financialbuzz.com ... plan, a leading managed care provider of health benefits for Missouri’s MO HealthNet (Medicaid) program. (Photo: Business Wire)“Jeff is a trusted and highly respected senior leader who has extensive knowledge of Medicaid health plan operations as well as a passion for serving communities,” said Dr. Barsam Kasravi, President of Anthem’s Medicaid West Region. “He has been recognized as a strong, influential and dynamic leader who is ...
1/14/2021 Senior Solution Sales Executive, Payer-Telecommute - UnitedHealth Group - Phoenix, AZ insurancejobs.com ... work.(sm) The Sr. Solutions Sales Executive is a unique and highly interactive position within Health Plan Market. This critical role will be responsible for developing and closing product and service opportunities to increase Health Plan Operations and Administration Efficiencies (OAE). This position is responsible for providing all aspects of business development and support for health plan product development, new business sales, and risk optimization within the more heavily evolving ...
12/14/2020 Care at Heart Welcomes Marc Love, MBA to Advisory Board inyoregister.com ... their advisory board, Marc Love. Love is the State Chief Operating Officer for WellCare of Georgia, the largest Medicaid health plan in Georgia with a significant Medicare Advantage plan. He is primarily responsible for Health Plan Operations , Network Management, and Member Experience.He joins the Care at Heart advisory board as a health plan industry expert in anticipation of a changing hospice landscape with the future introduction of the Primary ...
12/14/2020 Care at Heart Welcomes Marc Love, MBA to Advisory Board ask.com ... their advisory board, Marc Love. Love is the State Chief Operating Officer for WellCare of Georgia, the largest Medicaid health plan in Georgia with a significant Medicare Advantage plan. He is primarily responsible for Health Plan Operations , Network Management, and Member Experience.He joins the Care at Heart advisory board as a health plan industry expert in anticipation of a changing hospice landscape with the future introduction of the Primary ...
9/23/2020 A New Approach to Health Plan Operations PR Newswire TAMPA, Fla. , Sept. 23, HealthAxis takes health plan claims administration software and services to the next level with the release of HxOne; an end-to-end, fully integrated healthcare operations solution. HxOne combines advanced claims system technology, flexible front and back-office services, and actionable analytics. The HxOne encompasses: (PRNewsfoto/HealthAxis) HxPro, a next-generation, claims administration platform that helps streamline healthcare claims processing and health plan management. HxOps, a ...
9/10/2020 ClarisHealth Launches A.I. Powered Healthcare Fraud Detection Solution for Health Plans aithority.com ClarisHealth, the company transforming health plan operations with its comprehensive payment integrity technology platform Pareo, launched an artificial intelligence-based (A.I.) solution for healthcare fraud detection. Pareo Fraud Detection works seamlessly with Pareo Fraud Case Management for an integrated, 360-degree approach to mitigating fraud, waste, and abuse (FWA). According to Mark Isbitts , vice president of program integrity for ClarisHealth, who led the project, Pareo Fraud Detection provides significant advantages ...
9/9/2020 ClarisHealth Launches A.I. Powered Healthcare Fraud Detection Solution for Health Plans PRWeb ... will get information on which providers to investigate first, why a provider is suspicious, and how valuable the investigation can be – in real-time. NASHVILLE, Tenn. (PRWEB) September 09, 2020 ClarisHealth, the company transforming health plan operations with its comprehensive payment integrity technology platform Pareo®, launched today an artificial intelligence-based (A.I.) solution for healthcare fraud detection. Pareo Fraud Detection works seamlessly with Pareo Fraud Case Management for an integrated ...
8/11/2020 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 ... 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 ...
8/11/2020 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 ... 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 ...
8/6/2020 VP, Employer Sales builtinaustin.com ... 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 ...
6/30/2020 Peter Janelle Joins Vital Data Technology as Director of Risk Adjustment Solutions PR Newswire ... 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 ...
6/5/2020 Medicare Advantage plans face 'double whammy' of pent-up care demand and risk scores: experts FierceHealthcare ... 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 ...
3/31/2020 UCare: Business Reporting Analysis Senior - EDI Star Tribune ... 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 ...