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A Level III trauma center, Providence St. Mary is one of seven hospitals in the state to earn a five-star rating for quality from the Centers for Medicare and Medicaid Services, while also having an accredited Orthopedic Joint Service program as well as a renowned Regional Cancer Center.
$397,149 - $668,314 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Licensed Practical Nurse Assessment Coordinator (LPNAC) must have Medicare billing knowledge and experience. Licensed Practical Nurse Assessment Coordinator (LPNAC) must have Medicare billing knowledge and experience.
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Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans.
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This job supports Medicare Advantage and government programs managed care health plan business and investigates factual situations and presents well-reasoned and creative solutions and alternatives based upon independent legal research and analysis of the facts and the law.
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These locations provide Medicare and Medicaid nursing home care to honorably discharged Veterans, including, in some instances, their spouses, widows, or Gold Star families. at the Washington Veterans Home in scenic Port Orchard, Washington, and harness your nutritional care experience to serve our resident Veterans.
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Meet or exceed objectives for reserving standards, quality audits, closing ratio, expense controls, Medicare compliance. The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization.
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Must have 3+ years of experience in Medicare/Medicare Advantage along with value based care. Analysis of Medicare Advantage and Accountable Care Organization data primarily. Experience in the annual Medicare Advantage bid development process is a plus.
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Whether it’s holding a PhD-level deep dive into understanding fairness and underlying bias in machine learning models, debating the merits of a Scandinavian design philosophy in our UI/UX, or writing responses for Medicare rules to influence U.S. health policy, we prioritize sharing our findings across the team and helping each other be successful.
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Provides direct oversight of: Sr. Financial Analyst or budget preparation, performance of Medicare Coverage Analysis (MCA), and negotiation for all industry supported clinical trials and clinical research.
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The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients.
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With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years.
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Management of a variety of Supportive Services for eligible residents including the following programs: local focus hope, food cupboard, AARP Tax Preparer, scholarships, and SHARP. Management of a variety of Supportive Services for eligible residents including the following programs: local focus hope, food cupboard, AARP Tax Preparer, scholarships, and SHARP.
$47,000 - $61,100 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The Office of Inspector General (OIG) for HHS fights fraud, waste and abuse in HHS programs including Medicare, Medicaid, Healthcare Marketplaces, NIH, FDA, CDC and more. The Office of Inspector General (OIG) for HHS fights fraud, waste and abuse in HHS programs including Medicare, Medicaid, Healthcare Marketplaces, NIH, FDA, CDC and more.
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The Neuroscience Coordinator (Stroke Coordinator) is responsible for the coordination and maintenance of a comprehensive Neuroscience/Stroke program that complies with National standards for quality of care for neuro/stroke patients as dictated by the American Heart Association (AHA), and stroke programs that meet or exceed recommendations of regulatory agencies such as ACHC/The Joint Commission, governmental regulation for Medicare Compliance, and established evidence based best practices.
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Minimum of 10 years working on Medicare Risk Adjustment analytics (Forecasting, valuation, etc.) Mastery knowledge of Medicare Risk adjustment workflow as it relates to retrospective (chart chases), concurrent, and prospective initiatives and how they impact RAF.
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