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Job Description :Anthem Blue Cross and Blue Shield is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group insurance plans in Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia and Wisconsin.
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We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans. Wellpoint, formerly Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states.
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Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
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The successful candidate will be a Board Certified Child & Adolescent Psychiatrist who will be responsible for appeals reviews within our Medicaid and Medicare programs. Job Description :Wellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states.
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Team Scope8 direct reportsPosition ResponsibilitiesBachelor's degree in communications, Public Relations, Journalism, or a related field (master's degree preferred). Strong understanding of media relations, crisis communication, and stakeholder engagement.
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Job Description :Anthem Blue Cross and Blue Shield is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group insurance plans in Colorado, Connecticut, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia and Wisconsin.
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Preferred Skills, Capabilities and Experiences:Experience in Medicare and value base care as well as cost of care management preferredMaster’s degree preferred. The Business Strategy Director is responsible for business unit strategic planning and customer insight work.
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Staff Vice President (VP) Public Relations – Health BenefitsLocation Successful candidate must reside within 50 miles of an Elevance Health office location, and able to commute on-site at least 3 days per week.
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Other data sources are market research consultants, AMA, St. Anthony, HIAA, CMS, Blue Cross and Blue Shield Association and Blue Cross and Blue Shield Plans. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions.
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Our partnerships with top-tier insurance carriers like Humana, Cigna, Blue Cross Blue Shield, Anthem, and UnitedHealthcare highlight the significant and stable nature of our business, driven by the constant influx of over 10,000 seniors becoming eligible for Medicare each day.
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In this role you will provide data, analytic and reporting support for the Clinical Quality Department to improve Blue Shield of California and Promise Health Plan quality performance for regulatory and accreditation requirements including National Committee for Quality Assurance, Centers for Medicare and Medicaid and Department Health Care Service.
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Benefits (for full time employees): Blue Cross/Blue Shield Health Insurance (low premium and low deductibles!) Keeps abreast of changes in billing guidelines for Medicare, Medicaid, HMO’s, PPO’s and reports them to the Office Manager.
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Experience developing measurement programs to demonstrate the ROI of public relations efforts. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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The wellness premium applies only to the Blue Cross Blue Shield Hospital Medical Group #14000 plan for non-Medicare eligible active and retired members, non-Medicare-eligible members on LOA or COBRA, and non-Medicare-eligible spouses on active or retired contracts.
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Reviews inpatient medical records for identified payer population (Medicare, Medicaid, Blue Cross/Blue Shield) as directed on admission and throughout hospitalization. St. John's Riverside Hospital built itself around an early foundation of nursing and community service.
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