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We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Working toward relevant host systems certifications are preferred, such as: MS Azure, AWS, A+ Security, Linux+, VCP, CCA, Microsoft 365, HP ASE, MCP, MCTS, IBM Certified System Administrator (AIX, iSeries, WebSphere), VMWare System or any other related Certification.
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Little Creek Horse Farm. Maintains the Nature Center grounds including bathroom cleaning, trash pick-up, mulching, and indoor office organization. Sugar Creek Golf and Tennis Center + Mystery Valley Golf Course.
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Primary responsibility for 2nd line testing of HMDA, CRA Small Business/Farm, Consumer, donations, grants, and Community Development data collection. Perform internal quality control, second review of HMDA, CRA Small Business/Farm, Consumer, donations, grants, and Community Development data.
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We are not only selling our product Farm Fresh To Yous delivery service but educating the community on how beneficial it is to support your local farms, to safe-guard your nutrition with unpolluted foods and to empower environmentally-sound agriculture.
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The Sr. Organizational Development Specialist will be critical in developing Medical Mutual's organizational change management center of excellence. Master's degree in adult learning, organizational development, industrial-organizational psychology, human resources, or related field preferred.
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Knowledge of managed care, health plan operations, and regulatory and compliance requirements for Medicare D-SNP and Covered California. Under the direction of the Senior Director of Commercial Products, the Director, Product Implementation - Medicare & Commercial, will lead the annual product renewal and implementation projects to support the Medicare D-SNP and Covered California lines of business.
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Oversee extracting and collecting diagnosis data from claims systems, submitting this data in the form of Medicare Risk Adjustment Processing System (RAPS) files to CMS in a timely manner, and oversee the RAPS record error correction processes.
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Experience in key areas of healthcare payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS. This role is responsible for supporting Cigna Medicare Advantage risk adjustment prospective programs, solutions, and performance in aligned operational region serving as a liaison between Markets and Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams.
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The role requires expertise in areas that include performance management/analytics, data exchanges, electronic medical record systems, provider workflow and processes, health information management, risk adjustment operations (particularly on the prospective side), value-based care, ICD-10, CPT and HCPCS coding principles and guidelines, and population health management.
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Treasure Coast Shellfish, LLC is in its third year of business & is a woman-owned & operated oyster farm based in Sebastian, FL. We have a small nursery system & a 6.5-acre water column lease where we are currently in the process of expanding & installing more floating gear.
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Homefield Farm at Virginia Tech is a 12-acre organic farm which is a cooperative partnership between CALS and Virginia Tech Dining Services ( In managing Homefield Farm, the incumbent will be responsible for planning, working within an allocated budget, crop production, harvesting, management and coordination of personnel and students/volunteers working at the farm.
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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. About Cigna Healthcare. The role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall operational market goals in conjunction with market Provider Performance Enablement teams and the Risk Adjustment Operations team.
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Documentation Integrity, Coding or Health Information Management Certification through AHIMA, AAPC or ACDIS preferred. Function as a Risk Adjustment and Quality SME to support engagement with market and matrix partners and supports in a consultative way to solution for barriers identified impacting participation with Cigna RA prospective programs.
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Serves as a bridge with market teams and risk adjustment for implementation discussions. The Prospective Program Solutions & Performance Advisor works with aligned region supporting prospective risk adjustment initiatives and programs aimed at improving the accuracy and completeness of risk adjustment, advising the market on risk adjustment strategy based on knowledge of Cigna MA's overall Risk Adjustment programs, with a strong focus on alternate prospective programs and bi-directional data exchange initiatives, and overseeing regional and market program performance.
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