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Mozaic is looking for a Fee-for-Service Licensed Psychiatrist in the State of New York. Mozaic, a not-for-profit organization based in the Finger Lakes Region, specializes in providing services and residential facilities for people with intellectual and developmental disabilities.
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Manages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization, Post Service Claim Edits, Site of Service and any additional programs.
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Assist with the evaluation of HCBS providers, and the review and evaluation of service authorizations for Fee-for-Service members, and work collaboratively with Medicaid Managed Care Plans.
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Works closely with management team in its efforts to guide the agency through the continuing transition to fee for service and ensures program integrity with respect to Division Contract, obligations, programming and schedules.
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Knowledge of legislative/oversight bodies (e.g., URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQNational Committee for Quality Assurance, and ERISEmployee Retirement Income Security Act of 1974.
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As a member of the Configuration Chapter, the Configuration Analyst works within their squad on new client implementations and existing client corporate actions and fee for service projects.
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Provides Medical Pharmacy expertise within the organization to other business units and within Magellan Rx. Leads evaluation and identification opportunities for improved management of Medical benefit drugs through clinical research and analytics that improve medical cost savings and provide clinical quality initiatives.
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Compile multi-site reporting related to membership activity, programs, fee for service offerings and budget data. Personal Training certification from nationally recognized, accredited organization (e.g. ACSM, NASM, NSCA etc.
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Leading the transition of the organization from a revenue share arrangement to a fee-for-service model for digital media services will be one of your key responsibilities as well as developing and implementing innovative digital media strategies to drive growth and maximize ROI for university clients.
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For all types of consideration, experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social.
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Unlike other healthcare plans, CEI is not a "fee-for-service" plan. Center for Elders’ Independence is a PACE (Program of All- Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life and the ability of individuals to live in their communities.
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Develops project scope and fee quotation and assists in the organization and preparation of proposals and contracts. Impact Recruitment has partnered with a full-service multi-disciplined engineering, geospatial, land surveying and landscape architecture firm representing various Clients throughout the region including municipalities, counties, state agencies, private Clients, developers, attorneys, schools, and universities, utilities (water, wastewater, and gas) and various other professionals.
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They will ensure copays and deductibles are adjusted based on patient’s sliding fee level (as appropriate) plus they review sliding fee paperwork for completeness and ensure documented correctly in electronic health record (E.H.R) and practice management (E.P.M) systems.
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Focused on creating inspired careers, our client offers excellent opportunities for career growth and professional development within their organization. Under minimal direction, this candidate will be tasked as the specialist for the Water / Wastewater Department in the planning, design, and permitting of various water and wastewater conveyance and treatment system projects.
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Participates in multidisciplinary team; is responsible for care assessment, planning, and management of in-home care and home health care needs. CEI is paid a set amount for each person enrolled in our program, whether or not that individual seeks care.
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