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The Segment Marketing Senior Manager will oversee direct-to-consumer (DTC) marketing for the Cigna Medicare Part D (PDP) business, reporting to the VP of Marketing. DTC Marketing Senior Manager - Medicare - Hybrid.
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Assist in the preparation of annual and /or interim Medicare cost reports. Provide reporting to identify & interpret revenue trends and explain fluctuations. Interact with other departments and explain and resolve cost reporting issues.
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The Regulatory Reporting Analyst is responsible for providing the necessary analysis based on integrated healthcare data to deliver high quality solutions to meet Regulatory Reporting needs for the organization.
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Be capable of identifying problems that may adversely affect test performance or reporting of test results, and either must correct the problems or immediately notify the Administrative Laboratory Director, Laboratory Supervisor, or LIS Coordinator.
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Experience working with electronic cost reporting software used by Medicare, Medicaid, and Blue Cross. Michigan Medicine Finance serves as the central finance group for Michigan Medicine and is comprised of six functional areas: Clinical Financial Planning & Analysis, Enterprise Financial Reporting & Forecasting, Academic Financial Planning & Analysis, Reimbursement, Medical School Finance, and Financial Systems.
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Meet with Principal Investigator/Project Director (PI/PD) when grant is awarded to review responsibilities for grant management and reporting. Minimum one year of professional experience in healthcare field, Medicaid program support, or working with insurance/Medicare.
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The Compliance & Regulatory Specialist is responsible for assisting in the oversight and execution of compliance in the health plan’s operational areas, including delegated operational activities and regulatory reporting.
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Reporting to the Supervisor of care management this position will provide case management to our members including medical, social, psychological, physical and spiritual needs by Developing, implementing and monitoring the care plan, in conjunction with the PCP, caregivers and other team members, to help meet the member's needs.
$90,000 - $110,000 a yearPart-timeExpandUpdated Today - UpvoteDownvoteShare Job
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OSC/Lewin is seeking recent graduates of bachelor's programs in fields such as mathematics, statistics, computer science, data science, epidemiology, or other quantitative fields to fill junior statistician roles to assist state and federal administrations such as the Center for Medicare and Medicaid Services in evaluating and optimizing healthcare program operations through a combination of analytic and policy-driven research, modeling, and reporting.
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Advise on relevant federal and state laws, including but not limited to fraud and abuse laws (i.e. Anti-kickback Statute, Stark, Civil Monetary Penalties Law, False Claims Act), licensing and accreditation, HIPAA/HITECH, EMTALA, digital health, telehealth/telemedicine, medical staff/peer review issues, healthcare compliance matters, billing, reimbursement and claims issues (to include Medicare/Medicaid.
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Sullivan County Health Care is also a Medicare approved Skilled Nursing Facility (SNF). Encourage LNA observations and include them when documenting and reporting. Monitor LNA documentation and update LNA clipboard; oversight of infection control practices on the unit; ensure that unit is clean and hazard-free.
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Responsibilities:Third party payer negotiationsRevenue impact analysesBudget preparationsHospital partner relationshipsContract organization and maintenanceContract performance reportingBoard meeting reporting and presentationsMaintain current knowledge and adhere to appropriate regulatory standards such s TJC, Medicare, Medicaid and employment regulations.
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Knowledge of Centers for Medicare and Medicaid Services (CMS) Federally Qualified Health Centers (FQHC) and the Prospective Payment System (PPS) reimbursement methodology. Responsible for working with the Oregon Health Authority on the 100% FMAP reporting, and any additional services/reports, to help maximize additional sources of 3rd party revenue.
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Ideal candidate based within commuting distance to Auburn Hills, Michigan or Newton or Alamance, North Carolina Reports to: Benefits & Retirement Manager Key Responsibilities: In-depth understanding of local, state, and federal laws regarding pension and 401(k) plan administration, health and wellness, retiree medical, flexible benefit plan administration, life insurance, STD, LTD, Medicare, and Cobra.
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Maintain data collection, recording, and reporting systems to ensure proper service, uniform accounting, data collection, and measurement of outcomes. Follow all Medicare, Medicaid, and HIPAA regulations and requirements.
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medicare reporting jobs
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