- UpvoteDownvoteShare Job
- Suggest Revision
The Manager, Medicare Risk Adjustment has organization level responsibilities for the administration of all provisions/requirements of HMSA's Medicare Risk Adjustment program. Provides education and information to the entire HMSA community regarding Medicare Advantage risk adjustment.
$73,154 - $121,252 a yearExpandUpdated 28 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintain PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
ExpandUpdated 27 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Sound Physicians formed a Medicare Accountable Care Organization called Sound Physicians Long Term Care Management, LLC (SLTCM) which is a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) for Medicare Beneficiaries who reside in long-term care (LTC) facilities.
ExpandUpdated 29 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services. About Ciena Healthcare. The Care Management Nurse, MDS Nurse works the RAI process and conducts assessments and care plan coordination for those residents assigned.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Whether helping you apply for Medicaid, Medicare, arranging CDPAP,or coordinating coverage for Holocaust survivors, we do whatever ittakes to make sure everyone feels right at home. /r/nWhether helping you apply for Medicaid, Medicare, arranging CDPAP,/r/nor coordinating coverage for Holocaust survivors, we do whatever it/r/ntakes to make sure everyone feels right at home.
ExpandUpdated 27 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Job DescriptionJob DescriptionSummary:The Medicare Risk Adjustment Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract and validate medical record data.
RemoteExpandUpdated 27 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The programs the AVP will have oversight for include but are not limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models (AAPM); Medicare Advantage; and commercial payer value programs.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
At least 0-2 years experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and /or public services or public benefits programs with claims and Medicare experience.
Full-timeExpandUpdated 28 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Assistant General Counsel I supports and reports to the Chief Legal Officer and provides legal advice on a wide variety of matters related to Community's Medicare, Medicaid and Marketplace programs and operations including contracting, quality, utilization management, network management, privacy and security, litigation, fraud, waste and abuse, and contractual and regulatory compliance.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Sound Physicians is forming its own Medicare Accountable Care Organization called Sound Physicians Long Term Care Management, LLC (LTCM) which will be a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) for Medicare Beneficiaries who reside in long-term care (LTC) facilities.
RemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
An active, independent Texas Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Clinical Psychologist Residence in Texas Though we do not require our providers to see Medicare patients, you must not have opted out from Medicare Have access to reliable and stable internet while working remotely; experience with Google Suite is a plus.
$38 an hourFull-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Will be knowledgeable of state and federal government funding programs such as Medicare, Medicaid, TRICARE/CHAMPUS, Workers' Compensation; No Fault Auto, and commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; insurance terminology; medical terminology, EMTALA, HIPAA privacy, and compliance practices.
Full-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
To be considered for this position you must have at least 2 years of Health or Medicare Insurance sales experience and have worked 2 Annual/Open Enrollment Periods. 2 years of Individual health or Medicare Insurance sales.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of Medicare Risk Adjustment required. SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements.
Full-timeExpandUpdated 27 days ago - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandUpdated 27 days ago
medicare job
FEATURED BLOG POSTS
How to Build a Candidate Persona
A candidate persona is a semi-fictional representation of your ideal candidate. Building a candidate persona is one of the best methods employers use to ensure their sourcing, recruiting, and hiring processes are focused. Knowing exactly what you're looking for streamlines everything and helps increase hiring confidence. So here's how to create a candidate persona and how to use it.
How to Get Into The Trades: Step-by-Step Guide
Getting a trade job can be a great career move if you like variety and prefer to learn on the job instead of in an academic setting. A trade job can offer security and be a lucrative career path as the demand for skilled trade workers continues to grow.
How do Good Interviewers Prepare for Interviews?
Just like candidates take the time to research you and your company, you should take the time to prepare for the interview. Preparing for the interview doesn't just reflect well on your employer brand and create a better candidate experience. Preparation also helps prevent bad hiring decisions. Bad hiring decisions are usually a result of poor execution during the hiring process. However, going into an interview fully prepared and ready to evaluate candidates will help avoid bad hires. So, here are 6 interview preparation tips for employers.
How to Get a Union Job? A Step-by-Step Guide
A union job can significantly impact your job security, pay, and employment benefits. Whether this is your first job or you have years of experience, a union job can offer much-needed protection in a labor market where employees are hired and fired at will.
Should I Hire for Potential Over Experience?
The workforce is shifting every day. In fact, research from the World Economic Forum (WEF) shows over half of employees around the world will need to upskill or reskill by 2025. The rapid rise of digital literacy, automation, and new technologies will quickly supersede businesses that don't train ahead of the curve. With the dire need to invest in training, it's evident that hiring someone with experience isn't that much different than hiring someone without it.
How to Decide Between Two Job Offers: 10 Practical Tips
It’s arguably a good predicament to have. You’ve applied to many jobs, interviewed multiple times, and now find yourself with two legit job offers. Nice! But although this is a feel-good validation of everything you have to offer, a daunting choice lies ahead. How do you decide which job will be the best fit for you?
Why Work in Sales? 9 Reasons & Tips on Answering as an Interview Question!
Working in sales can be demanding and challenging, but it can also be gratifying. Sales is an excellent career with a clear path full of excitement and potential for growth. So, if you're contemplating careers and have wondered "why work in sales?", keep reading to determine if sales is a suitable role for you.