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Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management policy, clinical protocols, utilization management guidelines, and quality management programs.
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Provide subject-matter knowledge on Medicare, Medicaid and private commercial coverage, coding and payment policy and other market access-related issues impacting Cytovale and its customers.
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In fulfilling this responsibility, the candidate will be able to draw on the considerable clinical resources including care delivery to a large, diverse patient population, faculty resources of the COPH, with its specializations in health services management and policy, epidemiology, biostatistics and health behavior and health promotion.
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Claims, Billing, Foster Parent Payment, Checking, Medicaid Service Management. Will conduct ongoing site-based internal quantitative audits of charts as specified in policy and procedure to assure compliance with both external and internal standards and will report status of records compliance to the General Manager and/or State Director, as requested.
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Demonstrated expertise in Medicaid policy, Medicaid data and claims processing, healthcare data analytics, and business analysis. Experience working in Medicaid program integrity (fraud and abuse detection, utilization review.
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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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Grants Management Specialist Certification or Certified Medicaid Planner, or with the intent to obtain certification (specific to financial req) What Would Be Nice To Have Masters in Special Education, Social Work, Disability Studies, Rehabilitation, Psychology, Education Law, Policy.
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Read, comply with and refer to the Medicaid manual (DMAS), VDH regulations, and AmeriCare Plus company policy and procedures. With LPN/RN pre-approval and stated on POC, the aide may accompany the client with Medicaid Transport or family transport.
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Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated.
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The Reimbursement Analyst I (RA I) performs consultative services, oversight, policy and data development, and technical analyses under the supervision of the Manager V for the Acute Care School-based Medicaid Resource and Training team (SMRT) in the Provider Finance Department.
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OCO's Transportation Services include on-demand ride service, non-emergency medical transportation, Call-N-Ride, and Medicaid Transportation. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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HLA also engages in public policy advocacy, systemic litigation, and educational programming to promote access to care for all. Represent clients in communications and negotiations with MassHealth and Health Connector officials, health care providers, managed care entities, and in appeals before the Office of Medicaid Board of Hearings.
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The Department of Health Policy & Management and the Health Policy Institute at the University of Pittsburgh are seeking a health policy researcher for a full-time faculty position at the rank of Research Assistant or Research Associate Professor (Appointment Stream) to conduct Medicaid policy research.
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Keeps current certification in all areas required by agency policy and Medicaid Waiver, including CPR, FA, Crisis Intervention, and Level 1 Medication Administration. Completes Event Reports according to agency policy and state rules and regulations.
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Expertise in government relations at the local government, state, and federal level to influence health policy, Medicaid reforms, and to lobby for SMCH. Engages with associations and other advocates and advocacy organizations to develop and advocate on/for issues to improve child and maternal health policy.
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