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This position serves as the principal HMSA contact for prospective and current Oahu employers and members inquiring about small group health plans, individual plans, Medicare plans and USAble Life product options that are available through HMSA. This position supports HMSA's overall sales and service strategies.
$41,690 - $61,212 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice. In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form.
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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The actuary will be a key person on the CVS Accountable Care team that analyzes various sources of patient health and claims data to help the business better understand, forecast and manage the risk position of various value-based products (MSSP, ACO REACH, Medicare Advantage.
$74,700 - $130,200 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Preferred Location: Hanover, MD.The Medicare Risk Adjustment Advanced Analytic Senior Is responsible for creating statistical models to predict, classify, quantify, and/or forecast business metrics.
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Preferred Specialized Training: Experience with Medicare Stars, HEDIS, Pharmacy data, NCQA, CAHPS, HOS, Medicare Stars methodology, risk adjustment, medical records and data analysis. Minimum 2 year working with HEDIS standards, quality measures, and Medicare Advantage (can be concurrent.
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Ensures that all donor evaluations and organ cases are carried out based on SHSC, Centers of Medicare and Medicaid Services (CMS), OPTN / UNOS, Association of Organ Procurement Organizations (AOPO) and Centers for Disease Control (CDC) guidelines and recommendations.
Full-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devices Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
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Who We Are: Taymar Sales U. specializes in ticket sales, sponsorship sales and ticket operations services for 23 college athletic departments and sports teams. 4+ Years experience in a Sports Ticket Sales role, with 1+ year in a ticket sales managerial position preferred.
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Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
$18.5 - $35.29 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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See clients in our art therapy room) 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.
$42 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans.
Part-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Job Description :Medicare Risk Adjustment Advanced Analytic SeniorLocation: This position will work a hybrid model (remote and office). Medicare Advantage and Medicaid (Dual Members) risk adjustment experience preferred.
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The Centers for Medicare and Medicaid Services (CMS) COVID-19 vaccine mandate requires staff without an approved medical or religious exemption to be fully vaccinated to be employed in this program.
Starting at $16.5 an hourExpandApply NowActive JobUpdated Today
medicare sales jobs Company: Capital Markets Placement
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