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You will also serve as a Subject Matter Expert for Medicare Advantage risk adjustment. Knowledge of the Medicare Advantage STARS program and NCQA technical specifications. As a key leader within our Medicare Advantage team, you will develop and execute of strategies, programs, and projects while managing key performance indicators to drive operational excellence.
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Provider Performance Director, Medicare Advantage (HEALTHCARE) Familiarity with Medicare Advantage and its business model. As a Government Programs Provider Performance Director, you'll develop provider engagement strategies to drive performance improvements in critical objectives such as population health management, Medicare Stars, and Risk Adjustment.
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Knowledge of managed care, health plan operations, and regulatory and compliance requirements for Medicare D-SNP and Covered California. Under the direction of the Senior Director of Commercial Products, the Director, Product Implementation - Medicare & Commercial, will lead the annual product renewal and implementation projects to support the Medicare D-SNP and Covered California lines of business.
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Whether our clients need Medicare Advantage or Medicare Supplement, Ancillary Plans, Long Term Care planning, Life Insurance, Annuities, Dental and Vision, Income, and Future Planning - AMBA has access to a wide selection of carriers and programs to meet their needs.
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The Medicare Sales Representative is involved with health education through the distribution of health ed. In addition, the Medicare Sales Representative provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.
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Submission of Medicare Advantage Copy claims. Knowledge of Medicare DDE, e-Solutions, Point Click Care and Quadax preferred. Creation and submission of cost Report Bad Debt write offs for states assigned to Medicare CBO, per Medicaid billing guidelines.
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The Senior Financial Analyst will serve as the Solid Organ Transplant primary internal consultant responsible for providing critical analytical support for regulatory and financial implications of the Transplant components of the Medicare Cost Report (MCR.
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As the Senior Engineer for Joint Information Advantage with MTSI, you will provide technical expertise for warfighting capability development, integration, and transition of new technologies that close time-critical gaps in high-priority, multi-component warfighting missions.
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As a Medicare Biller, you will be responsible for accurately processing and submitting medical claims, ensuring compliance with regulatory requirements and optimizing reimbursement for our client's esteemed institution.
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Under the supervision of the Insurance Billing Manager, this position is responsible for the timely and accurate billing and follow-up of unpaid Medicare inpatient and outpatient accounts. 1+ years' experience in hospital Medicare billing and follow-up.
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Provider Performance Director, Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or WAWHO WE NEEDThe Government Programs Provider Performance Director develops provider engagement strategies to drive performance improvements critical objectives such as population health management, Medicare Stars, and Risk Adjustment.
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The current full salary range for the Provider Performance Director, Medicare Advantage is $124k Low Range / $156k MRP / $203k High Range,. Serves as a Subject Matter Expert on MA programs and objectives such as quality, risk adjustment, and other Medicare programs and stays informed and updated on measures, program changes and quality gap closure processes.
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They are also responsible for identifying innovative interventions to support provider practice transformation and meet the needs of Regence members. Participates in internal workgroups to support development of effective member and provider network-directed interventions; coordinates interventions with internal stakeholders.
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In partnership with and under the direction of the health plan Medicare Compliance Officer and other team members, this position will help develop and maintain systems and processes that demonstrate the principles of an effective Compliance program and promote compliant and ethical behavior in our Medicare Advantage health plans.
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The Medicare Cost Report & Reimbursement Manager will act as the day-to-day leader of Northside Hospital’s Government Reimbursement Function. This position will require leadership skills and will also require maintaining a high degree of knowledge on Medicare Cost Report instructions, data inputs, and changes to Medicare and Medicaid regulations related to Reimbursement.
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Title: medicare advantage Company: Healthspring
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