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Benefits: USRx Care & ScriptSourcing Pharmacy Benefits Teladoc® Allied health plan members (and their dependents – even if not covered under your Allied health plan)can access free sick or acute care consults with board-certified physicians 24/7 (AD&D) Accidental Death & Dismemberment benefits Disability - Long-Term and or Short-Term Disability Supplemental Benefits - Accident & Critical Illness Cancer benefits.
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A comprehensive health insurance plan, self-insured by the ARRC and administered by Premera Blue Cross Blue Shield of Alaska. The Railroad offers a Prefered Provider Organization plan (PPO Blue Essentials) and a Consumer Directed Healthcare Plan with a Health Saving Account (Gold Essentials.
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With programs for family planning from Maven Clinic to managing diabetes like Livongo, coverage for women's health, support for adult and elder care, paid parental leave, a generous 401(k) plan with matching company contributions, and more.
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This job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
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Once you master this role, you could consider the Charge Nurse, Staff Development Coordinator, Resident Care Manager, Director of Nursing, or Health Services Director (Assisted Living) jobs with Prestige Care.
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The AVP, Complex Care will lead clinical strategy and opportunity assessment around new value-based opportunities and programs that directly address the complex needs of seniors and improve health outcomes and avoidable utilization (e.g., palliative care, post-acute care, transitions of care) at a population level.
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Experience working within a health plan, managed care organization, provider operated healthcare environment or Third-Party Administrator (TPA)/Business Process Outsourcing (BPO) - Three (3) to five (5) years of credentialing and/or provider enrollment leadership experience with physicians, Advance Practice Clinicians (APCs), behavioral health, and/or allied providers, in a fast-paced health care environment (hospital, provider group, health plan.
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8 or more years of Finance, Accounting, ERISA Health or Retirement Plan Administration. Responsible for oversight of benefit processes for mergers, acquisitions, JVs, partnerships and divestiture processes, including synergy/dis-synergy modeling, designing the benefit plan integration strategy, coordination and establishing integration timelines, and monitoring the successful integration of targets on platform benefits.
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As our Senior Health & Safety Specialist, you will plan, direct, and implement safety programs in the Mill, Mine, Surface Maintenance and Surface Operations in an underground hard rock mining operation to keep our production going and our profitability up.
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Practical understanding of the healthcare system with regards to Medicare, Medicaid, managed care, and commercial payment methodologies, payment integrity, and health plan operations (e.g., claim life cycle/workflows, network contracting, payment/policy related configuration, provider relations, medical management, medical economics, audit, compliance.
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Complete treatments and procedures, as ordered by the resident s care plan, and within scope of practice and related training while observing resident condition and reporting changes to physician and Resident Care Manager and/or Director of Nursing.
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You will implement and review safety & health policies and procedures in compliance with Greens Creek and Mine Safety and Health Administration (MSHA) rules and regulations. You will assist with or conduct health and industrial hygiene surveys/sampling and implement or recommend control measures to minimize/eliminate exposures.
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Strong knowledge in community LTSS programs, including HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal laws and regulations governing the programs.
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Denali Family Services offers an excellent benefits package including health insurance coverage (medical, dental, vision), 403(B) retirement plan with an employer match, employer paid Life/Accidental Death & Dismemberment Insurance, 10 paid holidays, 2 floating holidays, generous leave accrual, paid volunteer leave, bereavement leave, pet bereavement leave, longevity awards, education assistance, EAP (Employee Assistance Program) and more.
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These include low-cost health insurance, a noncontributory retirement plan, tuition assistance and educational programs. Completion of Officer Training School (OTS), Air Force Academy (AFA) or Air Force Reserve Officer Training Corps (AFROTC.
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health plan jobs in Juneau, AK
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