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Blue Cross Blue Shield Standard PPO Plan/High Deductible Health Plan. At CHI St. Vincent Health at Home , we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization.
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ARKANSAS BLUE CROSS BLUE SHIELD will NOT sponsor applicants for work visas in this position. To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here.
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To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click. Arkansas Blue Cross is only seeking applicants for remote positions from the following states:Arkansas, Florida, Georgia, Illinois, Kansas, Louisiana, Minnesota, Mississippi, Oklahoma, South Carolina, Tennessee, Texas, Virginia and Wisconsin.
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Maintain current BLS/CPR certification from either the American Heart Association (AHA) or the American Red Cross (ARC) Licensed Practical Nurse - LPN - Correctional Facility. With a gold star in Joint Commission-certified healthcare services, we offer per diem, local, and travel career opportunities for allied, interim healthcare leadership, nursing, and pharmacy.
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Collaborating with cross-functional teams, including Finance, the Office of the Chief Data Officer, the Office of the General Counsel, Business Services Technology, Network Information Security, Internal Audit, and other firm functions to gather relevant data and establish data integrity for analysis.
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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 Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care centers.
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Maintains current knowledge of ICD-10 coding policies and procedures, DRG and/or CPT coding and Medicare/Medicaid reimbursement guidelines/regulations. Knowledge of DRG system, ICD-10, Medicare Part A (for the hospital) and Medicare Part B billing and CPT coding (for the clinic) preferred.
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Experience working in a value-based care, senior care, and/or Medicare managed care. + Support pharmacy performance improvement activities and align pharmacy services with improvement quality metrics and Medicare part D performance.
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QualificationsMinimum Qualifications:Ability to project a professional imagePossess knowledge of functions of Cardiopulmonary department and the quality standards requirements as outlined by CIHQ, the Joint Commission, Department of Health for the State of employment and Federal regulatory standards as outlined by Centers for Medicare and Medicaid (CMS)Knowledge and experience in the needs of patients ranging in age from 18 to geriatricWorking knowledge and ability to.
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The Technical Project Manager will be responsible for creating executable project plans with clearly defined milestones, reporting project status, working across multiple cross functional teams, issues/risks, mitigation plans, crating and improving documentation.
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Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care.
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Our franchises include Peterbilt, International, Hino, Isuzu, Ford, IC Bus and Blue Bird. We offer a rewarding career as a leader in the transportation industry. Our franchises include Peterbilt, International, Hino, Isuzu, Ford, IC Bus and Blue Bird. We offer a rewarding career as a leader in the transportation industry.
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Knowledge of federal and state pay requirements, including Medicare, DSHS, HMO/PPO Contracts. Job Description Job Description Description: Prior Authorization SpecialistFull-timeI. Job Summary / Job PurposeThe Prior Authorization Specialist is responsible for obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival for a procedure.
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As Seen on ABC's Shark Tank, HGTV's House Hunters, Blue Collar Millionaires and more. As Seen on ABC's Shark Tank, HGTV's House Hunters, Blue Collar Millionaires and more. With 90 franchise locations across the U.S., College Hunks Hauling Junk and Moving® is the largest and fastest growing junk removal and moving franchise opportunity.
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blue cross shield medicare jobs in Little Rock, AR
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