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Manages and reports risk-adjusted Hierarchical Condition Category (HCC) capture rate and Risk Adjustment Factor (RAF) accuracy in alignment with managed care contracts, particularly Medicare Advantage plans.
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As a pillar of our Cloud First practice, Accenture is a recognized as a vision and capability leader in network transformation and network managed services. To accelerate our clients' transformation leveraging cloud, we combine world-class learning and talent development expertise; deep experience in cloud change management; and cloud-ready operating models with a commitment to responsible business by design - with security, data privacy, responsible use of artificial intelligence, sustainability and ethics and compliance built into the fundamental changes Accenture helps companies achieve.
$63,200 - $169,800 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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MANAGED CARE PROGRAM ADMINISTRATOR Job Location: Address: Division of Developmental Disabilities (DDD) 4000 North Central Avenue, Phoenix, Arizona 85012 Posting Details: Salary: $80,000.00 - $86,300.00 Grade: 24 Closing Date: July 21, 2024 Job Summary: Would you like to be part of an amazing team that makes Arizonans thrive.
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Federal Regulations related to Medicaid, Medicare, Federal and State laws, agency rules, policies, and procedures for medical services in a managed care environment; Arizona Health Care Cost Containment System (AHCCCS), Department of Health Services, and Centers for Medicare and Medicaid.
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We are Leading Fluence currently has thousands of MW of energy storage projects operated or awarded worldwide in addition to the thousands of MW of projects managed by our trading platform—and we are growing every day.
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Champions and collaborates with acute and hospital outpatient designated areas, Managed Care, Finance, Compliance, and other revenue cycle stakeholders to identify revenue leakage, monitor charge capture activities, oversee payer clinical denials and audits, ensure optimal clean claim rates, and recommend EMR decisions impacting claim submission and reimbursement.
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Pay Details: $ to $ per hourSearch managed by: Chris Collins Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan.
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Code runs in Kubernetes-managed Docker containers hosted in a mix of private and public clouds. Go and Java are our primary server languages, with Kotlin and TypeScript starting to gain traction, and JavaScript and Python used in niche situations.
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Meet and exceed customer expectations largely through managed services relationships, IT project work and staff augmentation. Knowledge of outsourced IT, managed hosting and cloud-based services, products and procedures.
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A self-starter with a strong analytical, consumer, and technology background, a proven track record of acquiring new customers, and has successfully managed, and optimized affiliate and PPI programs to deliver significant growth.
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We are a full-service managed outsourcing partner to the hospitality industry where resorts, hotels, country clubs, stadiums, etc., hire us for housekeeping and total facilities maintenance. The ideal candidate will have at least 8 years of leadership experience in janitorial management, total facility maintenance management, or resort management, with a proven track record of driving operational excellence and strategic growth.
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About Us: We are a full-service managed outsourcing partner to the hospitality industry where resorts, hotels, country clubs, stadiums, etc., hire us for housekeeping and total facilities maintenance.
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As a member of the internal Cloud Managed Services (iCMS) organization within Technology & Infrastructure (T&I), the Technical Product Manager will oversee product delivery and operations while ensuring business stakeholder expectations are met/exceeded.
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Knowledge of and experience with managed healthcare systems, including quality assurance, quality improvement, risk management, and population health and disease management programs. Exciting Family Medicine/Internal Medicine Physician Opportunity in Mesa, AZJoin an exceptional practice committed to enhancing healthcare quality through an integrative approach to health and wellness, encompassing both conventional and complementary treatments for general health, healing, and overall well-being.
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Our team is proud to be known for not serving any endangered species on the menu and for buying only from fisheries that are sustainably managed through BAP (Best Aquaculture Practices) standards.
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managed job Company: Accenture in Scottsdale, AZ
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