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Experience in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect.
$71,572.8 - $93,038.4 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Under the direction of the Senior Director, Commercial Products, the Director, Product Development will be responsible for developing product portfolios for all IEHP lines of business: Covered California, Medicare Advantage, Dual-eligible Special Needs Plans (D-SNP), and Group products.
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Understanding of Self-funding, Stoploss, Pharmacy Benefit Management, ERISA guidelines, Affordable Care Act, Section 125, HIPAA and PHI. Oversees annual reporting and filings, ensures accuracy of data and meets appropriate deadlines for 5500 / SAR, Creditable Coverage and Medicare Part D CMS disclosures, CMS demand letters, Healthcare Exchange Appeals, Covered California Appeals, 1095-C, PCORI, Form 720 and Non-Discrimination Testing.
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Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
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Additionally, you can take advantage of yoga classes in our Zen Garden for ultimate tranquility and mindfulness. As the Product Manager for Solar Construction Machinery, you will play a pivotal role in driving the development and integration of cutting-edge machinery essential for the installation of utility scale solar projects.
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Knowledge of basic Medicaid/Medicare billing rules, regulations, and deadline. 2 years of recent hospital Medicare billing experience in an automated environment. The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid.
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Candidate must have knowledge of and experience with state and Federal regulatory and other requirements and practices related to Covered California, Medicare and Medi-Cal (Medicaid), Title 19 (USC)/Title 29 (USC and CCR), Title 22 (CCR), Title 28 (CCR), Title 42 (USC and CFR), CA Welfare and Institutions Code, and CA Health and Safety Code.
$71,572.8 - $93,038.4 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Certified AS9100 auditor – advantage. Experience with FAA Conformity - Advantage. Certified AS9100 auditor – advantage. 5+ years of experience as a Quality Engineer in AS9100 QMS. GMS software engineers are experts in a wide variety of languages and operating systems, as well as experts in software development for embedded microprocessors and microcontrollers and system BIOS development.
$95,000 - $105,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Take advantage of Hertz negotiated discounts (Travel, Tickets- movies, concerts, theme parks, Electronics, Food, Fitness) The Hertz Corporation operates the Hertz, Dollar Car Rental, Thrifty Car Rental brands in approximately 9,700 corporate and franchisee locations throughout North America, Europe, The Caribbean, Latin America, Africa, the Middle East, Asia, Australia and New Zealand.
$26 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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One of the many unique benefits that our employees at Select Medical can take advantage of is our industry-leading continuing education opportunities, which are worth up to $15,580 each year! Select Physical Therapy in Upland, CA area is seeking a full time outpatient physical therapist to join our highly respected orthopedic team.
$80,000 - $93,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Wellness That Works: Take advantage of the free, on-site fitness center and beautifully maintained walking trails. As a Warehouse Associate, join Uline's all-star overnight Distribution Center team, loading and unloading shipments with care.
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Demonstrated knowledge of operations and healthcare management; TJC, Title XXII, Medicare, MediCal and other local, state and federal regulations. BSN, RN, with acute hospital case management leadership experience required.
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At Platt College, our mission is to provide a balanced program of instruction for our students to help them acquire the specialized knowledge and skills they need to take advantage of exciting career opportunities in many of today’s in-demand fields.
$24.04 - $37.01 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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At least four (4) years of experience as a Registered Diagnostic Medical Sonographer. Platt offers certificate and degree programs in several subject areas including school of graphic design, business and legal studies, medical sciences, and information technology.
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Support From Day 1: No forklift certification required for this entry-level role - we will train you and support your career development at Uline. We're a family-owned company known for incredible service, quality products and same-day shipping of our huge in-stock inventory.
$27 - $34 an hourExpandApply NowActive JobUpdated Today
medicare advantage jobs Company: Capital Markets Placement in Rancho Cucamonga, CA
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