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The Center for Medicare and Medicaid (CMS) is launching a new value-based care program to disrupt Traditional Medicare, and we believe that this represents an opportunity to achieve the meaningful change we envision.
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Must pass a full criminal background check which includes, CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure requirements), Drug Screen, PREA (Division of Youth Services.
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Knowledge and understanding of all payer segments (e.g., Commercial, Medicare Part D) required. As Intercept continues to build its position as the leader in rare and serious liver disease, we are seeking a Field Reimbursement Manager (FRM.
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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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Under the general supervision of the Payor Contracting Director, the Senior Payor Contract Analyst is responsible for overseeing and managing commercial and Medicare Advantage payor contracts. Ensures the payor contracting department possesses relevant knowledge of commercial and Medicare Advantage payor enrollment requirements and develops and maintains provider rosters issues and a mechanism for resolving enrollment issues.
$65,190 - $97,785Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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And Medicare; Value-based care, managed care, and risk-based contracting. Solid knowledge base of current healthcare payment and delivery structures encompassing Medicare Advantage. Minimum of 10 years of progressive leadership experience in healthcare value-based care provider and/or health plan risk operations and/or at-risk payer services organizations.
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Solid knowledge base of current healthcare payment and delivery structures encompassing Medicare Advantage and Medicare; Value-based care, managed care, and risk-based contracting. Solid knowledge base of current healthcare payment and delivery structures encompassing Medicare Advantage and Medicare; Value-based care, managed care, and risk-based contracting.
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We are looking for an exceptional leader with deep value based care knowledge, a strong history of committed work in the healthcare industry and ongoing desire to transform patient care across the kidney disease and treatment continuum.
$50,000 - $285,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Maintains compliance with applicable regulatory agency requirements, including The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), State and Local agencies, Occupational Safety and Health Administration (OSHA), etc.
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Develop and execute strategies to optimize revenue through quality improvement initiatives, leveraging in-depth knowledge of Quality Stars (Medicare), HEDIS (Medicaid), and Risk Adjustment processes.
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Home Health is paid for by Medicare, and Medicare requires therapists to fill out a document called OASIS when starting any patient on services. We will accept Physical Therapists with experience (even if clinical/intern experience) in any of the following settings: Home Health, Home Care, SNF, Skilled Nursing Facility, inpatient rehab, health and rehab center, rehab center, healthcare center, rehabilitation center, out patient / outpatient, inpatient, assisted living facility, ALF, adult daycare center, hospital, medical center.
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General knowledge of benefits and compensation laws and regulations (ERISA, HIPAA, COBRA, Medicare, ACA, HSA, and Department of Labor FLSA regulations). General knowledge of benefits and compensation laws and regulations (ERISA, HIPAA, COBRA, Medicare, ACA, HSA, and Department of Labor FLSA regulations.
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If employed at one of our senior living communities that receives Medicare or Medicaid funding, team members must not be considered an "Excluded Party" as defined by the U.S. Department of Health and Human Services, any state Medicaid Programs, and any additional federal and state government contract programs.
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Follow and implement wage and hour laws, federal, state and local laws and regulations, Medicare, and legislation affecting employment; ensure compliance with all laws and regulations including Teammate Health and Safety Training Program and Mission Veterinary Partners healthcare clinical and safety standards.
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Relevant areas of expertise include health system organization and delivery science, value-based care models, economic evaluation, implementation science, healthcare data science, Medicaid and Medicare policy, rural health policy, and delivery system strategies for addressing social determinants of health.
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medicare job in Denver, CO
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