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Experience in hospital and large account sales, handling complex reimbursement issues, Medicare Part D, and documented history of successful sales performance in a competitive environment. Johnson and Johnson Innovative Medicine is recruiting for an Oncology Sales Specialist, Solid Tumor to support the Danbury, CT territory, which includes New Haven, CT.
$190,000 a yearFull-timeExpandUpdated Today - UpvoteDownvoteShare Job
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Requires at least two (2) years experience with federal Medicare/Medicaid and Managed Care reimbursement systems with a thorough working knowledge of the MDS and RAI process; Requires a working knowledge of OBRA regulations as they relate to Skilled Nursing facilities; Requires strong working knowledge of statistics, data collection, analysis and presentation.
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Whitney Rehabilitation Care Center has been given a 5 Star rating for Quality Measures by the Center for Medicare and Medicaid Services. We are charter members of the Yale Preferred Provider Post-Acute Care Network and recognized as a Tier 1 provider for Hartford Healthcare.
$20 an hourPart-timeExpandUpdated Today - UpvoteDownvoteShare Job
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Providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Generating leads by effectively engaging Medicare senior community through event execution and local community outreach.
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Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems. 2+ years of clinical experience, primary care, home-based medical care, geriatrics or palliative care of emergency/urgent care.
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Performs actuarial functions related to Elevance MMM (Puerto Rico) Medicare Advantage businessResponsible for assisting with forecasting, budgeting, and risk adjustment modelingFrequent interaction with MMM Finance leadership team and Elevance Medicare Advantage pricing team.
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Assist clinicians in documenting the appropriateness of admissions and continued stays;Responsible for Medicare notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials.
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For instance, we're a C.M.S. approved Accountable Care Organization (ACO), covering over 30, Medicare patients associated with our community-based primary care providers. For instance, we're a C.M.S. approved Accountable Care Organization (ACO), covering over 30, Medicare patients associated with our community-based primary care providers.
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Prior experience with Commercial and Medicare Advantage Plans. Two Years Of Medicare Advantage Experience Required. Processing Medicare Enrollments: 2 years (Required) We are seeking an experienced Enrollment Coordinator I to join our team.
$30 an hourFull-timeRemoteExpandUpdated Today - UpvoteDownvoteShare Job
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Knowledge of terminally ill patients and their families along with understanding of hospice concept; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, and human resource) management principles.
$122,265 a yearFull-timeExpandUpdated Today - UpvoteDownvoteShare Job
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That’s why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love. Reports directly to the Executive Director, Administrator, or Senior Patient Care Manager.
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We’re hiring board-certified physician assistant/physician associate (PA) contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
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Keeps abreast of changes in the Medicare, Medicaid and managed care areans and MDS/RAI processes through journal reading, outside in-services an other sources. Organize and participate in the daily Medicare meeting, utilization review and monthly end of close meetings.
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Knowledge and experience in FSS, Medicare Part D, Medicaid, and private payer policies, reimbursement process, health policy, areas of coverage and payment. Development of long-term strategic relationships with key federal customers including Veterans Administration, Department of Defense, Indian Health Services, Medicare, and State Medicaid to achieve optimal outcomes for patients treated within the Federal systems of care.
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Knowledge of Workers' Compensation, Medicare and/or clinical standards of practice preferred. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions.
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medicare job in Hamden, CT
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