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Preferred experience working in Value Based Care or Population Health including documenting and coding from a MA (Medicare Advantage) risk perspective and conducting Health Risk Assessments on high risk/chronically ill patients.
$161,700 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Channel Marketing Director, Medicare Advantage - Hybrid. The Marketing Director will be responsible for leading the channel marketing team that supports the Cigna Medicare Advantage (MA) business.
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Knowledge of CMS claims data, including Medicare, Medicaid, and Marketplace, in the IDR or CCW environment with Fee-for-Service ( FFS ) , Medicare Advantage encounter data, Medicaid data in the Transformed Medicaid Statistical Information System ( T-MSIS ) , or Prescription Drug Event ( PDE ) data.
$172,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
$75 - $117 an hourFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Coming Soon Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
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Some awareness or knowledge of health/care reimbursement systems (Medicare Advantage, Commercial payer, Medicaid and CMS regulatory rules) Annually: Successful completion of PCC Assessment of Critical Skills, Passing score on inter-rater reliability.
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Thoughtful client matching and dedicated coaches to grow your practice: We help you get paired with individuals who are ideal clinical matches so that you can control and personalize your caseload, and a dedicated coach to help you help your clients, no matter what your specialty, from pediatric to geriatric mental health, trauma, anxiety or addiction, we help you help others.
$90 an hourExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Being a SonderMind Psychiatric Nurse Practioner means you can:Flexibility: Have an office-based psychiatry practice, practice telemedicine, or have a hybrid practice while enjoying the freedom to set your own working hoursExclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
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Bonus points if you have familiarity with Medicare Advantage, Commercial, and Medicaid value-based care models and STARS/HEDIS quality measures. Sparks Group's health care partner is seeking a Temporary Data Entry Analyst to join their Provider Networks Team. In this role, you will play a crucial role in supporting our success and performance in various health plan value-based contracts, including Medicare Advantage, Commercial, and Medicaid.
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Knowledge of and/or expertise in state and local paid leave laws, Family and Medical Leave Act, Public Health Service Act and related health legislation and regulations, Medicare, Medicare Part D, and Medicare Advantage Programs, including Employer Group Waiver Plans.
$178,000 a yearFull-timeExpandUpdated 12 days ago - UpvoteDownvoteShare Job
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Monitor and analyze health policy developments, with a focus on those affecting commercial insurance, including Medicare Advantage. Monitor and analyze health policy developments, with a focus on those affecting commercial insurance, including Medicare Advantage.
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Extensive knowledge of CMS claims data, in either the IDR or CCW environment or with CMS Limited Data Set (LDS) Analytic files is required including Inpatient, Outpatient, Skilled Nursing Facility, Home Health Agency, Hospice, Carrier, Durable Medical Equipment, Prescription Drug Event (PDE), and Medicare Advantage Encounter claims.
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Proven experience with commercial and/or Medicare Advantage risk adjustment functions. The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization’s Risk Adjustment Programs to optimize the programs’ clinical benefit, financial accuracy and ensure program compliance with governing bodies’ regulations, including the Center for Medicare and Medicaid Services.
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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.
Full-timeRemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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We are seeking an experienced Enrollment Coordinator I to join our team. TPA Experience Preferred. responsible for overseeing student admissions, recruitment, and enrollment processes at our educational institution.
$30 an hourFull-timeRemoteExpandApply NowActive JobUpdated 7 days ago
medicare advantage jobs in Washington, DC
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