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Experience working with managed care claims, third-party liability, Medicaid waiver programs, and provider enrollment; Knowledge and expertise in managed care claims, third-party liability, Medicaid waiver programs, and/or provider enrollment.
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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.
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Notes This position requires the successful completion of pre-employment checks to include: FBI Criminal Record Check; VA State Child Abuse/Neglect Registry; Drug Testing; Medicare/Medicaid Fraud Database; Driver's License from state of residence and education/certifications.
$20.04 - $26.84 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Manages timely policy research, analysis, and publications to drive and support the priorities of AARP’s Public Policy Institute, particularly on Medicare and related Medicaid issues. Analyzes current and proposed federal regulations as well as other key policies, particularly those affecting the Medicare and related Medicaid programs.
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Maintains all documents required to file Medicaid claims, including the documentation of students' progress according to DCPS Policy and Procedure. Eligible for Instructional Credentials from the Office of the State Superintendent of Education (OSSE.
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The Director II Compliance will support the leadership team and own compliance across a number of disciplines, including but not limited to: Foreign Corrupt Practices Act, Anti Bribery/Anti-Corruption, HIPAA Compliance; Local and Federal Regulatory Compliance; Commercial and Specialty, Medicaid and Medicare Compliance; Finance; Procurement; Corporate Governance; and Human Resources.
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Provide clear advice to Government Affairs and business clients on key federal and state laws, regulations, and policies, including the Inflation Reduction Act, Medicare and Medicaid laws, the Affordable Care Act, 340B, FDA regulations, OIG guidance, and others.
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This position requires the successful completion of pre-employment checks to include: Federal Background Check; VA State Child Abuse/Neglect Registry; Drug Testing; Medicare/Medicaid Fraud Database; Driver's License from state of residence and education/certifications.
$42,940.3 - $57,519.8 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Under the direction of the Director, Federal Government Relations, the Government Relations Manager represents the American Heart Association before Congress, the Executive Branch, and coalition partners on a portfolio of legislative issues including preserving and expanding healthcare access through the Medicare, Medicaid, and Affordable Care Act programs; women and childrens health; cardiac rehabilitation; and peripheral artery disease.
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Virginia Hospital Center was recently designated a Newsweek 2020 Best Maternity Care Hospital, received a 5-star rating from the Centers for Medicare and Medicaid Services (CMS) and once again named a Leapfrog Top Hospital in 2019.
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JOB SUMMARY: The Medicaid Billing Specialist processes the Medicaid insurance claims by entering authorizations into the billing software and researching denied claims for the Fortitude DC/Spring Flats Services within the Homeless and Housing Services Department.
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BLS; CPR; Must be certified by ARRT as a Radiologic Technologist; Must obtain CT Certification within one year of hire into position*About Inova Health System: *Inova’s hospitals are consistently recognized by the Centers for Medicare and Medicaid Services (CMS), U.S. News & World Report Best Hospitals and Leapfrog Hospital Safety Grades for excellence in healthcare.
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The Associate Director Healthcare Economics is accountable for providing support and consultation to local markets as well as national leaders related to clinical, financial, utilization, and actuarial reporting related to CINQCARE’s Medicare and Medicaid value-based care initiatives.
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At least 12 years of experience in positions of increasing responsibility in evaluation research, policy analysis, quantitative analytics for fraud, waste and abuse detection, data mining, data modeling, or related field (or equivalent education) including at least 5 years of policy project managementExpert knowledge of Traditional Medicare, Medicare Parts C & D, and Medicaid policy including ongoing value-based care initiatives.
$168,000 - $257,000 a day (equity)ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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4+ years proven background in healthcare law (contract law, home health agency law, healthcare employment law, Medicaid, Medicare, CMS standards, and healthcare transactions.) Experience with Medicaid, Medicare, licensing, and accreditation requirements is helpful.
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medicaid job Title: primary physician Company: Ima Medical Group in Washington, DC
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