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As the Vice President of Payer Contracting Strategy within the Business Development team, you will lead and execute the Company's payer contracting strategy, including, but not limited to, Commercial, Medicare Advantage, and Medicaid plans, and oversee the development of new initiatives to enhance payer value and alignment for value-based care programs.
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This position requires the successful completion of pre-employment background checks including but not limited to: FBI/Federal Records Check; VA State Child Abuse/Neglect Registry; Medicare/Medicaid Fraud Database; education/certifications; and driver's license.
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Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. Mount Vernon Healthcare Center, a member of the CommuniCare Family of Companies, is currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team.
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Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care.
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Experience with Medicare Advantage and Medicaid plans - Preferred. Certified Provider Credentialing Specialist (CPCS) certification - PreferredExperience working within a health plan, managed care organization, provider operated healthcare environment or Third-Party Administrator (TPA)/Business Process Outsourcing (BPO) - RequiredExtensive knowledge of computers and related software applications, such as Word, PowerPoint, Excel, Project - RequiredPrior supervisory or management experience – Required.
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Conceptual and practical knowledge of health data (e.g. commercial, Medicare, Medicaid, or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). Conceptual and practical knowledge of health data (e.g. commercial, Medicare, Medicaid, or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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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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Health care policy experience is required, preferred experience working in Congress or at the Department of Health and Human Services (HHS) or Center for Medicare and Medicaid Services (CMS) As a Health Policy Director, candidates will have critical responsibilities related to lobbying and policy strategy development and implementation on behalf of clients.
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Position SummaryThe Director of Public Policy supports and enhances effective Federal advocacy related to Medicare Part D and drug pricing issues, as well as other Federal and State PBM policy issues including transparency requirements and benefit mandates through strategic issue assessment, policy development and analysis, timely production of advocacy materials, thought leader development, and coalition building.
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McDermott+Consulting (McDermottPlus) is seeking a Healthcare Economist experienced in developing cost estimates for potential legislation, and analyzing data from the Centers for Medicare & Medicaid Services (CMS) to quantify the financial impacts of regulatory proposals to healthcare providers and other stakeholders.
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Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family of businesses. Nurse Practitioner Per Diem – Cumberland County NC Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care.
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OSC/Lewin is seeking recent graduates of bachelor's programs in fields such as mathematics, statistics, computer science, data science, epidemiology, or other quantitative fields to fill junior statistician roles to assist state and federal administrations such as the Center for Medicare and Medicaid Services in evaluating and optimizing healthcare program operations through a combination of analytic and policy-driven research, modeling, and reporting.
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The new Magnet designation is in addition to several other prestigious recognitions which include: a five star rating from the Centers for Medicare and Medicaid Services (CMS), being named by IBM Watson Health as one the nation's highest performing hospitals, and among the top 10 Major Teaching Hospitals, an A for Patient Safety by The Leapfrog Group, the #1 hospital in the DC metro area by U.S. News & World Reports, and being nationally ranked in gynecologic care.
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Executive level Health Actuary needed for highly visible position within growing Healthcare Provider, FSA designation, 10+ years of experience, experience in Medicare, Provider Contracting, and Risk Scoring.
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Knowledge of insurance procedures including Medicare, Medicaid, and Managed Care Plans. Job Description Job Description Growing Ophthalmology (Retina) practice in McLean, Virginia, is seeking an enthusiastic, organized, dependable, experienced, and resolute Patient Service Representative (PSR) with medical insurance and billing knowledge and experience, who is capable of demonstrating strong interpersonal and communication skills with physicians, co-workers, and patients.
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medicare job Title: visiting nurse association Company: Visiting Nurse Association Of Central Jersey in Washington, DC
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