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Strong understanding of value-based care which includes -Medicare Advantage Plans and Medicare Shared Savings Accountable Care Organization. The DVBC manages value-based membership growth through various enrollment levers such as; aged-in member conversion, the Medicare Annual Enrollment (AEP) Period, member voluntary alignment, acquisition membership pull through, and new provider/de-novo membership ramp.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Licensed Practical Nurse (LPN) or Licensed Vocational Nurses (LVNs)Bilingual fluency in Spanish and EnglishExperience working in managed careKnowledge of Medicare/Medicaid regulationsPrior authorization and utilization experience.
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Undergraduate degree or equivalent years of experience Bilingual Spanish or Creole including the ability to read and write in both languages Prior community outreach and/or marketing experience Medicare Advantage sales experience Have established book of business within sales territory Knowledge of Medicare supplement and PDP products.
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Maintains understanding of various payers and Medicare pre-authorization processes. JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients who are high cost, complex, and at risk.
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Some of their esteemed brand relationships include Citibank, EmblemHealth, Dell, AARP, AT&T, Target, L'Oréal, Universal Orlando Resorts and the American Cancer Society. Some of their esteemed brand relationships include Citibank, EmblemHealth, Dell, AARP, AT&T, Target, L'Oréal, Universal Orlando Resorts and the American Cancer Society.
$68,000 - $106,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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24/7 virtual medical and wellness benefits $50 employee referral bonuses Weekly pay Steady hours Job Details for Licensed Medicare Sales Agent: Salary: $20 per hour plus $50 commissions on each policy Mon- Fri 8am-8pm EST- Need flexibility to work shifts between these hours.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Produce analyses, data sets, and reports using Medicare fee-for-service claims data, Medicare Advantage and Part D event data, Medicaid claims data, post-acute care assessment data, Medicare and Medicaid administrative data, and other relevant data sets.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Discovery Senior Living is a family of companies which includes: Discovery Management Group, Discovery Development Group, Discovery Design Concepts, Discovery Realty Group, Discovery Marketing Group, and Discovery At Home, a Medicare-certified home healthcare company.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Job Title: Medicare Part D Agent Remote JobLocation: RemoteDuration: 11+ MonthsPay rate: 16/hr on w2 Job Description Hours of Ops: During Training – 8:00am – 5:00pm EST is open 7 days a week, 8am to 8pm Eastern Standard Time. However, you will only work 8 hour shifts a total of 5 days a week.
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Proficiency in Medicare Risk Adjustment. The Senior Medical Director is responsible for leading efforts to develop and implement medical management and performance improvement strategies to ensure success in our existing (Medicare Advantage) as well as net new LOBs. They will also leverage their clinical knowledge and industry expertise to lead our My Health and At Home programs and meet with Primary Care Providers to develop action plans to help improve utilization and provide better health for patients.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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The MBS works Medicare claims On-line DDE, (RTP) return to provider and (ADR) additional development request and assures all billing requirements are met for Research claims. The Medicare Billing Specialist reviews claims for completeness, reasonableness of charges and appropriateness of billing codes and Medicare information.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Knowledge of Medicare, Medicaid, Private Insurance Reimbursement, and HCHCP. Proficient in computer applications (excel, access, word, and eCW) Knowledge of accounts receivable, FQHC, billing practices, regulations, CPT-4 and ICD-10 Codes.
$19 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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HMO/managed care, Fee for Service, and Medicare plans experience. Maintains up-to-date information on Medicare and Medicaid laws, HCFA requirements, contractual arrangements, and other third-party payer requirements.
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Create and implement marketing plans and budgets that align with the channel's goals and objectives, as well as the regulatory and compliance requirements for Medicare Advantage products. Knowledge of the Medicare Advantage market, products, regulations, and compliance standards.
$62,000 - $85,300 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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aarp medicare jobs in Tampa, FL
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