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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.
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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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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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CHR has embarked on a multi-year initiative to transform Human Resources strategy to drive sustainable results through a high-performing and engaged workforce resulting in efficiency with compliance, best industry talent, a diverse talent pipeline and establishing and integrating a culture that USF can leverage as a competitive advantage.
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Do you have previous experience selling Medicare Advantage and d-snp plans? 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.
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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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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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AEP (Oct – Mar) Monday – Sunday/7 days a week, 8AM – 8PM EST Non-AEP (April – Sep) Monday – Friday, 8AM – 8pm EST MUST HAVES:MEDCARE Advantage Plan Part D - required QNXT experience (preferred) Empathy for senior citizens Call center experience and knowledge Regards, Companies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals.
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At RSM, our deep industry experience and focus, as well as our competitive advantage through our cutting edge technology and innovation, defines our commitment to quality, making RSM a First Choice Advisor to our clients serving the financial services (i.e. Private Equity, Real Assets, Credit, Infrastructure etc.
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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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SAP/ILM Archiving Lead, Digital Content Advantage Consulting. Experience in at least two of the following areas: SAP ECC/ S4 HANA Data Archiving & Information Lifecycle Management tools, Data Retention Tool (DaRT), Document Archiving, Print List Archiving, SAP Legacy decommissioning using Dart, SAP ILM software, SAP ILM Retention Warehouse (system decommissioning and reporting) or OpenText.
$124,950 - $208,250 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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What truly distinguishes USI as a premier insurance brokerage and consulting firm is the USI ONE Advantage® , a game-changing value proposition that delivers to clients a robust set of risk management and benefit solutions with bottom-line financial impact.
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PAY RATE: Start at $15 per hour PROFESSIONAL GROWTH: Take advantage of our database of ongoing trainings & become a certified caregiver & dementia specialist. PAY RATE: Start at $15 per hour PROFESSIONAL GROWTH: Take advantage of our database of ongoing trainings & become a certified caregiver & dementia specialist.
$15 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. If so, we are looking for a Personal Lines Account Manager to join a phenomenal insurance agency in California.
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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.
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medicare advantage jobs Company: Capital Markets Placement in Tampa, FL
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