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This position is responsible for implementing the Alzheimer’s Association’s coordinated state policy priorities including issues related to Medicaid, long-term care, training standards, aging, and workforce and serves as a registered lobbyist with the state.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Demonstrated understanding and knowledge of Medicaid, CMS, SMC/OBC, and MES. Deep Medicaid experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Our Consulting Team is seeking a Senior Consultant/ Medicaid Eligibility Process Improvement Solutions Subject Matter Expert (SME) to join our Medicaid Practice Group to work on a State of Hawaii engagement.
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The Lead, Content Development is a proposal writer who coordinates the development of Medicaid RFP content to effectively represent the products, services, brands, and/or the organization to customers.
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Daily work includes coding in SAS/SQL, developing ad-hoc analyses, and building automation reports & dashboards.
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Applying a deep understanding of disability programs (such as SSA SSDI/SSI, vocational rehabilitation agencies, Medicaid/Medicare, and centers for independent living) and the administrative data sources that support disability policy research.
RemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Sr. Manager, Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies.
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Assures compliance with all mandated regulatory reporting requirements including but not limited to Centers for Medicare and Medicaid (CMS), Provides infection prevention and control programs/services that add value and integrated with departmental, facility, Medical Center and organizational business and clinical goals/objectives.
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Knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-10 and DRG's. Knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-10 and DRG's. Experience with computer based applications, preferably in SMS and/or EPIC systems.
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Extensive experience in healthcare contracting, with a critical understanding of PBMs, National Health Plans, Medicare Part D/B, GPOs, VA/DoD, Medicaid, and the evolving market landscape. Minimum of 12 years of pharmaceutical industry experience, with significant expertise in at least two of the following areas: Channel Strategy, Finance, Pharmacy, Pricing, Trade, or Market Access.
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Under the Centers for Medicare and Medicaid Services (CMS) Federal Vaccination Mandate, all health care workers must be fully vaccinated against COVID-19 or have an approved medical or religious exemption from receiving the COVID-19 vaccination.
$25.52Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Verify insurance, Medicare, Medicaid and Medicaid Room and Board. Must have three (3) years of related experience with Medicare, Medicaid, and commercial insurance preferably in a hospice environment.
Full-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Providing sound, practical judgment in the interpretation and application of relevant laws and regulations, including the Anti-Kickback Statute, the Beneficiary Inducement Statute, Medicare/Medicaid, False Claims Act, Stark Law, HIPAA and state health information privacy laws, and marketing and advertising laws applicable to the marketing and promotion of medical products.
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Master’s Degree, preferredExperience with Lean processes; Six Sigma Certification preferredExperience working with Medicaid and/or State programs preferredAbility to build and maintain good relationships with community agencies and other critical stakeholders involved in healthcare access issuesKnowledge of Federal, State and local regulations pertaining to Mobile Integrated Health requiredProficient in the use of Microsoft Office Applications to include Microsoft word, Outlook, PowerPoint.
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Knowledge of Centers for Medicare and Medicaid Services guidelines related to hospice care preferred. Familiarity with insurance providers including Medicare, Medicaid and private insurance carriers is a plus Experience and Educational Requirements: A current Hawaii RN License, in good standing.
$44.71 - $47.6 an hourPart-timeExpandApply NowActive JobUpdated Today
medicaid job in Honolulu, HI
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