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Job Description :Audit & Reimbursement III- Medicare Cost Report Audit This is a virtual position, the ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
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Des Moines has been named Best City for High Salary and Low Cost of Living (The Ascent, 2021), Safest Place to Live in the U.S. (U.S. News & World Report, 2021), and Best Places to Live in the Midwest (U.S. News & World Report, 2019.
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This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all benefits authorized meet medical necessity and other Medicare and/or Medicaid criteria if applicable, to promote cost-effective delivery of health care services.
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1 “Best City for High Salary & Low Cost of Living” – The Ascent , 2021. Participate in a multi-group ACO and continue to be significantly below market in total cost of care and ER admission/readmission.
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Experience working in a value-based care, senior care, and/or Medicare managed care. + Support pharmacy performance improvement activities and align pharmacy services with improvement quality metrics and Medicare part D performance.
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Report any problems to the Foreman, Superintendent, Safety Manager, or Human Resources Manager. The career field for "Equipment Operator" includes, but may not be limited to, the following positions: Equipment Operator (Grade and Pave Crew), Heavy Equipment Operator, Roller Operator (Self-Propelled, Asphalt, Other than Asphalt), Motor Grader Operator (Rough Grade), Paver Machine Operator.
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As a Senior Financial Analyst–Oracle Cloud Infrastructure (OCI), you will drive the internal cost allocation process and provide finance support to internal Oracle customers. Senior Financial Analyst-, Cloud Cost Allocations.
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Positions that Report to you: Coffee Shop Baristas. Cash register, Slicer, RPM, Fryers (breakfast grill), Ovens, Steamer, Computers (Microsoft, N.T.), Fax machine, Telephone, Copier, Calculator, Utensils, delivery van Hobart machine, stoves, grills, toasters, chicken roaster, can opener, griddle, chargrill, refrigerated food case, hot case, cold case, thermometers, knives, dishwasher, ice machine, coffee maker, scales, and pop machine.
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In 2017 and 2018, achieved a perfect 100% MIPS score; in 2018, ranked as the lowest beneficiary cost ACO in the country. With over 800 miles of connected recreational trails, our award-winning city offers short commute times, low cost of living, excellent schools, and is a family-friendly city that offers an idyllic work-life balance.
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And sure, the cost of living is affordable, but that doesnt mean you have to lose out on the good stuff- award-winning schools, safe, and clean neighborhoods, hiking and biking trails, delectable dining, cultural events, music, and art festivals, the Iowa State Fair, unique activities like RAGBRAI and much more are all within your reach.
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As the RIS AVP & Chief Actuary you will report to the CFO of RIS leading RIS actuarial operations and support the development of the actuarial community in partnership with the Chief Actuary of PFG and fellow Business Unit AVP & Chief Actuaries across the enterprise.
$174,000 - $236,000 a yearExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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As a design engineer, you will be responsible for designing a wide variety of civil construction projects from concept through construction, with duties that includes communicating with park managers and wildlife biologists, CAD drafting (experience in AutoCAD and/or Micro Station is required), research, developing cost estimates, and site visits.
$62,358.4 - $96,574.4 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assist PSCU/Co-op Solutions credit unions in transaction research, ATM error troubleshooting, card ordering processing, settlement report balancing, hardware and compliance documentation, database change instructions.
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Knowledge and experience in Medicare Parts A, B, D, Medicaid, and private payer policies, reimbursement process, health policy, areas of coverage, payment, coding, Specialty Pharmacy, and buy and bill.
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Assist with Expense Study analysis to establish and monitor deferred acquisition cost, expense allocations by line of business, channel /product, and unit cost assumptions; includes maintaining support for audit inquiries and ongoing support for key stakeholders including Actuarial and Financial Reporting.
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medicare cost report jobs in Urbandale, IA
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