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The State Market Leader will be based in Indiana and will be the primary contact for the Indiana Family and Social Services Administration (FSSA) and its Medicaid agency, Office of Medicaid Policy and Planning (OMPP) regarding all issues and will coordinate with other key personnel to fulfill programmatic requirements.
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Description : JOB SUMMARYThis job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Myers and Stauffer LC is a certified public accounting and health care reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services.
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Providers, health insurers, state Medicaid agencies, or child welfare organizations. The Indianapolis Health Practice is strategically structured to serve state Medicaid agencies and other health and human services agencies.
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Foster state relationships for DSNP, in partnership with the Medicaid President, LTSS leader, and Government Relations. Partner with Government Relations and enterprise teams on local policy changes that will drive Duals growth and integration.
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About the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social Services Administration, which receives around 18 percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers.
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About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. This includes Medicare, Medicaid, private insurance, grants, special contracts, charity, and fee structures.
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Integrates data from various data systems (e.g., data from Medicaid claims, electronic health records, social service agencies, etc.) The Annual Security and Fire Safety Report, containing policy statements, crime and fire statistics for all Indiana University campuses, is available online.
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Ability to meet the Indiana Medicaid billing requirements as an Other Behavioral Health Professional (OBHP) or Qualified Behavioral Health Professional (QBHP) as defined by Indiana Medicaid.
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Health Policy Director, Pharmacy Benefits Management. Medicaid Quality Management Health Plan Director Sr. page is loaded. Medicaid Quality Management Health Plan Director Sr.
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Serve as the central point of contact for information and assistance regarding meaningful use for the Centers for Disease Control and Prevention (CDC), the Joint Public Health Informatics Taskforce (JPHIT) the Centers for Medicaid and Medicate Services (CMS), and the Office of National Coordinator for Health Information technology (ONC.
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