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Medicare Advantage and Medicaid (Dual Members) risk adjustment experience preferred. Preferred Location: Hanover, MD.The Medicare Risk Adjustment Advanced Analytic Senior Is responsible for creating statistical models to predict, classify, quantify, and/or forecast business metrics.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
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Experience with market access and knowledge of US market access dynamics including IRA, Medicare, Medicaid would be appreciated. Experience with market access and knowledge of US market access dynamics including IRA, Medicare, Medicaid would be appreciated.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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You will coordinate all external audits of Medicaid and Program Integrity-related activities such as reviews by the U.S. Department of Health and Human Services' Office of the Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), and the State Board of Accounts.
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Knowledge of medical terminology, HIPAA, Medicaid, Medicare, Insurance and FDCPA. Experience with medical billing/claims processing. Understanding and fully complying with all federal and state laws and regulations (HIPPA, Medicare Fraud, Waste and Abuse, etc.
$16 an hourExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Maintains a working knowledge of federal and state regulations and reimbursement (Medicare and Medicaid) issues. Harcourt Terrace is now hiring a Director of Marketing & Admissions! Acting as a positive teammate to fellow employees by helping onboard new teammates.
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These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company.
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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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Nurses and More, Inc. is a Medicare/Medicaid Home Health Care and Staffing Agency who has been taking care of loved ones and our employees since 1988. Qualified Medication Aides (QMA) for Long Term Care Facilities.
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Creation and submission of cost Report Bad Debt write offs for states assigned to Medicare CBO, per Medicaid billing guidelines. + Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines.
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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.
Full-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Demonstrate an understanding of and working knowledge of PACE programs for state departments of aging or Medicaid agencies and/or government health and human services, including the Centers for Medicare & Medicaid Services, supporting PACE programs.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Learn more about McLaren Health Plan at is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.
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Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods.
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Guides participants, guardians and family members in navigating social security issues, offering referrals to local Work Incentives and Planning and Assistance (WIPA) and/or Community Work Incentive Counselors (CWIC) available through their state Vocational Rehabilitation (VR) agencies to focus on identifying any/all available work incentives, including programs that extend Medicare/Medicaid coverage while the individual achieves a greater level of independence.
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medicare medicaid jobs in Indianapolis, IN
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