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This 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) through Hierarchical ConditionCategory (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits.
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Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. External contacts include the Department of Insurance, CMS, Blue Cross and Blue Shield Association, providers, subscribers, group leaders, external consultants, attorneys, external auditors, governmental agencies, other Blue Cross plans, and other agencies/businesses as needed.
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Cross-functional collaboration Proactively collaborates with other field teams to ensure the best Customer Experience (Cx) for HCPs. Gathers and shares relevant insights and information internally with the appropriate stakeholders to enable BMS to better serve its customers.
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The Floor Technician is responsible for floor maintenance, restoration, and the operation of industrial floor care equipment in assigned location(s).
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Our faculty team members enjoy liberal cross-coverage for weekend and holiday on-call responsibilities and share the benefit of subspecialty support in otology, laryngology, head and neck oncology, pediatric otolaryngology, and plastic/reconstructive surgery.
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The Director, Group Medicare Sales and Labor Relations sells health insurance and related products to new large group accounts (generally 300+ contracts) and leads the Labor Relations team. The Director, Group Medicare Sales and Labor Relations requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
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The LPS typically reports to the Loss Prevention Site Lead responsible for their facility, and aids them in supporting the Operational team, and the cross functional teams throughout the organization.
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This is a full-time, entry level position offering great benefits, opportunities for cross-training, and career growth! Railcar Loader / Rail Switching Technician Baton Rouge, LA Jump in and join the PSC Group to be an integral member of our team.
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Certifications: Current American Red Cross or YMCA Standard First Aid Card; Swim Class Instructors should possess a current Water Safety Instructor Certificate. Ensuring safety of patrons, watching for and preventing and notifying patrons and Head Lifeguard of unsafe conditions, accidents or occurrences, administering first aid when required; reports all accidents immediately to Head Lifeguard/ Aquatics Manager.
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We own nursing homes, health plans for Medicare beneficiaries living in long-term care facilities, as well as divisions offering psychiatric care, home health, hospice, rehabilitation and specialty pharmacy services.
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Shopper Insights: Lead shopper insights projects for Walmart, partnering cross functionally with our Shopper Insights and CMI teams. Cross-functional Engagement & Partnership: Ability to partner & communicate with Senior Leadership and internal partners, such as Sales Strategy, Category Management, and Shopper Insights, advising on channel strategies, shelving recommendations and category opportunities from the retailer lens.
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The ODO team is chosen from a cross section of Federal, State, and local law enforcement to provide security services ranging from Fortune 500 companies to entertainment industry executives, major special events, and any other type of venue requiring a secure presence.
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Our faculty team members enjoy liberal cross-coverage for weekend and holiday on-call responsibilities and share the benefit of subspecialty support in otology, laryngology, head and neck oncology, pediatric otolaryngology, and plastic/reconstructive surgery for complex patients.
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Proven experience in organizational change management and cross-functional collaboration. Sumitomo Pharma America (SMPA) is focused on delivering therapeutic and scientific breakthroughs in areas of critical patient need spanning psychiatry & neurology, oncology, urology, women's health, rare disease, and cell & gene therapies.
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Utilize Civil 3D software to create 3D models, generate profiles, create cross-sections, and perform earthwork calculations. On behalf of a client in the engineering industry, we are seeking a highly skilled civil engineer to support the firm’s sanitary sewer design, drainage, and land development efforts.
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blue cross shield medicare jobs in Baton Rouge, LA
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