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As part of the 1115 Medicaid waiver launched in 2023, MassHealth created a new health equity-focused incentive program to encourage hospitals to advance health equity. The Operations Director of Health Equity will jointly report into the Population Health team and Hospital Operations and will lead: (1) the MassHealth Health Equity Incentive Program, including overseeing disparity reduction initiatives (e.g., diabetes care, pregnancy care), and (2) operations of BMC's core tool for social needs screenings and referrals (THRIVE.
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Maintains knowledge of the policy changes that affect the 340B Program, including, but not limited to, HRSA/OPA rules and Medicaid changes. This position functions as the primary 340B Program contact, HRSA Primary Contact and liaison for all 340B subject matters.
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This position will work across the MassHealth (Massachusetts Medicaid) organization to manage internal and external data sources and reports, and cross functional relationships to ensure delivery of key quality and health equity deliverables.
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Must have Tools: Selenium, Client Load Runner, TOAD for Oracle 12.6, Python, Oracle SQL Developer 18.2, PL/SQL, UNIX, AWS, FileZilla, Microsoft Visio, WinSCP, Java, MS Office, Atlassian JIRA, Putty, COGNOS.•Prior experience working in healthcare or government setting with a strong knowledge base in healthcare insurance principles, eligibility, and Medicaid Management Information System (MMIS.
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Provide support with federal and state programs related to benefits and/or LOA eligibility (i.e. Medicaid/Medicare, MassHealth Premium Assistance Program, and HIPP Program). We are seeking a highly skilled and compassionate Leave of Absence Specialist to join our team.
$60,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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340B Program Oversight Maintains knowledge of policy changes that effect 340B including HRSA, OPA and Medicaid Responsible for conducting all internal 340B audits performed at HHSI (in-house and contract pharmacy) Maintains a current state of “audit readiness.
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Administering medications and treatments as prescribed by the PCP, ensuring adherence to CARF, DDS, Medicaid and or DPH regulations. to ensure program compliance with all regulations established by DDS, DPH, CARF, and or Medicaid.
$38 an hourExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Required Qualifications: 1+ years of experience in a network management related role, such as contracting, provider relations or provider services and/or experience working in a dental office 1+ years of experience with Medicaid and Medicare reimbursement methodology (ie.
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Key Responsibilities:Key contributor within the Government Pricing Team, with demonstrable knowledge and experience in government pricing calculations and reporting requirements including Medicaid, Medicare, 340B and FSS.Works with cross-functional business partners on forecast and accrual estimates, pricing and G2N modeling, and analysis for new and evolving pricing legislation.
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The DoD SkillBridge or Military Spouse Financial Planning & Analysis Lead Intern will utilize Humana's Medicaid training and mentorships and engage formerly acquired skillsets from military experience and education to perform within the finance Medicaid segment.
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Keywords: RN jobs, Registered Nurse, Clinical Care Management, ACO, Medicaid, Care Team, Community Partners, Care Manager, VinfenIC, VinfenRN, RN, Registered Nurse, Nursing.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible for performing the duties of a RN/LPN in an outpatient primary care or family medicine practice and serves as a clinical resource for the medical practice.
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Desired Other Skills: Experience working with a Medicaid population is strongly preferred Experience working with Federally Qualified Health Centers is strongly preferred Demonstrated success in working as part of a multi-disciplinary team including communicating and working with Providers, Social Workers, Community Health Workers and other health care teams.
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We are looking for team players to join peer physicians and advanced practice clinicians in two hospital-owned outpatient primary care groups located in Cranston and Warwick, on the coast immediately south of Providence.
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Duties include, but are not limited to: Working as clinical perfusionist, Intraoperative Blood Salvage, Point of Care Testing, ECMO, VADS, completing satisfactory performance appraisals and competency assessments, clinical education and completing departmental projects in a timely manner.
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medicaid job Title: primary care physician Company: Ima Medical Group in Boston, MA
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