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Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care.
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Check It is an innovative, low-barrier mobile overdose- and HIV-prevention intervention that provides mobile point-of-care drug checking, HIV pre-exposure prophylaxis (PrEP), wound care, and other harm reduction services to people who use drugs in Baltimore and neighboring counties.
$84,100 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Support security authorization activities in compliance with U.S. Department of Health & Human Services (HHS) for the Centers for Medicaid and Medicare services (CMS) and Food and Drug administration (FDA.
$180,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Apply guidance provided for the medical records code abstraction for the following programs, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation) and Medicaid.
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Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.
$60,000 a yearExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Our network consists of a variety of payors, an accountable care organization (ACO), telemedicine, and Medicare advantage products. Our network consists of a variety of payors, an accountable care organization (ACO), telemedicine, and Medicare advantage products.
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Minimum Requirements: Must have minimum of Alcohol and Drug Trainee Status or one of the following certification or license with the State of Maryland: Licensed Graduate Alcohol and Drug Counselor (LGADC), Licensed Graduate Professional Counselor (LGPC), Licensed Graduate Social Worker (LMSW), Certified Associate Counselor-Alcohol and Drug (CAC-AD) or Certified Supervised Counselor-Alcohol and Drug (CSC-AD.
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Requirements:Coding certification required through AHIMA or AAPC (at least one of the below):Certified Professional Coder (CPC)Certified Risk Adjustment Coder (CRC)Certified Coding Specialist for Providers (CCS-P)Registered Health Information Management Technician (RHIT)5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred.
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The Principal Scientist, Drug Metabolism & Pharmacokinetics (DMPK) Advisory Services , will lead and execute Pharmacokinetic modeling for the US region and support PK modeling for other regions, leveraging the internal scientific community and external collaborations to drive Catalent’s brand for drug delivery technologies.
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Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all our patients' healthcare needs, and partners with Medicare Advantage plans that fully cover primary care.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Required Licensure, Certification, Etc.: Certified Social Worker- Clinical (LCSWC), Licensed Clinical Professional Counselor (LCPC), Licensed Clinical Counselor- Marriage and Family Therapist (LCMFT), Certified Professional Counselor- Marriage and Family Therapist (CPC-MFT), Licensed Clinical Alcohol and Drug Counselor (LCADC), or Licensed Psychologist.
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LCADC: Licensed Clinical Alcohol and Drug Counselor. LGADC: Licensed Graduate Alcohol and Drug Counselor. May be required to successfully pass preemployment checks which may include reference checks, background investigations, and drug screenings, where applicable.
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Maintains adequate knowledge of coding, compliance, and reimbursement procedures related to Medicare risk adjustment. Expertise and experience in ICD-10, risk adjustment/HCC, and CPT coding methodologies.
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Medication reconciliation at point of care. Phlebotomy (blood draw) A 401k retirement plan offered through Transamerica for long-term financial security. All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws.
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Determines medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM (American Society of Addiction Medicine), Medicare Guidelines, Federal Employee Program and Policy Guidelines, Medical Policy, and other accepted medical/pharmaceutical references (i.e. FDA, National Comprehensive Cancer Network, Clinical trials.
$141,999 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today
drug medicare advantage jobs Title: sales in Baltimore, MD
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