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Medicare Advantage (MA) risk adjustment is responsible for the development and management of pricing, forecasting, and reporting architecture related to CMS risk-adjustable revenue for Medicare related products within Emerging Markets.
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Experience with Medicare Advantage and/or healthcare risk adjustment is a plus but is not required. Analyze Medicare Advantage products and develop profitability assessments as it relates to risk adjustment.
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The Business Analyst Sr. is responsible for leading and/or supporting processes that ensure oversight and ongoing monitoring of Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage and Part D programs.
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Supervising aides when they are providing modalities for non-Medicare, non-BCBSM patients, and also in their general set up and clean up duties. Supervising aides when they are providing modalities for non-Medicare, non-BCBSM patients, and also in their general set up and clean up duties.
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Maintain compliance with quality care initiatives including Meaningful Use (MU), Medicare Merit Based Incentive Payment System (MIPS), Commission on Accreditation of Rehabilitation Facilities (CARF), and Certified Community Behavioral Health Clinic (CCBHC) requirements.
$13.6 - $16 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Company vehicle provided in Home Infusion and Pharmacy Advantage. Under general supervision, is responsible for the delivery of medication, infusion medications, and/or equipment and supplies in assigned department of Community Care Services: Home Infusion, eHome Health Care, or Pharmacy Advantage.
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A component of our business that embodies the MCA advantage is our “Service First DNA” culture. Customers trust us to provide a portfolio of turn-key systems, products, and services — including two-way radio communications, vehicle uplift, security video and access control systems, BDA/DAS, remote monitoring, GPS tracking, SCADA, dispatch, mass notification, and point-to-point wireless networks.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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GENERAL SUMMARYUnder general supervision: Responsible for the delivery of medication, infusion medications, and/or equipment and supplies in assigned department of Community Care Services: Home Infusion, eHome Health Care, or Pharmacy Advantage.
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Ability to effectively communicate Medicare and home health as well as hospice services with all levels of the healthcare delivery team Excellent organizational, interpersonal, presentation and communication skills Ability to travel within assigned territory and to sales meetings.
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Reviews cases referred from PFS for the Medicare 72 hour rule and provides recommendation. Escalates cases as outlined by the Trinity Denials Management Teams/Case Management. Nurse Residency Program for all new nurses.
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Understanding of Medicare/Medicaid and Commercial insurance billing and reimbursement. We’re looking for a Director of Palliative Care - Nurse Practitioner to join our team. May facilitate palliative care for Kindred Palliative care patients, ensuring a comprehensive, individualized treatment plan, while demonstrating excellent clinical skills and ethical, relevant judgement.
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Baker Tilly US, LLP (Baker Tilly) is a leading advisory CPA firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world’s leading financial centers – New York, London, San Francisco, Los Angeles and Chicago.
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Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems. Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow.
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CPA or JD required. If yes, consider joining Baker Tilly (BT) as a Federal Tax Manager ! Coordinate with specialty tax practices on complicated tax matters in the state and local, high net worth, international, research and development along with credits and incentives areas.
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Provide excellent service to assigned accounts; Sell PBC's Service Advantage ? Products in this portfolio include, but are not limited to, Pepsi, Gatorade, Tropicana, Frappuccino, Rockstar and Bang products.
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medicare advantage jobs Company: Capital Markets Placement in Livonia, MI
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