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Experience with Medicare or Medicaid, DSNP, MAPD, MME as well as commercial insurance, and/or LTC/LTSS organization. Keeping the patient and member at the center, this leader will drive the strategy and execution of Optum at Home. The leader will also lead our collaboration with UnitedHealth Care in the management of Medicare Advantage Individual and Dual Special Needs populations.
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The Senior Financial Analyst will serve as the Solid Organ Transplant primary internal consultant responsible for providing critical analytical support for regulatory and financial implications of the Transplant components of the Medicare Cost Report (MCR.
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An intermediate level of knowledge with Local, State & Federal laws and regulations pertaining to health insurance (Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy and/or commercial health insurance.
$58,300 - $114,300 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This Summit Orthopedics position is subject to the requirements outlined in the recent Centers for Medicare and Medicaid Services (CMS) Final Rule making Covid-19 vaccinations mandatory for employees in most health care settings, including those in Ambulatory Surgery Centers.
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Pivotal Health is in network with all major health insurers including UnitedHealthcare, BlueCross BlueShield, Humana, Aetna, The Alliance, and Cigna and is Medicare-certified. Pivotal Health is partnering with providers in the Minneapolis/St. Paul area to transform urgent care and primary care with its innovative clinician house call service.
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You will ensure Centers for Medicare and Medicaid Services (CMS), Minnesota Department of Health (MDH) & NCQA regulatory adherence by coordinating staff training; contributing to creating and/or updating policies, procedures, work instructions and letters; and perform compliance reviews of A&G processes and files.
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As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access to best-in-class paid training, and potentially the opportunity to move into a leadership role.
$60,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Medicare knowledge required with minimum of one year of Medicare sales and one Annual Enrollment Period preferred. As an Advocate Agent I, you'll serve as a trusted expert on all things Medicare insurance-related and have access to the nation's best carriers (Humana, Anthem, UnitedHealthcare & more.
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Expand the number of contracts for each broker within both Medicare and ancillary products lines. The Regional Sales Director will need to have/obtain in-depth product/market knowledge, exceptional interpersonal skills, and a 'closer' mentality to recruit insurance agents and lead them on the path to sales.
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The Home Health Aide is responsible for providing patients with in-home personal care and designated health related services to maintain the patient's physical and emotional well-being, while following the written plan of care, Medicare/Medicaid regulations and agency policies and procedures.
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Home Health contracts with SHC require previous experience with OASIS/Medicare Certified Visits. Supplemental Health Care is seeking Physical Therapists in Robbinsdale, Minnesota with prior OASIS/Medicare Certified Visits for contract assignments with a partnering home health agency.
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Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents.
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At Brookdale Home Health, part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people.
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The Market Access Regional Reimbursement Manager (MARRM) is pivotal in supporting the US Market Access Department's mission to ensure patient access to best-in-class technologies and products for Advanced Wound Management, including Grafix, Oasis, and PICO. The MARRM will focus on government payers (such as Medicare, Medicaid, and Veterans Affairs) and regional commercial payers in executing company goals.
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Organize, retrieve, and share member information under tight timelines in accordance with state and federal policies including but not limited to National Council Quality Assurance, ERISA, and CMS (Centers for Medicare and Medicaid Services.
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aarp medicare jobs in Edina, MN
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