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The Lead, Content Development is a proposal writer who coordinates the development of Medicaid RFP content to effectively represent the products, services, brands, and/or the organization to customers.
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Provide guidance related to cost allocation for public assistance programs including but not limited to Medicaid,the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF.
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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/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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The OST is organized and designed to partner closely with programmatic divisions that span the Medicaid and Health Services and Human Services Practices, with the goal of supporting and augmenting existing and new workstreams by providing policy and project management expertise.
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Lead Actuary - Medicaid Trend Quantification. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Medicare/Medicaid and/or Health Insurance experience pref. Design, implement, and improve company quality standards in Claims, Provider Enrollment, etc. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
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Follow all Medicare, Medicaid, and HIPAA regulations and requirements. Perform LPN and Home Health Aide supervisory visits, in accordance with state regulations, to evaluate competency and provide appropriate instructions.
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The purpose of the position is to assure compliance with State regulations through supervision of the health and residential survey activities for (Medicaid), trains new surveyors, oversees and serves as training coordinator, and the scheduling of all required State surveys.
$35.31 an hourExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Knowledge of legislative/oversight bodies (e.g., URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQNational Committee for Quality Assurance, and ERISEmployee Retirement Income Security Act of 1974.
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Extensive experience in healthcare contracting, with a critical understanding of PBMs, National Health Plans, Medicare Part D/B, GPOs, VA/DoD, Medicaid, and the evolving market landscape. Minimum of 12 years of pharmaceutical industry experience, with significant expertise in at least two of the following areas: Channel Strategy, Finance, Pharmacy, Pricing, Trade, or Market Access.
ExpandApply NowActive JobUpdated 7 days ago
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