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Our Medicare Sales Representatives sell individual health plan products and educate beneficiaries on our services in a field setting. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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Adhere to all company, local, state, and federal laws and guidelines, including HIPAA Fraud, Waste and Abuse (Medicare), and DEA Procedures. Maintain established procedures for quality assurance, security of controlled substances, and disposal of hazardous waste drugs.
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Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems. 2+ years of clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care.
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We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members. We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
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Responsible for ensuring compliance with Centers for Medicare & Medicaid Services (CMS), The Joint Commission (TJC), Health Insurance Portability and Accountability Act (HIPAA), New Jersey Department of Health (NJDOH) regulatory requirements and HMH policies and procedures.
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The Medicare Risk Adjustment Advanced Analytic Senior Is responsible for creating statistical models to predict, classify, quantify, and/or forecast business metrics. Medicare Risk Adjustment Advanced Analytic Senior.
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Scope, develop and execute promotional marketing initiatives to reinforce ICPT products value proposition to managed care customers (Commercial, Medicare, Medicaid, VA/DOD,) SPPs, SDs and IDNs. Translate brand strategy to all components of the access journey – from payor materials to FRM collateral to promotional messaging to be delivered by field sales force.
$222,480 - $267,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Medicare Sales Oversight Analyst will support the oversight of sales activities across all sales channels, as well as our Retention Team. This includes a broad range of oversight of both activities and initiatives designed to acquire and retain Medicare Advantage members.
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Leadership - Lead a business in different geographies or multiple markets, Leadership - Lead a business turnaround, Management - Management - Marketing, Management - Management - Medicare, Sales & Service - Account Management.
$79ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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You should have an understanding of regulations impacting digital products such as FCC (TCPA, CANSPAM), FTC, State Unfair Competition Laws; familiarity with EEOC/ADA/GINA, ERISA, HIPAA, Medicare/Medicaid a plus.
$180,000 - $210,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Knowledge of Medicare/Medicaid regulations and benefit guidelines. AristaCare at Norwood Terrace is dedicated to providing top-notch post-acute inpatient rehabilitation, memory care, and long-term care services.
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We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Implements HEDIS measure campaigns and other quality initiatives as directed by Corporate Health Services to ensure the highest standards of care and to promote the improvement of care management and delivery.
$42.31 - $83.27 an hourExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Knowledge of specialty pharmacy dynamics, buy and bill process and Medicare Parts A, B, C and D, as well as Medicaid and Commercial Payers. Knowledge of specialty pharmacy dynamics, buy and bill process and Medicare Parts A, B, C and D, as well as Medicaid and Commercial Payers.
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Working knowledge of long-term care facility operations and third-party reimbursement (e.g. Medicare / Medicaid). Leading and developing the Finance Operations function which oversees and manages all finance, accounting and reporting activities, including budgeting, forecasting, account reconciliation and profit and loss reporting.
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Innova Solutions is immediately hiring for an Medicare Specialist. The ideal candidate will have: On-boarding and Medicare experience. Experience in the Medicare/Insurance industry.
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medicare job in Elizabeth, NJ
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