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Ensure health plan is in compliance with government and agency regulations as they relate to NYS DOH, CMS, NCQA standards for required data submissions. Retain subject-matter-expert knowledge of health plan programs and HEDIS/QARR/QRS specifications.
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Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
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About NYC Health Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Benefits CWS offers a competitive benefits package that includes: - 403 (b) Retirement Plan - Medical, Dental and Vision Insurance - Generous Paid Time Off (18 Paid Days Off; 24 Days after 2 Years) - 14 Official Holidays - 12 Sick Days Off (Accrued monthly) - Life Insurance and AD&D - Long Term and Short-Term Disability - Employee Assistance Program (EAP) - Health Savings Account - Flexible Spending Accounts - Commuter Benefits.
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Rates for these entitlements can be found at Premium Healthcare Benefits: TRICARE Health Plan : As a member of the U.S. Army, you and your family can be covered under the TRICARE Health Plan – a top-tier healthcare program that provides medical, dental, vision, and prescription coverage.
$40,000 - $50,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Consults with the member, family, providers and health plan departments as necessary. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability.
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Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers Compensation and other Casualty clients. Transform the health plan experience how health care is accessed and delivered by bringing outstanding products and services to our partners.
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Regular full-time and part-time employees have access to medical, dental, and vision plans, a wellness program, health saving accounts, flexible spending accounts, 401(k) plan, employee stock purchase program, life and accidental death & dismemberment (AD&D) insurance, short-term/long-term disability plans, emergency travel benefits, tuition reimbursement, professional membership fee coverage and paid family leave.
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Prime Benefits: First Day Medical, Dental, Vision and Rx benefits Housing and Meal stipends 401(k) Savings plan after 90 days Travel/Licensure Reimbursement Referral Bonus Plan Weekly Direct Deposit Qualifications: Current BLS (AHA Preferred) Active State License Supervisory Professional References Must complete Drug Screen and Background Screen Submit your resume and experience the Prime difference or call for more details.
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We offer a competitive salary, a comprehensive employer subsidized benefits package which includes group medical, dental and vision coverage, Health Savings Account, 401k retirement plan with annual company match, employee wellness, commuter benefits and cellular phone allowance, generous paid time off and employee volunteer day to encourage social responsibility giving time to the non-profit, community service or charity of your choice.
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Our program has successfully improved cardiac rehab participation rates, member outcomes and lowered readmission at marquee organizations like CDPHP, Kaiser Permanente, Highmark Health Plan, Allegheny Health Network and the Veteran Affairs.
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Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, population health and care management structures, data analytics and electronic health records preferred.
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NYC Health + Hospitals/Lincoln , located just 15 minutes from NYC, is an acute care teaching hospital academically affiliated with Weill-Cornell Medical College. NYC Health + Hospitals/Lincoln is looking for a dynamic physician leader to serve as Pediatric Emergency Medicine Director.
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Adding to our outstanding benefits, some members of Outreachs clinical and professional staff may be eligible for student loan forgiveness and repayment plans for persons working in public service, education, and health care, including the federal Public Service Loan Forgiveness (PSLF) Program, Income-Driven Repayment (IDR) Plan, or the New York State Licensed Social Worker Loan Forgiveness (LSWLF) Program.
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The division ensures the continuous delivery of an adequate, reliable supply of high quality drinking water through the Catskill and Delaware Aqueducts to approximately 9.5 million people in NYC and upstate communities in an environmentally healthy, safe, fiscally responsible and efficient manner while maintaining compliance with the provisions of the Supreme Court Decree of and all other applicable environmental, health and safety laws and regulations.
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health plan jobs in North Bergen, NJ
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