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CircleLink Health provides the industrys most scalable, automated and clinically effective Medicare care management platform. Clinical / disease management pathways. Sales materials, to ensure compelling content for buyers in clinical/organizational leadership roles.
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Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Data entry experience and knowledge of Medicare, Medicaid, and third-party insurance preferred. Data entry experience and knowledge of Medicare, Medicaid, and third-party insurance preferred. This position is responsible for performing a variety of accounts receivable tasks with a focus on Third Party Follow-up and collection of account balances.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. – Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract, and is an approved Part D Sponsor.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Homecare or medical office experience and/or Medicare knowledge preferred but not required. Health and wellness benefits to include medical, dental, vision, supplemental life, disability and AFLAC.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Assisting Medicare Sales and Retention Business Units in developing more complex products that address customer needs and meet company profitability and operational requirements. This position is responsible for functioning as an internal Medicare product development consultant and project manager, to lead products from ideation through development, commercialization, growth and maturity to retirement.
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The AVP will play a key leadership role on the HQRI team, partnering directly with the HQRI leadership team, leaders across the enterprise, including Market leadership, and external companies to create Medicare Risk Adjustment strategies to support Humana's industry leading position.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Presbyterian Healthcare Services, a locally owned, not-for-profit healthcare system in New Mexico, is seeking a BE/BC Pediatric Endocrinologist to join our growing team of exceptional clinicians and staff in Albuquerque, NM. We’re all about well-being, starting with yours.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Excellent knowledge of Case- Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. Facilitates accurate determination of the Assessment Reference Date that accurately reflects the patient’s care needs and captures all resources utilized to ensure appropriate payment by Medicare/Medicaid and insurance programs.
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Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. This key leadership role is integral in helping to support hospital operations at Presbyterian Hospital (562 licensed beds) and Rust Medical Center (210 licensed beds.
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You will also serve as a Subject Matter Expert for Medicare Advantage risk adjustment. Knowledge of the Medicare Advantage STARS program and NCQA technical specifications. As a key leader within our Medicare Advantage team, you will develop and execute of strategies, programs, and projects while managing key performance indicators to drive operational excellence.
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Min 5 years Hospital chargemaster experience, including the use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.
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Requirements: - OASIS/Medicare Certified Visits Experience - Electronic Charting experience - Minimum of 1 year of recent home health nursing experience (private duty does not qualify) - Most contracts require some on-call - Current Texas RN License - American Heart Association BLS - Valid U.S. Driver's License Supplemental Health Care will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable local, state, or federal law.
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Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Develop a knowledge of the relationship of the MDS to Medicare, Medicaid, PPS, and RUGS. Take your nurse leadership career to the next level as a Director of Nursing in Training at Genesis, where you will receive an intensive orientation and training experience.
Full-timeExpandApply NowActive JobUpdated 6 days ago
medicare job in Albuquerque, NM
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