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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. Two to three years college level courses/Associates Degree/Diploma in Respiratory Care. New Mexico Respiratory Care Practitioner License, Registered Respiratory Therapist credential from the NBRC, ACLS and/or PALS , BLS required.
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Subject matter expertise in healthcare claims data preferred, and even better with experience in HEDIS, quality reporting, clinical (EMR/EHR; Epic) or enrollment/membership data; experience with Medicare and Medicaid data is a plus.
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ELIGIBILITY - Determine and process eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service, Salud, Self Pay) Do the Census reports for PBX. Work Medicare secondary payor report as assigned.
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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. Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
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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.
$16 - $18 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Curana Health serves more than 1,100 senior living community partners across 30 states and participates in both the MSSP ACO, ACO Reach and Medicare Advantage programs with CMS. Backed by more than $300M in venture capital funding, the organization is poised to disrupt care delivery in senior living on a meaningful scale through innovative care models and applied analytics.
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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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Presbyterian nurses 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.
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Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.
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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.
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Providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Mission-focused career impacting change and measurably improving health outcomes for medicare patients.
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Performing hospice face to face assessments as required by Medicare & insurance to determine if patients qualify for services. Our NP will collaborate with our team of nurses and physicians to deliver premium care for our valued patients to assist with successful transitions through a variety of settings including hospitals, transitional care facilities, long-term care, assisted livings, and private homes.
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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 18 days ago - UpvoteDownvoteShare Job
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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.
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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.
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medicare job in Corrales, NM
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