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Key Words: Billing, Claims, Reconcile, IHS, Indian Health Services, Tribal Liaison, Medicaid, MCO, Managed Care, Tribal, Value Added, Community, Tribal 638, Tribal Governments, TCBOs, HSD/MAD, Claims Examiner, Auditor, Claims Processor.
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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 Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Summary & Positions:At Savers / Value Village our RMerchandise Processing Associates create an awesome experience for our Customers, Donors and other Team Members. Benefits offerings including:Bundled health plans such as medical, Rx, dental and visionCompany-paid life insurance for extra protection and peace of mindPrograms to stop smoking, diabetes management coaching, and on demand care options.
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With 160 years of clinical excellence and innovation, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Hanger's Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide.
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As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care.
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May be required to assists in staffing as necessary to provide clinical care for adolescent, adult and geriatric patients. Position Summary :As the Clinical Supervisor of Emergency Services, you will assure service, growth, development, resource allocation and management controls are in order to ensure consistent high-quality patient care in the Emergency Department.
$30 - $55 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience working in a value-based care, senior care, and/or Medicare managed care. + Act capably and competently as the national pharmacy subject matter expert (SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations, training, process, and analytics to optimize our pharmacy approach.
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3-5 years of experience in managed care operations, value-based care, and/or provider reimbursement and analytics. Understanding of Medicaid and/or Medicaid managed care. The Senior Value-Based Programs Professional will work to drive Value Based Payment (VBP) strategy and implementation for our Medicaid markets from beginning to end.
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Pivot Point Consulting enables healthcare organizations to realize the most value from their technology and resources through Managed Services, Data & Analytics, EHR, ERP, Advisory, Virtual Care and Cybersecurity services.
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Our value-based care model and competitive bonuses are structured to reward outcomes, drive low hospital admissions, deliver preventive medicine, and result in an unmatched patient experience.
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LensCrafters is the largest optical retailer in North America with 1,000+ stores and as part of an eyewear industry leader, Luxottica, our higher standard of quality has made LensCrafters a leader in vision care for over 35 years.
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The SVP will assume the role of President of Evolent Care Partners ("ECP"), Evolent's business unit focused on value-based care relationships with primary care practices. Leadership role within a value based primary care organization (ACO or Managed Services Organization) - Required.
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We live by our “iCare” value system to demonstrate our care and commitment to our clients and to each other. Manage the client account directly and in association with the Client Success Manager and the Account Manager assigned to the account driving added value and deliveries of the Premium and Platinum support services.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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10 years' experience in a BPO sales environment, with experience in outsourced customer care services or fraud prevention & detection solutions. As a global company, we know diversity is our strength because it enables us to view things from different vantage points and every individual to bring value to the table in their own unique way.
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We have been serving the state of New Mexico since 1976 with compassionate, state-of-the-art, value-based care. Our team approach aims to deliver the highest quality eye care to all while striving to support our employees’ professional development.
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value care jobs in Santa Fe, NM
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