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Assist all line of business (Medicaid/Medicare/MLTC/CHP/EP) in retaining current qualified members by following a strategic daily work schedule that includes am and pm hours, field locations as well as weekends.
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All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. The Office of Counsel provides legal guidance and assistance to the Office for People with Developmental Disabilities (OPWDD) service network.
$117,875 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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For Fidelis Care and Medicare only: Bachelor’s degree in Marketing, Business Administration or equivalent experienceLicense/Certification: Life and Health License (can be obtained within 90 days of employment) – If required by the Business Unit/DepartmentTravel: For Medicare only: Travel up to 80% Must be willing to travel within assigned territory.
$97,100 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems. Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life.
$88,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Coding certification / credential through AHIMA or AAPC and be in good standing. High proficiency)Must be able to work independently as position is fully remote. Coding certification / credential through AHIMA or AAPC and be in good standing.
$38.34 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family of businesses. As an CCM Nurse Practitioner/ Physician Assistant per diem you will provide care to Optum members and be responsible for the delivery of medical care services in a periodic or intermittent basis.
Part-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Admin - Appeals is responsible for reviewing appeals from Medicare enrollee's with a Part C plan and working the appeal from start to finish. speedtest.net) - Minimum 5mpbs upload speed - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private work area and adequate power source - Must currently and permanently reside in the Continental US EEO Statement Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
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Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in New York. This is a short-term traveler role in which the NP will be contracted to complete at least a 4-week travel assignment.
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OR: New York State employee with one year of permanent or contingent-permanent service in a title eligible for transfer to Health Program Administrator 1, Grade 23, under Section 52.6 or 70.1 of the Civil Service Law. Preferred Qualifications: Preferred candidates will have professional experience in public health insurance programs, including New York’s Medicaid and/or Medicare.
$84,156 - $106,454 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Develop product strategy for annual Medicare Advantage plan filings. Medicare Advantage experience. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Duties Description The Bureau of Program Compliance and Audit (BPCA) interacts with external auditors such as Office of State Comptroller (OSC), Office of Inspector General (OIG), and the Center for Medicare and Medicaid Services (CMS) to ensure that local district and the New York State of Health eligibility determinations are in compliance with State and Federal eligibility rules and regulations.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Knowledge and experience of Revenue Cycle functional training for all key Patient Access (PAS) functions and processes including Scheduling, Registration, Benefit Advocacy, Pre-Registration, Notification Verification and Authorization (NoVA), Point of Service Cash Collection, Medicare Compliance, and Customer Service, across numerous state and local environments and payer requirements.
$41.4 an hourFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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The Care Consultant Sr. for Provider Success is responsible for consulting with providers (Commercial, Medicare Advantage and Medicaid Lines of Business) to assess and deploy appropriate interventions to drive success in value-based care.
$143,568 a yearFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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This field-based, seasonal role operates from November through May, and involves traveling within the five boroughs of New York City. The role is essential for reporting HEDIS and QARR measures to the NYS Department of Health and Centers for Medicare & Medicaid Services (CMS.
$40 an hourExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Ability to read, analyze, and interpret Medicare Compliance Regulations. Must successfully complete the Trinity Health TogetherCare Credentialed Trainer Program for Epic Cadence, Prelude, and Referral Applications within one year of hire.
$41.4 an hourFull-timeExpandApply NowActive JobUpdated 18 days ago
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