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Experience within Quality Analytics, HEDIS or Medicare Star Proficiency in any of the following analytics tools: SQL, SAS, Alteryx, R, Python, Tableau, Power BI, CognosKnowledge, Skills and AbilitiesStrong ETL knowledge in a data warehouse ecosystem.
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Our Medicare Sales Representatives sell individual health plan products and educate beneficiaries on our services in a field setting. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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Need a very good coder. Data structures, Design patterns, and STL templates - Experience with message-based systems (Tibco RV/IBM MQ/Zero MQ) - Strong SQL and related Data Base skills - indexing, transaction management (Sybase/Oracle/MS SQL.
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Extensive knowledge of laws and regulations pertaining to Medicare, Medicaid, NYS Department of Health and Joint Commission and the National Patient Safety Goals (NPSG) is highly desired. Extensive knowledge of laws and regulations pertaining to Medicare, Medicaid, NYS Department of Health and Joint Commission and the National Patient Safety Goals (NPSG) is highly desired.
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Develop Tableau dashboards for data and trend visualization within Medicare Part-D PatientSafety vertical using different data sources. Develop Tableau dashboards for data and trend visualization within Medicare Part-D PatientSafety vertical using different data sources.
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This role serves as the key player in educating Medicare Advantage and Medicaid Advantage Plus (MAP) benefits to potential members in a manner that is compliant with Centers for Medicare & Medicaid Services (CMS) and Healthfirst’s policies.
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Our Medicare Sales Representatives sell individual health plan products and educate beneficiaries on our services in a. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly impact your own income potential.
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Type: Full-Time (75 hours biweekly) Shift: Days Pay Rate: $30.46 - $31.96 per hour Job Summary: Certified Coder will code medical records utilizing proper coding classification systems. Responsibilities: Codes all diagnosis, operative procedures, and diagnostic procedures Codes and abstracts Inpatient records and Ambulatory surgery records Codes and abstracts Clinic records utilizing the acuity grid assigned Requirements: High School Diploma or Equivalency CLS or CPC Coding Certification 1-2 years experience.
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This is a full-time, part-time, or PRN Physical Therapist position to perform outpatient therapy within home-based settings in the Upper East Side area of New York. All billed as Medicare Part B. 40 hours per week are available.
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The successful candidate will be a Board Certified Child & Adolescent Psychiatrist who will be responsible for appeals reviews within our Medicaid and Medicare programs. Job Description :Wellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states.
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Senior Medicare Sales Representative - Bilingual Chinese Manhattan, New York Direct Sales Apply Now Job ID R011096 OverviewThe Senior Community Liaison educates consumers in the communities served by VNS Health about MAP, MAPD or DSNP products and the benefits of enrolling in these VNS Health Plans products.
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Whether it's holding a PhD-level deep dive into understanding fairness and underlying bias in machine learning models, debating the merits of a Scandinavian design philosophy in our UI/UX, or writing responses for Medicare rules to influence U.S. health policy, we prioritize sharing our findings across the team and helping each other be successful.
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Convergence - Job Title: RN Pediatric Supervisor Location: Brooklyn, NYSchedule: DaysSalary: Beginning at $120,000 Company Overview:A distinguished Home Healthcare Agency based in New York with a coveted 5 Star Rating for excellence in Patient Care, as recognized by Medicare & Medicaid Services, who is committed to delivering top-tier services, specializing in skilled nursing, physical therapy, and pharmacy assistance - focusing on aiding seniors in maintaining their independence at home.
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Knowledgeable in outpatient and inpatient coding (APC, MS-DRG, ICD-10), physician coding (CPT, HCPCS), Medicare, Medicaid, and third-party payer issues. Lead efforts to navigate and align stakeholders in coding and reimbursement processes, including CPT and Medicare payment rules.
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Must be eligible to participate in Medicare/not opted out, as we credential with all payors for Urgent Care. Keywords: Physician | Medical Doctor | Doctor of Medicine | MD | General Practitioner | Family Medicine Physician | Primary Care Physician | Urgent Care Physician | Sport Medicine Physician | PM and R Physician | Physical Medicine and Rehabilitation Physician | Occupational Medicine Physician | DO | Emergency Medicine Physician.
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