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Demonstrates proficiency in the knowledge of regulatory compliance (i.e., RCPC and OMH policies, NYS DOH, Center of Medicare and Medicaid Services and The Joint Commission). In order to be hired and to maintain your employment, candidate’s cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists.
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Individual Product Advisor is responsible for membership growth in strategic target areas, identifying eligible members and enrolling them in Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), and HARP as well as enrolling consumers in Off-Exchange and Medicare Advantage (MA) products including D-SNP (Dual Special Needs Plan) as permitted under federal and state guidelines.
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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 assignment of PS&T employees will be made in accordance with the Memorandum of Understanding between PEF and Hudson Valley DDSO regarding the posting of job vacancies.
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Relevant credentialing tasks such as Medicare/ Medicaid Enrollment, third-party payer enrollment and facility enrollments. Updates Medicaid group agreement information (add/remove locations on group level.
$90,000 - $100,000 a yearExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid.
$246,358 a yearFull-timeExpandApply NowActive JobUpdated 4 months ago - UpvoteDownvoteShare Job
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If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program.
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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.
$95,000 - $110,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge and understanding of various medical and prescription drug insurance plans including Medicare, Medicaid, HMO's, PPO's, and Government Plans. Do you have experience as a medical claims examiner and looking for the next step in your career.
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Knowledge of specialty pharmacy dynamics, buy and bill process and Medicare Parts A, B, C and D, as well as Medicaid and Commercial Payers. Knowledge of specialty pharmacy dynamics, buy and bill process and Medicare Parts A, B, C and D, as well as Medicaid and Commercial Payers.
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Included in this role is responsibility for assuring compliance with all pricing and reporting requirements legislated by the Centers for Medicare & Medicaid Services (CMS), the Department of Veterans Affairs (VA) and any state legislation required price reporting.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Follow all Medicare, Medicaid, and HIPAA regulations and requirements. Provide or assist in routine house cleaning, meal preparation, and laundry. DAILY PAY available for select positions.
$16.2 - $18.5 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Manager, Government Pricing (GP) and Contract Operations position is a key member of Regeneron’s government pricing team, which includes supporting the accurate calculation and timely submission of all required government price reporting, in addition to all operational activities related to contracting, claims, and membership for all customer segments including Health Plans PBMs, GPOs, and Wholesalers.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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If you are appointed and lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. As a Licensed Psychologist, you would supervise and/or provide professional psychological services.
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