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MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients.
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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.
$45,277 - $50,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Is a leading performance sales and marketing agency specializing in the Medicare Advantage, Medicare Supplemental, and Life and Supplemental Insurance space. with PySpark, Python, SQL, Excel, and data visualization tools (Tableau, Power BI, etc.
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Knowledge of New York State Medicaid and CMS Medicare regulations and related reporting requirements such as STARS, QARR, MMCOR, MEDS, RAPS, EDGE and HEDIS required. Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Cityblock’s VP of Finance must be an experienced finance executive, ideally with expertise in Medicaid, Medicare Advantage / Duals (e.g., D-SNP, MMP) programs, and/or value-based care. Understanding of Medicaid, Medicare and Dual-Eligible programs and populations.
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Experience in a Medicare-certified home health agency and knowledge of electronic medical records (EMR) preferred. Ohio Living Home Health And Hospice In Greater Akron Is a Premier Provider In Cuyahoga, Huron, Lorain, Medina, Portage, Stark, Summit And Wayne Counties Offering h Ospice And Palliative Care, Private-duty Home Care, Long-term Nursing Care, Physical/speech/occupational Therapies, Home Health Aides, Social Work Services, Medication Administration, Wound Care Management, IV Therapy And More. Most Importantly, We’re a Company That.
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About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
$50,000Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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TRANZACT is a leading performance sales and marketing agency specializing in the Medicare Advantage, Medicare Supplemental, and Life and Supplemental Insurance space. Proficiency with PySpark, Python, SQL, Excel, and data visualization tools (Tableau, Power BI, etc.
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The Credentialing Coordinator is responsible for maintaining the confidentiality of all Medical Staff related information, organizing and preparing for committee meetings, and ensuring compliance with the Medical Staff Bylaws, accrediting and regulatory agencies (i.e., Joint Commission, Centers for Medicare & Medicaid Services, NCQA) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws.
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You should have an understanding of regulations impacting digital products such as FCC (TCPA, CANSPAM), FTC, State Unfair Competition Laws; familiarity with EEOC/ADA/GINA, ERISA, HIPAA, Medicare/Medicaid a plus.
$180,000 - $210,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Knowledge of Medicare/Medicaid Grievance and appeals process. Lead investigations and responses to SDOH (State Department of Health) and CMS (Center of Medicaid and Medicare) complaints.
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Our award-winning program was chosen by the Center for Medicare & Medicaid Innovation (CMMI) to participate in the Independence at Home (IAH) national demonstration of the effectiveness of home-based primary care.
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MUST have at least 1-year experience as a physical therapist in home care- Medicare Part A experience. We are looking for a committed Pediatric Physical Therapist for Fee For Service position who can cater patients in Nassau County to act as the patient's partner throughout the trip of restoring motion and ensuring that the client will function at their personal best.
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Versed in third-party payer, Medicaid, and Medicare billing and payment procedures. Knowledge of Medicare LCD and NCCI Edits. Certified Biller or Certified Provider Credentialing Specialist.
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medicare job Title: compliance specialist Company: Metroplus Health Plan in New York, NY
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