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Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member’s case assignment.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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The assignment of PS&T employees will be made in accordance with any agreed upon Memorandum of Understanding between PEF and the local DDSO regarding the posting of job vacancies All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs.
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The Representative will complete pre-registration phone interviews, to include obtaining necessary pre-registration information, including demographics, insurance information, and Medicare MSPQ, with documentation completed in the electronic medical record account.
$26.12 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The WellBe care model is a Physician Led Advanced Geriatric Care Program focused on the quality of care of the frail, poly-chronic, and elderly Medicare Advantage patients. WellBe’s clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as delivering and coordinating across the entire care continuum – from chronic care and urgent care in the home to hospital to skilled nursing facility to assisted living to palliative care, to end-of-life care.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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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.
$137,000 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Experience selling and/or managing Buy & Bill, Specialty Pharmacy, Medicare Part B, and Medicare Part D products is preferred. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial.
$170,200 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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To achieve this, we're looking for a Senior Director, Medicare Sales to join #TeamMVP. This is an opportunity to dive into a role where your passion for health equity , your knack for strategic engagement, and your love for your community can flourish.
$210,000 a yearExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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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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Strong knowledge of Medicare, Medicaid, and HMO processes is a plus. Rochester Center for Rehabilitation and Nursing is a 124-bed skilled nursing and rehab facility that is a top choice for post-acute care in Monroe County, New York. Nestled in a woodsy enclave, this beautiful facility offers comprehensive short-term rehabilitation and long-term skilled nursing services, all designed to make patients and residents feel right at home.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems. Landmark Health, a part of Optum, was created to transform how healthcare is delivered to the most medically vulnerable members in our community.
$173,200 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. CSEA represented executive branch employees who meet certain eligibility criteria will be allowed 12 weeks of fully paid parental leave benefits to use for bonding with a newborn, fostered, or adopted child.
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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.
$228,178 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types. Experience with reimbursement models - including value based care/ACO modeling.
$134,250 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Knowledge of Medicare and Medicaid rules and regulations. Registered Nurse Manager (RN - Long Term Care) Confidential Application Process Are you ready to elevate your career with a dynamic team.
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medicare job in Rochester, NY
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