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Prepares/oversees reports on the activity of the section, including employee’s time, resident census, incident/accident, infection control, resident assessments, Medicare, comprehensive care plan, and others, as necessary.
$64.92 an hourPart-timeExpandUpdated 1 month 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 12 days ago - UpvoteDownvoteShare Job
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Consult with current and prospective Medicare members as they review coverage options Assist consumers in evaluating plan alternatives in line with their unique personal needs, utilization, and income.
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In-depth knowledge of all Fidelis Care products, including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
$38.07 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Maintain broad and current knowledge of Medicare and Medicaid regulatory and billing requirements, managed care contracting and reimbursement issues. · Expert understanding of billing Medicaid, Medicare, Managed Care organizations and commercial insurances.
$120,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute and long-term care. Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and RUGs IV classification and reimbursement systems, Part A coverage.
$87,750 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Enrolled in CMS and remain an unconditional participating provider in the Medicare and Medicaid OPRA programs. A health services organization in Western New York is looking to add a licensedAdult Psychiatrist to join their growing Inpatient / Outpatient team in the Buffalo.
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We license software to help manage medical programs, particularly the Medication Therapy Management (MTM) Program required by CMS for Medicare Part D. We also offer outsourced MTM services, utilizing our team of pharmacists, clinicians, and support staff to conduct Comprehensive Medication Reviews (CMRs) for our clients' members.
$20 an hourFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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WellBe Senior Medical is seeking passionate, resourceful and dedicated team members to join our Market Based Engagement Team. As a Community Engagement Specialist, you will be responsible for developing and executing innovative ideas to market the value of WellBe Senior Medical to attributed Medicare patients.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Verification of Provider Medicaid/Medicare RegistrationBoard Certified with 1-year minimum experience, post-residency/training. Verification of Provider Medicaid/Medicare RegistrationBoard Certified with 1-year minimum experience, post-residency/training.
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The RN possesses the knowledge of Agency services, policies, and procedures, Medicare HIM11 guidelines, third party reimbursement guidelines and to demonstrate the ability to assess and recommend appropriate homecare.
$98,943 a yearExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Cloud based EHR (electronic health records) provided in order to ensure compliance for all insurance companies, including Medicaid and Medicare. Active and unrestricted licensure as a Mental Health Counselor (LMHC) in the state.
$100,000 a yearFull-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
Full-timeExpandApply NowActive JobUpdated 12 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. 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.
$78,307 a yearFull-timeExpandUpdated 20 days ago - UpvoteDownvoteShare Job
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Design and develop analytic models using Excel and Tableau for value-based reimbursement programs both with payers and providers, across multiple business lines, including Commercial, Medicare Advantage, Medicaid, and Government Programs.
$90,000 a yearFull-timeExpandUpdated 20 days ago
medicare job in Williamsville, NY
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