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The Medicare Sales Representative ensures that Communicare Medicare Advantage products are the choice for Medicare eligible individuals in their assigned territory. CommuniCare Advantage , a member of CommuniCare Health Services , is currently recruiting an experienced Sales Representative for our Medicare Advantage plan.
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We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. The Sr. Organizational Development Specialist will be critical in developing Medical Mutual's organizational change management center of excellence.
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Experience with mobile frameworks (Ionic, Xamarin, Flutter, React Native, etc.) and familiarity with frontend (Angular, React, Vue, Google Lit) and backend development frameworks (MVC, WebAPI, Django, Rails.
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The team advises business clients on industry specific issues in the US and Canada including: the Federal Anti-kickback Statute (AKS), the False Claims Act (FCA), HIPAA, Privacy, Marketing and Promotional issues, FDA and Regulatory issues, Compliance issues, Clinical issues, Reimbursement issues, Medicare billing and provider issues, and other federal, state, and Canadian laws applicable to a medical device manufacturer or durable medical equipment supplier.
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ACAMS and /or CFE certification would be an advantage. Be a thought leader and deep domain specialist in one of many towers (e.g. KYC, AML, Sanctions and Fraud), provide best-in-class industry view, support existing engagements, diagnostic, due diligence, client co-design workshops, transformation engagements and drive existing client portfolios into "the New.
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Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
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The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a coverage analysis/billing guide.
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By taking this opportunity, you will become a part of Marymount's close-knit community, experiencing all the benefits of a smaller hospital, including convenient parking, while being able to take advantage of Cleveland Clinic's tuition loan repayment, tuition assistance, and relocation assistance.
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Communicates and advises appropriate internal and external stakeholders on Medicare Compliance and Medicare Set-Aside (MSA) matters including, but not limited to, lien negotiation efforts, MSA submissions and/or general information.
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Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devices Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
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Our primary care physicians are true hands-on caregivers transforming the health and lives of seniors on Medicare Advantage. Holistic Health Services: Acupuncture, Tai Chi, Yoga and Nutrition.
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Audit & Reimbursement Senior- Medicare Cost Report Audit. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.
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As a businessperson in the insurance industry, it is an advantage to partner with a staffing expert and ally who understands your unique skills and needs. If so, we are looking for a Personal Lines Account Manager to join a phenomenal insurance agency in California.
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Helps draft necessary communications to address HIPAA compliance and notification under the direction of the legal department. Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
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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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medicare advantage jobs Title: stop loss in Cleveland, OH
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