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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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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 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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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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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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As the Strategic Sourcing Manager, you will be focused on delivering world-class results and a competitive advantage to JM. Balancing total cost of ownership (TCO), strategic and tactical delivery.
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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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Provides medical record documentation that meets Joint Commission & federal standards & requirements for Medicare reimbursement; assigned predominantly to inpatient site but may be required to work in community as directed by the Lead Chief Clinical Officer (CCO.
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Our unique culture and people give us competitive advantage and will ensure our success for years to come. Global Strategic Sourcing Manager – Industrial Goods and Services. Graduate qualification (ideally Master Degree educated), (and/or) proven strategic sourcing and supplier management experience in Automotive, FMCG and/or Chemical procurement of at least 5 years.
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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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Be sure to take advantage of the city’s thriving art scene with a visit to the internationally acclaimed Toledo Museum of Art. Job Benefits At AMN Healthcare we take care of our travelers! surgical technologist, surgical tech, surgical technician, surgical care, allied, allied health, healthcare, health care, patient care, medical, cardiac surgical technologist, cardiac surgical tech, CVOR tech, CVOR surgical technician.
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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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medicare advantage jobs Title: stop loss administrator in Independence, OH
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