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Demonstrate a clear understanding of the Medicare Cost Report and support the team in analysis to maximize revenue based on Report submissions. Lead monthly measurement of physician incentive expense accruals in conjunction with COO. Present financial data, provides explanations, communicates data and leads discussion with relevant stakeholders (Chair, Division Chief, COO, Hospital Entities, Health System/PSOM Administration) on a routine basis.
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Experience in government payer claim adjudication (Medicare, Medicaid, VA, Tricare) and commercial payers (BCBS, Aetna, Cigna, UHC, etc. Experience in government payer claim adjudication (Medicare, Medicaid, VA, Tricare) and commercial payers (BCBS, Aetna, Cigna, UHC, etc.
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The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local medicare patient populations at our innovative network of neighborhood primary care centers.
$215,000 - $245,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Title: Nurse Practitioner - Advanced Practice Provider Location: Salary: $105,000-148,500 Wider range available depending on experience and location Schedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital.
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As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access to best-in-class paid training, and potentially the opportunity to move into a leadership role.
$60,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provides accurate information about Penn Medicine at Home services regarding criteria for admission, available services, reimbursement criteria, and coverage under Medicare and Medicaid. The Marketing Sales Representative for Penn Medicine at Home generates new patient activity and creates deeper relationships with referring LTC, SNF, Physician Practices, and other referring staff; Generates measured improvement in optimal payer mix; and Partners with other Penn Medicine entities to develop our physician referral network in conjunction with Business Development Department.
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Clearances: Pennsylvania Child Abuse Clearance, Criminal and fingerprint-based federal criminal history; Valid driver’s license; Verification that employee is not on any Medicaid/Medicare Exclusion list.
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Marshall Dennehey, a leading AM Law 200 civil defense law firm with more than 60 years of dedicated service to our corporate, insurance and individual clients, is seeking a Medicare Attorney with one (1) to four (4) years of experience to join our growing Medicare Compliance group within our Workers' Compensation Department.
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Monitor and analyze health policy developments, with a focus on those affecting commercial insurance, including Medicare Advantage. Monitor and analyze health policy developments, with a focus on those affecting commercial insurance, including Medicare Advantage.
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Home Health RN Contract Details: - $2,140 - $2,345 per week - SHC Home Health Nurses are paid by the hour, not by the visit - Nurse will have a designated territory of coverage - Weekly expectation is 30 units of productivity - Home Health contracts with SHC require previous experience with OASIS/Medicare Certified Visits - Estimated weekly payment may include both taxable wages and tax-free reimbursements for meals, housing, and incidentals.
$2,140 - $2,345 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Effectively communicate and appropriately collaborate with the Market Access team to ensure strategic alignment and effective implementation of the clinical strategy for National and Regional Managed Care accounts, covering all books of business (e.g., Commercial, Managed Medicaid, Fee-for-Service, Medicare, PBMs, and Exchange Plans.
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Title: Primary Care Physician Location: Oak Street Health [Philadelphia, PA] Salary: $215,000 to $245,000 Wider range available depending on experience and location Schedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM Role Description: The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local medicare patient populations at our innovative network of neighborhood primary care centers.
$215,000 - $245,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Responsible for educating Temple physicians as well as other support staff in coding and billing compliance, maintaining the effectiveness of the TUHS Compliance Program, and serving as the key corporate resource for the requirements of the Medicare and Medicaid programs for the payment of fills for physician services.
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The Ideal Candidate: Pennsylvania Licensed Certified Registered Nurse Practitioner (CRNP)At least 2+ years of experience as an NPExperience within Community Health, Infectious Disease, Primary Care, or Internal MedicineDetailed knowledge of care transitions, strategies for reducing readmissions, and chronic condition management interventionsExperience with Medicare, Medicaid, and commercial populationsExcellent organizational and communication skillsACLS certification.
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6 years in a managed care or insurance industry with previous Medicare Advantage or Part D experience preferred. Knowledge of Medicare Advantage and Medicare Prescription Drug Programs operations and regulations is preferred.
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medicare job in Philadelphia, PA
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