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This position is responsible for providing care coordination for Value-based (VB) care gaps with Medicare Advantage (MA) patients and/or Dual Eligible Special Needs Plan (DSNP) Min 1+ year experience working with Medicare Advantage and/or Dual Eligible patients.
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Informing members about Jefferson Health Plans Medicare benefits. We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members.
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Public transportation all year long through SEPTA’s Key Advantage program. Transportation : City employees get unlimited FREE public transportation all year long through SEPTA’s Key Advantage program.
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We also offer additional Employee Perks that you can enjoy as an AMS employee: Scrubin – Uniform Discounts Working Advantage – unlimited access to thousands of exclusive discounts and special offers nationwide for theme parks, shows, tours, attractions, sports, concerts, hotels, rental cars, retail gift cards, movie tickets and much more Hotel Engine - Save up to 60% when booking hotel rooms, with access to more than 700,000 deeply discounted hotels worldwide.
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Review and analyze all financial reports with the Administrator, COO & CFO. Ability to stay current on Medicare Risk Adjustment education and CMS updates. Experience as a certified coder with Medicare billing experience.
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Provide input for the annual Medicare cost report. Revenue cycle management experience, specifically at a Federally Qualified Health Center (FQHC) Supervise Senior Revenue Accountant and Billing Supervisor to ensure efficient operations.
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This is a part-time, clerical position in the Office of Judicial Records for the Court of Common Pleas. The FJD is part of the Unified Judicial System reporting into the Pennsylvania Supreme Court of Pennsylvania.
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This position will be actively involved in the deployment of a new pricing platform that will support more sophisticated actuarial methodologies including CMS Medicare Advantage bid development, benefit impact, and sensitivity modeling.
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An Enrollment Specialist is a member of the Patient Engagement Specialist (PES) team, telephonically educating and enrolling patients in a Medicare-sponsored care coordination program designed to help the patient better manage their chronic illnesses (diabetes, high blood pressure, COPD, etc.
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Be one of the many MLH Nurses who pursue certifications or advanced nursing degrees (BSN, MSN, MBA, PhD, DNP) by taking advantage of our Tuition Reimbursement Program! As a Trauma Registrar RN, you will be responsible for overseeing the trauma registry database to include patient identification, abstraction, coding and entering data; retrieval and presentation of registry data for quality improvement, education and research.
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Maintain adherence to regulatory requirements of the United Network Organ Sharing (UNOS) bylaws,Centers for Medicare & Medicaid Services (CMS) and Joint Commission (JC) regulatory bodies. The transplant coordinator will share on-call responsibilities for the kidney tranplant program, which includes collaborating with Gift of Life, medical and surgical teams on the inpatient and outpatient services, all members of the multidisciplinary team and consulting specialists as indicated.
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Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the worlds leading financial centers New York, London, San Francisco, Los Angeles, Chicagoand Boston.
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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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The Curtis Institute of Music offers a number of perks for full-time staff including free meals on campus during the academic year, a wellness stipend, and mass transit support with employer-sponsored, all-access SEPTA Key Advantage program enrollment and a PATCO stipend.
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The responsibilities of this role are to understand new changes being requested, research the moving pieces involved, recommend a solution, produce an Excel representation of the build, prototype conversions of the Excel representation into a scripting language, test the changes, and support the project until it gets released into production The team supports the broader Medicare Advantage pricing organization by designing end-to-end bid process solutions and downstream automation.
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medicare advantage jobs Title: stop loss in Philadelphia, PA
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