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Demonstrated understanding and knowledge of Medicaid, CMS, SMC/OBC, and MES. Deep Medicaid experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC.
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To assist an Administrator, Environmental Protection (DEM), in the planning and administration of a statewide environmental regulatory program consistent with the jurisdiction of an assigned DEM functional unit/office.
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Under general direction and within Lifespan policies and procedures is responsible for the day to day activities of Contract Management for Managed Care and payers that follow Centers for Medicare & Medicaid Services (CMS) reimbursement for Lifespan and its Rhode Island affiliates for inpatient outpatient and physician billing.
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The Manager Denials Management reports to the Director of Claims Admin/Follow up.
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All work carried out in accordance with the rules, regulations and coding conventions of the American Association of Professional Coders (AAPC) ICD9 (and ICD10 when implemented), AMA CPT and CMS coding guidelines.
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Licensed Nursing Home Administrator (LNHA) Needed for a Renovated 206-bed Skilled Nursing & Rehab Facility in Providence, Rhode Island! Elmhurst is a beautiful and updated nursing facility with a warm and friendly staff.
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Proficiency in digital marketing tools and platforms, including content management systems (CMS), email marketing software, social media management tools, and analytics platforms. Serves as the content editor for the University’s Vision 2030 website and news site’s digital presence.
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Athena Health Care Systems, one of the region’s most respected names in senior living, has an opportunity for an experienced Licensed Nursing Home Administrator to lead an exceptional team and center at Orchard View Manor in East Providence, Rhode Island.
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Required Keywords: -(CONTENT or CMS) and ASSET and (digital or marketing) AND (final cut or "CUT PRO" OR PREMIERE OR PHOTOSHOP OR "DESIGN EXPERIENCE") AND (MERCHANDISING OR MERCHANDISE or marketing) AND (designing or REPORTING OR MONITORING OR GMS OR TRACKING OR ALIGNMENT OR TRACKER or auditing.
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At least 1-3 years of relevant work experience in digital marketing, content marketing or site development (SEO and CMS knowledge a plus) Assists with all aspects of the Content Management System (CMS.
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Proven experience as a Jira Administrator with a strong understanding of Jira and Service Now configuration, customization, and best practices. The System Administrator/ Developer with a strong knowledge of Jira and Service Now plays a key role in maturing the Jira and Service Now platform with the State of Rhode Island.
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Strong knowledge of healthcare regulations, compliance requirements, and industry standards related to Payor operations (e.g., HIPAA, HITECH, CMS regulations). Stay informed about healthcare regulations, compliance standards, and industry mandates affecting Payor operations, such as HIPAA, HITECH, CMS regulations, and state-specific requirements.
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Comprehensive wellness programs including fitness facility access, nutrition consulting, curated fitness plans, and more. Similar Career Fields Include: Radar Systems Operator, Air Traffic Controller, Network Operations Specialists.
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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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Knowledge of the health care systemExperience analyzing and managing large complex data sets, including health care claims (commercial and/or CMS)Advanced data management and analysis abilities.
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cms job Title: facility administrator Company: Davita Kidney Care in Rumford, RI
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