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Successful candidate must represent that he/she is not, and has never been, excluded from participation in the Medicare or Medicaid programs, or any other federal or state health insurance organization nor convicted of a health care-related criminal offense.
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Well-versed in statutory liens (Medicare, Medicaid, ERISA, etc.) TorkLaw, a recognized industry leader in providing unparalleled legal advocacy for our clients, is seeking a talented and motivated individual to join our team asa Medical Lien Negotiator.
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Experience in Utilization Management (UM) with knowledge of Medicaid and Medicare programs. CNSI and Kepro are now Acentra Health! Psychiatrist (MD/DO) or Health Services Provider in Psychology (HSPP) (Ph. D.) with a current non-restricted license to practice medicine by the Board of Medical Examiners in the State of Indiana.
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Unix and batch coding language, healthcare applications design such as Claims, Pharmacy, Managed Care or Member functional areas of Medicaid. Job Title: C/UNIX JUNIOR DEVELOPER. Unix and batch coding language, healthcare applications design such as Claims, Pharmacy, Managed Care or Member functional areas of Medicaid.
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Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. Evaluates, author Pharmacy Technician, Technician, Pharmacy, Clinical Research, Health, Benefits, Retail, Healthcare.
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Position Summary- Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. Performs non-medical research including eligibility verification, COB, and benefits verification.
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Aetnas Medicaid Proposal Director / Lead Director Project Program Manager leads end-to-end pre-RFP and RFP activities for complex Medicaid proposals. 5+ years of experience managing Medicaid managed care proposals.
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Skill 2 Knowledge of federal Centers for Medicare & Medicaid ("CMS") agency. Skill 1 Previous experience with a state's Medicaid claims process and/or systems. The Project Management Office is looking for individuals to join the PMO.
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Assist in the preparation and drafting of testimony, regulatory comments, and position statements sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations, and statutes governing Medicaid, long-term services and supports (LTSS), and other waiver programs.
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