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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Develop territory-level business plan and Seed Advisor business plans that identify specific opportunities, must-wins, and tactics to grow territory sales. 401k plan with company match, Profit Sharing & Retirement Savings Contribution.
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Become a part of our caring community and help us put health first. Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Full-timeRemoteExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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6+ years of experience providing a combination of the following services: planning, procurement, project management, quality assurance (QA), implementation, or project oversight services for State governments, preferably in programs related to Health/Human Services, Government Operations, Education, Corrections, Pension, and similar systems.
$135,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Experience in health and human services domains such as eligibility, enrollment, Medicaid, child welfare, and child support systems. Deliver an agile transformation plan to move from current state to a desired state.
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Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
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Emergency room nurse, emergency nurse, ER nurse, ER RN, emergency room, trauma, trauma nurse, acute care nurse, registered nurse, RN, R.N., nursing, nurse, emergency, healthcare, health care, hospital.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance.
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Two robust health plan options through Blue Cross Blue Shield. Unlimited Paid Day Off (PDO) Plan. Database Systems DB2, IMS, IDMS, ADABASE, NATURAL, UDB, DATACOM. Network systems, CICS, MQ, Netview, Netmaster, TCP/IP, VTAM, NDM, FTP, EE, CA/Spool, LRS VPS/DRS, InfoPrint, JQP, XPTR, Connect:Direct, XCOM.
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Sumitomo Pharma America (SMPA) is focused on delivering therapeutic and scientific breakthroughs in areas of critical patient need spanning psychiatry & neurology, oncology, urology, women's health, rare disease, and cell & gene therapies.
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Computed Tomography Technologist, CT tech, CT technologist, computed tomography tech, CT, radiology, radiologic technologist, radiologic, allied health, healthcare, health care, allied, medical, hospital, patient care, ct, computed tomography.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Health Savings Account (HSA)/Health Reimbursement Account (HRA) Options. Plan and Design of multi-vendor environments including IP address schemes, DNS, Ether-Channel (Bonding), virtualize switching & fabric technology, etc.
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Avera is currently seeking a Licensed Practical Nurse (LPN) in the Behavioral Health Clinic looking to deliver the best possible nursing care in Avera's patient-focused settings. Educate patient and family about diagnostic process, medications, nutrition and maintenance of health and wellness.
$22.75 - $31.5 an hourFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The Complex Claims Manager, LTD Claims is responsible for making accurate decisions on assigned complex claims according to the plan provisions, state and federal guidelines, and established protocols.
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Networking and system administration experience of server (Linux, Windows) and client (Windows, macOS, Linux) operating systems. We are looking for people that have a strong technical background, experience with computer forensics, data analytics, system and network administration, and the ability to build tools and/or automate tasks.
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health plan administration jobs in Pierre, SD
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