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The Program Manager is a key member of the Medicare Advantage Claims, Configuration and Appeals and Grievance Operations team. Assists in planning, developing, implementing, and managing the Medicare Advantage Claims, Appeals and Grievance program requirements, operational initiatives and policies.
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We recently received a 4.9/5 star rating in patient experience and a score of 98% in MIPS by Medicare. Whether that be in a patient's home, community pool, fitness center, or pickleball court, Aquacare PT PLUS is revolutionizing how and where physical therapy wellness is delivered within our communities.
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The Home Health Aide (Certified Nursing Assistant, CNA) is responsible for providing patients with in-home personal care and designated health related services to maintain the patient's physical and emotional well-being, while following the written plan of care, Medicare/Medicaid regulations and agency policies and procedures.
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ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services.
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Participates as a qualified clinician for the interdisciplinary determination of the resident’s usual performance in a functional assessment as required by facility policy (RAI User’s Manual) for Medicare Part A, Medicare Advantage residents upon admission, interim and at time of discharge.
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The CMO Group Medicare will be an integral part of the GM Leadership team and will be responsible to lead and provide thought leadership internally and externally on behalf of Group Medicare.
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Design and construct data analysis and visualizations consistent with known business requirements on a wide range of healthcare business topics and lines of business such as Medicare Fee-for-Service, Commercial, and Medicare Advantage.
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We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad.
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Job Title: 100% Remote Medicare QNXT Agent. MEDCARE Advantage Plan Part D - required. Job Title: 100% Remote Medicare QNXT Agent. QNXT experience (preferred) Non-AEP (April - Sep) Monday - Friday, 8AM - 8pm EST.
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The CMO Group Medicare will provide medical leadership and strategy for the GM business. The CMO Group Medicare, requires and in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.
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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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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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Follows all Medicare, Medicaid, and HIPAA regulations and requirements. Assist with the annual Equity Compensation Proxy tables. Experience with tax preparation software – preferably Thomson Reuters OneSource.
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Ability to work overtime and some Saturdays in the fall during the Medicare open enrollment. Boomer Benefits is an award-winning and top-producing licensed insurance agency that helps baby boomers and seniors with supplemental health insurance products.
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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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aarp medicare jobs in Arlington, TX
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