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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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The Assistant General Counsel I supports and reports to the Chief Legal Officer and provides legal advice on a wide variety of matters related to Community's Medicare, Medicaid and Marketplace programs and operations including contracting, quality, utilization management, network management, privacy and security, litigation, fraud, waste and abuse, and contractual and regulatory compliance.
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Works closely with the Quality Manager to ensure compliance with statutory mandates, regulatory requirements and accreditation standards of professional organizations such as JCAHO. (Statutory and regulatory requirements include but are not limited to the following: FDA, OSHA, EPA, EMTALA, Medicare and Medicaid provisions of the Social Security Act.
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Childrens Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR.
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Knowledge of all pertinent federal and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements.
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Como Asesor de Bienestar - Recaudador, tendrás la oportunidad de guiar a los clientes a través del proceso de calificación para HealthBox basado en sus planes de Medicaid, Medical, Medicare u otros seguros y ayudarles a enviar pedidos para nuestros productos que mejoran la vida.
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Compliance oversight for "Schedule A" request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA. Assist bSwift team with set-up of client web site as directed by Benefits Operations Manager.
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Assures prompt completion of interrogatories, requests for production and other litigation assistance at the direction of the Memorial Hermann Hospital System Risk Management. Makes recommendations and consults with Performance Improvement to provide monthly report for facility administration and Memorial Hermann Hospital System Risk Management Department.
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What qualifications you will need: Graduate of an accredited school of professional nursing Minimum of one or more years of home health, public nursing or acute hospital nursing experience Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly preferred) Reliable transportation and proof of valid automobile liability insurance Must have valid driver's license Current BCLS Certification prior to providing patient care.
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As a Renewable Portfolio Management Advisor in Houston, you will develop and deploy commercial trading and hedging strategies to maximize the profitability of ENGIE's renewable assets while managing market risks within acceptable risk limits.
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We currently serve over 45,000 Medicare Advantage patients across Florida and Texas in 47 locations and growing.at least 3 years of true Medicare advantage experience requiredBaytown, Texas – PhysicianClient is seeking a seasoned Managed Care Primary Care Physician to join our elite group of providers.
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Job Summary (includes but is not limited to the following, other duties may be assigned)Physical Security Advisor collaborate with department leads within Safety, Business Units and Facilities to manage, develop and implement physical security controls, physical security assessments, maintenance of physical security systems, delivery of physical security projects and system installations.
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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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Must be in good standing on the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career.
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Job Description - Advisor IT Systems (00031873) Oxy is an international energy company with assets primarily in the United States, the Middle East and North Africa. Our Oxy Low Carbon Ventures subsidiary is advancing leading-edge technologies and business solutions that economically grow our business while reducing emissions.
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medicare job Title: benefits advisor Company: Aflac in Houston, TX
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