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A demonstrated working knowledge of Local, State & Federal laws and regulations pertaining to health insurance, investigations & legal processes (Commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.
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SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada.
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Health care regulatory knowledge focusing on Fraud, Waste, and Abuse; knowledge of Value-based care, Medicare Advantage Organizations, ACO REACH and MSSP programs is required. Juris Doctor and a member in good standing of a state bar association (or Registered In House Counsel with the CA Bar.
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The new Magnet designation is in addition to several other prestigious recognitions which include: a five-star rating from the Centers for Medicare and Medicaid Services (CMS), being named by IBM Watson Health as one the nation's highest performing hospitals, and among the top 10 Major Teaching Hospitals, an A for Patient Safety by The Leapfrog Group, the #1 hospital in the DC metro area by U.S. News & World Reports and being nationally ranked in gynecologic care.
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This position requires the successful completion of pre-employment background checks including but not limited to: FBI/Federal Records Check; VA State Child Abuse/Neglect Registry; Medicare/Medicaid Fraud Database; education/certifications; and driver’s license.
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Current Health Program projects include Medicare provider payment, long-term care, chronic care, health care workforce, digital health, rural health, behavioral health, and opioids. Experience in Medicare policy (particularly payment policy), long-term care, or private health insurance (or a strong interest in learning about and working on these issues), is preferred.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The new Magnet designation is in addition to several other prestigious recognitions which include: a five star rating from the Centers for Medicare and Medicaid Services (CMS), being named by IBM Watson Health as one the nation's highest performing hospitals, and among the top 10 Major Teaching Hospitals, an A for Patient Safety by The Leapfrog Group, the #1 hospital in the DC metro area by.
$10,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position requires the successful completion of pre-employment checks to include: FBI Record Check; VA State Child Abuse/Neglect Registry; Drug Testing; Medicare/Medicaid Fraud Database; Driver's License from state of residence and education/certifications.
$42,940.3 - $57,519.8 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Great Place to Work®Most Loved Workplace® Forbes Best-in-State EmployerMedicare Specialist (Remote)PRIMARY PURPOSE: To coordinate, analyze and facilitate Medicare Compliance and Medicare Set-Aside (MSA) functions within the assigned team.
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Communicates and advises appropriate internal and external stakeholders on Medicare Compliance and Medicare Set-Aside (MSA) matters including, but not limited to, lien negotiation efforts, MSA submissions and/or general information.
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Knowledge of Centers for Medicare & Medicaid Services (CMS) regulations, particularly for ACO REACH Program. Coordinate in collaboration with business leaders, compliance functions for federal and state health care programs such as those originating from Centers for Medicare and Medicare (CMS) programs, such as the ACO REACH program, MSSP and state health care programs such as New York State Health Home.
$170,000 - $210,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Inova Fairfax Hospital is proud to announce that the American Nurses Credentialing Center (ANCC) awarded Magnet® designation, the most prestigious accolade for nursing excellence, to our hospital in December 2020.
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Provide clear advice to Government Affairs and business clients on key federal and state laws, regulations, and policies, including the Inflation Reduction Act, Medicare and Medicaid laws, the Affordable Care Act, 340B, FDA regulations, OIG guidance, and others.
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Bachelor’s Degree in Public Health, Public Policy, Public Administration, Social Work, Gerontology, or related field required. Priority areas include Medicaid, dual-eligible beneficiaries, managed care regulation, primary care, home health care, homelessness, health equity, social determinants of health, among others.
$147,900 - $236,600 a yearFull-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Virginia Hospital Center was recently designated a Newsweek 2020 Best Maternity Care Hospital, received a 5-star rating from the Centers for Medicare and Medicaid Services (CMS) and once again named a Leapfrog Top Hospital in 2019.
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medicare job in Alexandria, VA
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