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Experience with market access and knowledge of US market access dynamics including IRA, Medicare, Medicaid would be appreciated. Experience with market access and knowledge of US market access dynamics including IRA, Medicare, Medicaid would be appreciated.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members. We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Airfare, Hotel, and Rental Car available (depending on eligibility) At Signify Health, part of CVS Health, our mission is to build trusted relationships to make people healthier. Earn additional compensation via our pay-per-test model (for visits where the health plan member qualifies to receive additional diagnostic and preventive tests.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Understanding of managed care or Medicaid/Medicare strongly preferred. Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Advise on relevant federal and state laws, including but not limited to fraud and abuse laws (i.e. Anti-kickback Statute, Stark, Civil Monetary Penalties Law, False Claims Act), licensing and accreditation, HIPAA/HITECH, EMTALA, digital health, telehealth/telemedicine, medical staff/peer review issues, healthcare compliance matters, billing, reimbursement and claims issues (to include Medicare/Medicaid.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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An understanding of at least one CMS healthcare quality program (HEDIS, ASCQR, CPC+, ESRD QIP, Home Health Quality Reporting Program, HHVBP, Hospice Quality Reporting, HACRP, IQR, OQR, HRRP, VBP, CMMI Models, IPFQR, IRF, LTCHQR, Medicaid-related programs, Medicare Advantage Quality Improvement Program, Medicare Parts C & D, Medicare Shared Savings Program, Nursing Home Quality Initiative, PACE, PCHQR, Quality Improvement Organizations, QPP, SNFQR, SNF VBP.
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And B2C (individual patient) settings, Medicare Advantage plans, Managed Care Medicaid plans, Veterans Administration health benefits. Identifies populations of Medicaid, Medicare, Dual Eligible, VA, and Private Pay individuals and strategically aligns InnovAge PACE services within their communities through referral channels.
$63,000 - $72,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Myers and Stauffer LC is a certified public accounting and health care reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Keywords: Business Analyst, Operations, Excel, SQL, Data Analysis, Tableau, Project Coordination, Salesforce, sales, sales operations, sales ops, Medicare, Medicaid. Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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We are in search of a Mid-level Software Developer, to join our Centers for Medicare & Medicaid Services (CMS) team. Our completive package includes a best-in-class matching 401K program, comprehensive Cigna healthcare plan, a competitive employer contribution to a health savings account, vision and dental plans, life insurance, short- and long-term disability, and personal leave, in addition to paid certifications and training.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Knowledge Healthcare Regulation, HIPAA, GLB and ERISA, and Medicare and/or Medicaid regulations. JD degree from an accredited school, admission to the bar of at least one state (required.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
Full-timeExpandUpdated 3 days ago - UpvoteDownvoteShare Job
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JD degree from an accredited school, admission to the bar of at least one state. Advise on data privacy, cybersecurity, and HIPAA compliance related to technology and web platforms. We also invest in the vitality of our local communities through grants from the Genworth Foundation, event sponsorships, and employee volunteerism.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Assist BOM in accurately processing and billing Medicare, Medicaid, private payer and patient claims in accordance with payor requirements and organization policy. Assist BOM in ensuring all Doctor's order forms and related forms are completed and signed in compliance with Medicare and Medicaid regulations, place forms and applicable documents into patient files.
$20 - $25 an hourExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Understanding of how Medicare and Medicaid works. 1-4 years of home health, hospice, DME, med tech, and medical insurance. They are looking to bring on a Community Outreach Specialist to gather patient referrals in the Roanoke, Virginia territory.
Full-timeExpandApply NowActive JobUpdated 24 days ago
medicare medicaid jobs in Richmond, VA
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