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Assist in the preparation and drafting of testimony, regulatory comments, and position statements sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations, and statutes governing Medicaid, long-term services and supports (LTSS), and other waiver programs.
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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) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits.
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Strong knowledge in community LTSS programs, including HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal laws and regulations governing the programs.
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Reemployed Annuitants: Since the TSO position is permanent, it does not meet the eligibility requirement for a salary offset waiver under the National Defense Authorization Act (NDAA) for Fiscal Year 2010.
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The Student Assistant position for LCCC is a part-time, non-benefited, student position that requires current enrollment as a LCCC student and requires Federal Work Study eligibility. Students may speak with the LCCC Student Hub and Financial Aid to determine if they are Federal Work Study eligible.
$8.92 an hourPart-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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In this pivotal role, you'll collaborate closely with medical providers, ensuring seamless Medicaid billing and claims submission. Your primary focus will be providing essential support for Medicaid billing requirements and claims submission, thereby ensuring quality care for Medicaid recipients.
$55,000 - $64,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Extensive experience in healthcare contracting, with a critical understanding of PBMs, National Health Plans, Medicare Part D/B, GPOs, VA/DoD, Medicaid, and the evolving market landscape. Minimum of 12 years of pharmaceutical industry experience, with significant expertise in at least two of the following areas: Channel Strategy, Finance, Pharmacy, Pricing, Trade, or Market Access.
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You will serve as Health Facility Surveyor with the Health Care Surveillance Branch, Healthcare Licensing and Surveys, Wyoming Department of Health, conducting surveys and investigating complaints statewide according to Wyoming State Statutes agreement with the federal Centers for Medicare and Medicaid Services (CMS.
$32.52 - $36.13 an hourExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Verification of Work Authorization and Employment Eligibility+ Substance Abuse Screening+ Physical Exam (if applicable)+ Background Checks for Badging/Security Clearances (if applicable) A valid certification from the National Commission of Crane Operators (NCCCO) for the type of crane that will be operated.
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If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.
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Knowledge of legislative/oversight bodies (e.g., URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQNational Committee for Quality Assurance, and ERISEmployee Retirement Income Security Act of 1974.
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Makes themselves available to answer questions from the Department, or their designee, the Guardian ad-Litem, and the Medicaid health plan that is financially responsible for the child’s care in treatment.
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Benefits include medical, dental, vision, wellness programs, life insurance, health and dependent care savings accounts, paid time off, 401(k), pension, profit sharing, short- and long-term disability, tuition reimbursement and adoption assistance, subject to the eligibility requirements for each benefit plan.
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In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements.
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The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. In addition to salary, US Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401k contribution and pension (all benefits are subject to eligibility requirements.
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eligibility medicaid jobs in Cheyenne, WY
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