Average salary: $85,659 /yearly
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The Original Medicare ('OM') Growth Strategy Advancement Lead will design and implement the new patient growth strategy for the new Original Medicare line-of-business, with a focus on grassroots patient...
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...improving key metrics of care. The Quality department is seeking a fast paced, organized, and driven candidate for the position of Medicare Stars Quality Program Manager. This position will direct report to the Leader, Medicare Stars Quality Performance & Initiatives...
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Local area
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...Job Description
Job Description This is a Back Office Position for the MSP (Medicare Savings Plan) Enrollment Department. The candidate will be processing and reviewing enrollment applications.
$16/hr
Monday – Friday, on-site
Job Description:
Astyra is...
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...Hourly Rate ($): 30.00
Max Hourly Rate ($): 35.00
Must Have Skills/Attributes: Auditor, Health Insurance, Healthcare, Medicaid, Medicare
Job Description
**Only those lawfully authorized to work in the designated country associated with the position will be...
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...application and required documentation are complete, current, and valid
Navigating various federal and State databases, including Medicare's enrollment system (PECOS) and other states' licensing verification websites
Contacting providers via email or phone if...
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...Current license as a Registered Nurse (RN) in the state of NY.
Must understand CMI and maximize CMI.
Knowledge of Medicaid and Medicare.
What we offer:
Competitive Compensation.
Weekly Pay.
Great Benefits Package.
Health Insurance, PTO....
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Relocation bonus
...vendor, Paylocity, to validate and ensure timely quarterly/annual filings, including federal, state and local taxes, social security, Medicare, unemployment, and Workers' Compensation
Develop strong partnerships with business leaders to understand their goals and...
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...implementation of programs and/or project activities for the Division.
* Interacts with Project Directors from the Centers for Medicare and Medicaid (CMS) and other external sources to ensure compliance with federal standards and regulations.
* Participates in public...
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...communicated payer decisions in a timely manner. Manages Medical Necessity as service necessitates and identifies patients needing Medicare Advance Beneficiary Notices (ABNs)
* Assist with the maintenance of Authorization Requirements by Payer database to ensure...
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...Certified, and DEA registration
Possess or obtain a National Provider Identifier (NPI) issued by the US Center for Medicaid and Medicare services
Excellent verbal, writing, and interpersonal skills
Professional demeanor and integrity
Thank you for your...
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...Qualifications:
Preferred candidates will have experience in public health insurance programs, including New York's Medicaid and/or Medicare. Preferred candidates will also have excellent oral and written communication skills; strong analytical skills and attention to...
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...products, including metal products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and...
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...ability to interact and collaborate with other Medicaid-related State Agencies, as well as the Division of the Budget and Centers for Medicare & Medicaid Services.
Duties Description This incumbent will supervise financial and systems analysts within the Bureau of...
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...8 years of professional experience
Ideally, the candidate will have:
* Healthcare experience in program policy, Medicaid and Medicare
* Strong writing and communication skills for diverse materials and audiences required
* Master's degree in the health field,...
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...Qualifications: Preferred candidates will have professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have excellent verbal and written communication skills; strong analytical...
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...State, Federal or Local government agencies.
~60 months experience in a Medicaid environment and the interactions between Medicaid, Medicare, providers and other state and federal agencies and programs.
~60 months experience with developing and maintaining working...
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...Comfortable working and communicating NCCN guidance including covering category 2B off-label recommendations for determination of Medicare reimbursement eligibility
~ In-depth knowledge of coverage and access for pharmacy-benefit & medical-benefit products, including...
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...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is...
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...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the...
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...cover letter.
•All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.
•If you are employed by state...
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Full time
Local area
Immediate start