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UCLA Health
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Los Angeles, California
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Senior Care clinics and will partner with an administrative clinic manager to oversee clinical workflows ... salary range for this role. This range takes into account the wide range of factors that are considered
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Bausch + Lomb
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Los Angeles, California
...
.
Overview
The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will ... Opinion Leader (KOL) relationships, be involved in payer monitoring and support across Medicare
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L.A. Care Health Plan
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Los Angeles, California
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Manager, Regulatory Affairs
Job Category: Administrative ...
The Manager, Regulatory Affairs serves as a senior leader within the Compliance Department. The
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L.A. Care Health Plan
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Los Angeles, California
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Portfolio Delivery Project Manager III
Job Category ... portfolio developed in support of LACs strategic direction. The Project Manager III, Portfolio Delivery
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Guidehouse
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LOS ANGELES, California
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, PPO, Medicare Days, authorizations etc.
Maintains positive, effective, collaborative ... opportunities.
Performs other duties as assigned by manager and/or director of care management
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Guidehouse
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LOS ANGELES, California
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, PPO, Medicare Days, authorizations etc.
Maintains positive, effective, collaborative ... opportunities.
Performs other duties as assigned by manager and/or director of care management
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MetroLink
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Los Angeles, California
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Manager II, Contract and Compliance
Print (https://www.governmentjobs.com ...
Manager II, Contract and Compliance
Salary
$96,892.00 - $
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UCLA Health
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Los Angeles, California
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Description
As a member of the Medicare Advantage Operations team, the Medicare Advantage ... Medicare Part D programs and meticulous attention to detail to maintain the integrity of member accounts
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Randstad US
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los angeles, California
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completion of the annual Medicare and Medi-Cal cost report
Participate in audits from the State and ... including Medicare, Medicare Advantage, Medicaid, and non-governmental payers
Demonstrates highly
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MetroLink
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Los Angeles, California
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Manager I, Human Resources
Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4396193)
Apply
Manager I, Human
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MetroLink
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Los Angeles, California
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Good Repair will be a Project Manager in-charge of delivering Metrolink’s portfolio of State of Good ... to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is reflected on
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MetroLink
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Los Angeles, California
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responsibilities.
Serve as Project Manager for various railroad capital and rehab projects during design.
Serve as SCRRA’s Project Manager to support various projects led by other agencies
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L.A. Care Health Plan
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Los Angeles, California
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unit to validate the Medicare HCC scores.
Duties
Develops and ... .
Strong Health Care industry knowledge.
Preferred:
Medi-Cal and Medicare knowledge
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Guidehouse
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LOS ANGELES, California
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eligibility. Assigns the correct medical record and account number; therefore, providing a database which ... listed.
Completes Medicare Compliance and obtains ABN if necessary.
Knowledge of all Federal
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Boehringer Ingelheim
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Los Angeles, California
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systems in the U.S., including managed care organizations,IDNs, PBMs, Medicare, and Medicaid.
Ability
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Sedgwick
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Los Angeles, California
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limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets ... and Social Security and Medicare application procedures as applicable to line-of-business
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L.A. Care Health Plan
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Los Angeles, California
...
.
Experience in Medicare, commercial lines of business and Health Insurance Portability and Accountability Act
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L.A. Care Health Plan
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Los Angeles, California
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setting, such as a health insurance environment and/or experience as care manager in home health or ... /oversight/performance management experience.
Working knowledge of Medi-Cal and Medicare
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UCLA Health
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Los Angeles, California
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for overseeing
financial and statistical information
for Medicare and Medi-Cal cost
reports. You will serve as a primary
contact for Medicare and Medi-Cal audits as well as support auditors in
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L.A. Care Health Plan
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Los Angeles, California
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Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS),National Committee for
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L.A. Care Health Plan
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Los Angeles, California
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Senior Manager, Portfolio Delivery
Job Category ... in support of LACs strategic direction. The Senior Manager, Portfolio Delivery (Senior Manager), is
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Guidehouse
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LOS ANGELES, California
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monies from patients when there is an estimated patient liability due on the account.
Monitors Medicare days and co-insurance days on in-house patients. Reviews all in-house Medicare accounts on the 1st
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Conduent
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Los Angeles, California
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account resolution.
The Insurance/Collections Specialist is responsible to meet all performance ... of insurance procedures, working with insurance carriers, Medicare, and Medicaid.
Required to
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L.A. Care Health Plan
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Los Angeles, California
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Services (DHS), Centers for Medicare and Medicaid Services (CMS) National Committee Quality Assurance (NCQA ... (PNO), Claims, Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales and
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Cedars-Sinai
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Los Angeles, California
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Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation ... account adjustments.
Demonstrate proficiency regarding navigation and entering patient and financial
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L.A. Care Health Plan
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Los Angeles, California
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Manager, Claims Integrity Provider Remediation (ALD- 24 months ...
The Manager, Claims Integrity Provider Remediation is responsible for development and implementation
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L.A. Care Health Plan
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Los Angeles, California
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Medicare and Medicaid Services (CMS), or other government agencies which provide L.A. Care's health care
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Bristol Myers Squibb
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Los Angeles, California
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-Service, Medicare, PBMs, and Exchange Plans)
Respond to unsolicited requests for medical information ... scientific exchange and medical/clinical educational needs are met
Provide account relationship support
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L.A. Care Health Plan
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Los Angeles, California
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Medi-Cal, Medicare, and Commercial. This position holds profit and loss responsibility for and oversee ... of Managed Health Care (DMHC) / Department of Health Care Services (DHCS)/ Centers for Medicare and
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Option Care Health
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Los Angeles, California
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limited to HIPAA, Anti-Kickback, Stark, Medicare/Medicaid reimbursement. Experience evaluating information ... healthcare provider or pharmaceuticals
Direct experience applying knowledge of Medicare, Medicaid, and
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