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Bausch + Lomb
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Los Angeles, California
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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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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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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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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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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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Sedgwick
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Los Angeles, California
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Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Medicare Specialist (Remote)
PRIMARY PURPOSE : To coordinate, analyze and facilitate Medicare
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Centene Corporation
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LOS ANGELES, California
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Position Purpose: The Account Executive II supports Account Executives and Account Management Teams in ... sales and account management teams to increase new sales and penetrate Health Plan’s book of business
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UCLA Health
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Los Angeles, California
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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 the review of cost report
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Kaiser Permanente
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Los Angeles, California
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standards, policies and procedures.
Regulators include, but are not limited to: Center for Medicare
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Sumitomo Pharma
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Los Angeles, California
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Productivity : Organize his/her territory / account to maximize sales impact. Review and analyze market data ... .
Proficient knowledge and understanding of the payer landscape including commercial, Medicaid, and Medicare
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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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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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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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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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Conduent
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Los Angeles, California
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discuss status of overpayment and refund process to ensure account resolution.
The Insurance ... , Medicare, and Medicaid.
Required to have claims processing knowledge so they can speak to providers in
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NORC
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Los Angeles, California
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, fully vested retirement account with TIAA at a rate of $4.57 for each hour worked, and contributions ... Important Details to Note
The Medicare Current Beneficiary Survey (MCBS)is a continuous, multipurpose
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L.A. Care Health Plan
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Los Angeles, California
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highest clinical skills and judgement. Management of the caseload assigned by Manager includes ... manager in home health or hospice environments.
Experience providing care management
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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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L.A. Care Health Plan
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Los Angeles, California
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Care Management Initiatives Program Manager II
Job ...
The Care Management Initiatives Program Manager II is responsible for leading and managing a portfolio
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L.A. Care Health Plan
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Los Angeles, California
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the enrollment/disenrollment policies and procedures, journal entry preparation, heavy account ... knowledge of premium billing
Preferred:
Medi-Cal and Medicare knowledge
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L.A. Care Health Plan
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Los Angeles, California
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medical codes).
Medical/Medicare/Commercial Health Insurance knowledge
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University of Southern California
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Los Angeles, California
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Medicare coverage analysis, protocol, sponsor proposed budget and informed consent (if available) and fully ... studies. The budget specialist also communicates with the CTO Contracts Manager to ensure that all costs
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L.A. Care Health Plan
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Los Angeles, California
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Behavioral Health Project Manager II
Job Category ...
The Behavioral Health Project Manager II is responsible for leading and managing a portfolio of
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TORKLAW
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Los Angeles, California
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resolution, and negotiation techniques. Well-versed in statutory liens (Medicare, Medicaid, ERISA, etc ... resolution, and negotiation techniques.
Well-versed in statutory liens (Medicare, Medicaid, ERISA
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UCLA Health
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Los Angeles, California
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trend/budget
Prepare month-end journal entries to report the value of Medicare, Medi-Cal, contracts
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