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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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>Collaboratively serve as a HCM&T; divisional resource with the Manager for health plan quality ... operational improvement activities.Measure performance goals of Medicare STAR Program plans
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Centene Corporation
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NEWARK, New Jersey
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providing education and assistance to Medicare individuals. Distribute health education materials and ... eligibility for participation in the Advantage Medicare product
Understand and apply all policies and
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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products: commercial, Medicare and Medicaid.Broad clinical knowledge and track-record of ... the job level and takes into account the wide range of factors that are considered in making
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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financial performance of all Horizon BCBS products, including Commercial, Medicare, and Medicaid ... , Commercial, Medicare market sectors and products.Requires a demonstrated progressive
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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for Medicare beneficiaries.Assist in managing and training Pharmacy techs for Medication therapy management.Responsible for Medicare beneficiaries pharmacy management
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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monthly CMS-CAPs audits against business Process Flows in order to evaluate compliance with Medicare ... into account the wide range of factors that are considered in making compensation decisions, including
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RWJBarnabas Health
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NEWARK, New Jersey
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of Medicare and Medicaid regulations and rules with a background in coordination of benefits
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UnitedHealth Group
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Newark, New Jersey
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Assist the provider / team with benefit determination associated with Medicare part A, part B, and part D
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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monthly CMS-CAPs audits against business Process Flows in order to evaluate compliance with Medicare ... ,800 - $102,795This compensation range is specific to the job level and takes into account
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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a strategic approach to BH management at the market and account level by establishing relationships ... client upsell and retention of profitable relationships for all lines of business (Commercial, Medicare
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Sedgwick
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Newark, New Jersey
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’s, principles, and laws
Knowledge of medical terminology for claim evaluation and Medicare ... , flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an
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Horizon Blue Cross Blue Shield of New Jersey
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Newark, New Jersey
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compliance with Medicare standards.Primary responsibility for documentation of CMS-CAPs ... into account the wide range of factors that are considered in making compensation decisions, including
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