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Medicare or Hedis or Emr jobs in Columbus, OH, 43215

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Licensed Medicare Sales Agent

#TeamGoHealthSalesIL  –  Columbus, OH
... As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access to best-in-class paid training, and potentially the opportunity to move into a leadership role. Your ... - May 18

RVP Medicare Market President (OH)

Elevancehealth  –  Polaris, OH, 43240
Anticipated End Date:2024-06-01 Position Title:RVP Medicare Market President (OH) Job Description: RVP & President Medicare ... Oversee state SMAC (DSNP) contract requirements for regulatory reporting, encounter reporting, quality audits, HEDIS/EPSDT, ... - May 20

MDS Coordinator

Broad River Rehabilitation  –  Westerville, OH, 43082
... experience with a vast working knowledge of case mix, the Federal Medicare PPS process, and Medicaid reimbursement and PDPM. ... • Initiates and monitors RAI process tracking, discharge/reentry, and Medicaid tracking forms through EMR system. • Follows ... - May 18

Community Based Care Manager - Franklin County

Caresource  –  Big Walnut, OH, 43227
... management experience) is required Three (3) years Medicaid and/or Medicare managed care experience is preferred Competencies, Knowledge and Skills: Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and ... - May 02

RN, Registered Nurse - Mount Carmel Grove City - Pre-Admission Testing

Mount Carmel Health System  –  Grove City, OH, 43123
... With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and ... Previous experience with EMR preferred Mount Carmel and all its affiliates are proud to be equal opportunity employers. We ... - May 24

Health Risk Educator Consultant

CVS Health  –  Columbus, OH
... Position requires proficiency with computer skills which includes Microsoft Office Suite and knowledge of various EMR platforms. Required Qualifications - CPC AAPC or CCA AHIMA certification- 3+ years risk adjustment experience in Medicare advantage ... - May 23

Clinical Administrative Assistant (Bethel Rd)

Ohio ENT & Allergy Physicians  –  Columbus, OH, 43214
... Enter surgery information into the EMR. Completion of the surgery PAT form and any additional information pertaining to the surgery. Schedule diagnostic tests. Handle insurance pre-certs/predeterminations as needed. Schedule Peer to Peer review ... - May 16

Nurse Practitioner PRN Home Visits

Signify Health  –  Baltimore, OH, 43105
... We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members. Conduct in-home visits that focus on a person’s overall health and well-being ... - May 23

Decision Support Analyst II - PFK Business Services

Nationwide Children's Hospital  –  Columbus, OH
... • Builds externally facing reporting using HEDIS and other population health quality measures. • Tests raw data from payors, as well as internal or external aggregated data sets. • Protects patient and provider confidentiality and data security by ... - May 04

Clinical Administrative Assistant (Bethel Rd)

Ohio ENT & Allergy Physicians  –  Columbus, OH, 43214
... Enter surgery information into the EMR. Completion of the surgery PAT form and any additional information pertaining to the surgery. Schedule diagnostic tests. Handle insurance pre-certs/predeterminations as needed. Schedule Peer to Peer review ... - May 16
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