• Delaware Valley ACO Fellowship

    Humana (Columbus, OH)
    …Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among ... HR. DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and...flag in the EMR + Assesses behavioral health integration readiness of ACO physician practices + Leads the design… more
    Humana (07/30/25)
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  • Revenue Cycle Manager

    WesleyLife (Johnston, IA)
    …new opportunities. + Lead centralized billing operations across all service lines ( Medicare A/B, Advantage , commercial, and Medicaid). + Ensure timely and ... changes, and reimbursement risk. + Prepare and file required reports including annual Hospice Capitation reports. + Collaborate with operations, finance, and legal… more
    WesleyLife (06/04/25)
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  • Compliance and Privacy Specialist

    Delta Dental of Iowa (Johnston, IA)
    …including HIPAA, HITECH, ERISA, the False Claims Act, the Anti-Kickback Statute, Medicare Advantage , Medicaid, and CMS requirements. Ability to research, ... Compliance Work Plan and upholds organized, verifiable records to support audit readiness . + Analyze and interpret federal and state regulations (eg, HIPAA, ERISA,… more
    Delta Dental of Iowa (07/15/25)
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