• Medicare Advantage Quality Consultant

    Highmark Health (Dover, DE)
    …job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support ... to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value creation, cost control… more
    Highmark Health (03/05/25)
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  • Consultant , Ethics & Compliance (Audit)

    Cardinal Health (Dover, DE)
    …experience will be considered + Must possess an AAPC or AHIMA coding certification (CPC, CCS, CCS-P, COC, or RHIA, etc.). Auditing certification preferred. ... fee coding and auditing. + Working knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding… more
    Cardinal Health (03/18/25)
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  • RN Medicare Compliance

    Sedgwick (Dover, DE)
    …in a state or territory of the United States required. **Medicare Set-Aside Consultant Certified (MSCC) certification required or actively enrolled in the MSCC ... nurses who have their MSCC certifidation or are enrolled in the MSCC certification program--if this is you please apply!** **PRIMARY PURPOSE** **:** To provide… more
    Sedgwick (02/14/25)
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  • Home Health Speech Therapist SLP Part Time

    Aveanna Healthcare (Dover, DE)
    …staff, health care team members, and family. + Serves as a resource consultant for clinical staff. + Provide physicians and Aveanna with written evaluation of ... unrestricted SLP license to practice in the state of practice + Current CPR certification Preferred: + One (1) year of recent experience as a Speech Language… more
    Aveanna Healthcare (02/14/25)
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