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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | 14 days ago
comprehensive clinical review of the case and final determination Review and document all relevant information into data system applications in accordance with program guidelines and regulations Maintain
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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | 21 days ago
oversees all third-party liability, federal claiming, and program integrity projects, which includes Medicaid-related revenue recovery projects and cost avoidance activities in 14 states and the District
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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | 2 months ago
, and provides resource support for program participants/applicants. This position ensures that eligible individuals can be safely served in accordance with relevant program/waiver guidelines and
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The Director of Quality and Equity for MassHealth supports the Office of Clinical Affairs and MassHealth teams in the development and implementation of quality and equity programs including a broad
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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | about 4 hours ago
medical responsibilities and functions for DES’ skilled professional medical personnel (SPMP), i.e. DES Physician and Psychologist Advisors, Disability and Appeals Reviewers, Program Managers and the
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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | 14 days ago
comprehensive clinical review of the case and final determination Review and document all relevant information into data system applications in accordance with program guidelines and regulations Maintain
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the Community Case Management Program. This position is responsible for the authorization, coordination and facilitation of long term services and supports (LTSS) for program Members. As a member of a
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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | 2 months ago
program regulations. Major Responsibilities Contribute as an active member of a multi/inter-disciplinary team to assess, review and evaluate the care needs of members requiring Long Term Services and
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program components (such as Medicare cost coverage analysis, billing grids, study calendars and budgets.) Provides input into departmental efforts focused on identification, analysis, interpretation
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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | about 4 hours ago
GENERAL SUMMARY OF POSITION: Under the general direction of the Program Manager or designee, the Disability Reviewer II leads and performs diverse work for multiple State disability determination