standards of care Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems New York...
and Medicaid Services (CMS) regulations Facilitate agreement and implementation of the patient’s plan of care by engaging the...
analytical decisions Experience with 1.1 PBM client readiness Med D/Medicaid;has experience with CMS and their relation to the..., root cause analysis and full remediation Med D/Medicaid;understands CMS compliance requirements & relationship to STAR...
established by CMS in its HCC-based, risk adjustment model Educating Clinicians on How to Employ Risk Adjustment Best Practices...: Meet with primary care clinicians in their offices or virtually to educate these clinicians on CMS’s HCC-based, risk...
standards of care Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems New York...
standards of care Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems **PLEASE NOTE...
standards of care Awareness NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems New York...
and HCPC codes Knowledge of clinical standards of care Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare...
Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems Connecticut Residents...
Knowledge of clinical standards of care Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit...