- Elevance Health (Indianapolis, IN)
- …Centers for Medicare and Medicaid Services to transform federal health programs. ** Audit & Reimbursement Sr ** **Location:** This role enables associates ... and ensures essential face-to-face onboarding and skill development. The ** Audit & Reimbursement Sr ** is...a BA/BS and a minimum of 8 years of audit / reimbursement or related Medicare experience;… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and ... , Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Houston Methodist (Houston, TX)
- …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations, State 1115 waivers, FEMA, and ... At Houston Methodist, the Senior ( Sr .) Accountng and Reporting Analyst...application of positive language principles + Expert knowledge of Medicare reimbursement , tax and/or FEMA rules preferred… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr . Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit , compliance, and ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …and federal issued reimbursement rates + Investigates and responds to audit reviews/questions/adjustments + Monitor Medicare and Medicaid appeal and cost ... a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement . + The Director will have...Analyst(s) in completion of certain projects when assigned by senior management. + Prepares Medicare and Medicaid… more
- Centene Corporation (Raleigh, NC)
- …management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an ... process for overseeing compliance with regulations and laws related to Medicare requirements + Provides guidance to various business departments regarding compliance… more
- UCLA Health (Los Angeles, CA)
- …and decision support teams to ensure financial accuracy and policy compliance. The Senior Reimbursement Manager also leads audit response efforts, supports ... Description Description UCLA Health is seeking a Senior Reimbursement Manager to oversee complex...this role, you will: + Prepare and file annual Medicare and Medi-Cal cost reports and lead audit… more
- Prime Healthcare (Ontario, CA)
- …preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and ... understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how...a multi-state hospital system and provide the support at audit + Knowledge of Medicare rules on… more
- Sharp HealthCare (San Diego, CA)
- …validating accuracy, completeness and timeliness for all commercial and Medicare pharmacy processes, processing prior authorization review including intake, review, ... data, writing and editing a variety of communication materials, and interacting with senior level positions both internally and externally. + Experience in a managed… more
- Rochester Regional Health (Rochester, NY)
- … Specialist - Finance Location: Riedman Campus SUMMARY: Provide and maintain Hospital reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid. ... a monthly basis. RESPONSIBILITIES: + Provide and maintain Hospital reimbursement expertise as it relates to Medicare ,...findings. Makes recommendations as to whether the third party audit findings are in compliance with reimbursement … more
- Sutter Health (Sacramento, CA)
- …+ Understanding of hospital-based outpatient charging and coding + Knowledge of Medicare APC and OPPS reimbursement structures + In-depth knowledge of ... at communicating effectively with all levels of the organization, especially senior leadership and department heads. + Demonstrates skilled ability and comfort… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Senior Coder ( Sr . Coder) acts as a lead coder for their designated team. This position will train staff on department policies, ... procedures, systems and correct coding requirements. The Sr . Coder additionally will audit Coders, fill...NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding… more
- RWJBarnabas Health (Oceanport, NJ)
- …will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies ... reports + Monitor and validate State and federal issued reimbursement rates + Investigates and responds to audit...in reimbursement regulations and policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Senior Coder ( Sr . Coder) acts as a lead coder for their designated team. This position will train staff on department policies, ... procedures, systems and correct coding requirements. The Sr . Coder additionally will audit Coders, fill...NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding… more
- Centene Corporation (Tallahassee, FL)
- …of risk adjustment regulatory landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range: ... Adjustment processes. Ensures visibility by way of reporting out audit deliverables and risk related to each audit...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- HCA Healthcare (Orlando, FL)
- …like you to be a part of our team. **Job Summary and Qualifications** As Reimbursement Manager, you will complete Medicare and Medicaid cost reports to obtain ... Do you want to join an organization that invests in you as a Reimbursement Manager? At HCA Healthcare, you come first. HCA Healthcare has committed up to… more
- Beth Israel Lahey Health (Woburn, MA)
- …at the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, ... compliance with applicable coding and billing guidelines, and optimization of reimbursement . * Support departments with analyzing services for coverage and … more
- Trinity Health (Des Moines, IA)
- …identifies and manages all financial and compliance risk associated with the reimbursement function, keeping senior leadership apprised of identified risk and ... the reimbursement function (for acute and professional services), notifying senior leadership of identified risks and tracking and monitoring progress of risk… more
- Toyota (Plano, TX)
- …Toyota Legal One (TL1), is looking for a passionate and highly motivated ** Senior Manager, Legal Operations.** This role is responsible for the strategic planning ... reside within commutable distance of this location. **What you'll be doing** The Senior Manager of Legal Operations will be responsible for leading TL1's Legal… more