- Indiana University Health (Indianapolis, IN)
- …team. This role offers an exciting opportunity to work on both 340B and Medicare / Medicaid reimbursement initiatives, helping to grow our programs and ... your personal and professional journey. Interested? If you're a motivated financial analyst ready to contribute to healthcare reimbursement strategies, apply… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare / Medicaid Reimbursement . + The Director will have advanced level of ... projects not listed above. + Planning, preparing and reviewing of the annual Medicare / Medicaid cost reports filings. In partnership with the Vice President of… more
- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * ... inquires. * This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow...assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining… more
- Commonwealth Care Alliance (Boston, MA)
- …Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior ... The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG,… more
- Commonwealth Care Alliance (Boston, MA)
- …as necessary on all new CPT and HCPCS codes for coding logic, related Medicare / Medicaid policies to make recommend reimbursement determinations. + Analyze, ... claim operations, health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare ) + Medical Coding,… more
- Zelis (Plano, TX)
- …and the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis ... a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost...or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement … more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal... and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and other ... of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal... and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures… more
- Tidelands Health (Pawleys Island, SC)
- …least 5 years of progressive healthcare experience working as a Reimbursement Analyst in a hospital, a Medicare Administrative Contractor (MAC), and/or a ... and help people live better lives through better health!** ** Reimbursement Analyst ** Are you passionate about quality...and accurate reporting of all regulatory financial information to Medicare & Medicaid . This position requires the… more
- BayCare Health System (Clearwater, FL)
- …all levels of management. + This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically ... dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement ... for existing and new services. Assures that updated fee schedules for Medicare , Medicaid , commercial and managed care carriers are correctly entered in the… more
- Rochester Regional Health (Rochester, NY)
- …Provide and maintain Hospital reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid . Prepare annual institutional cost report, physician ... Job Title: Reimbursement Analyst - SeniorDepartment: Reimbursement...Hospital reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid (as observed… more
- Molina Healthcare (Omaha, NE)
- …Information Management. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, ... **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and… more
- BlueCross BlueShield of North Carolina (NC)
- …practices with complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** + Analyzes necessary ... coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses...and surrogacy assistance + Career development programs and tuition reimbursement for continued education + 401k match including an… more
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** **Position Summary** : The Reimbursement Analyst is responsible for supporting Dignity Health hospitals with the technical expertise ... Policy and Procedure Assists in the review of new reimbursement /revenue cycle strategies for the purpose of ensuring compliance...accounts receivables Assists in the preparation of the annual Medicare TriCare and Medicaid reports Collects and… more
- Corewell Health (Grand Rapids, MI)
- …with CMS & State of Michigan regulations. Maintains up-to-date knowledge of Medicare / Medicaid rules and regulations. + Facilitate the timely and accurate ... reports and assist in ad-hoc analysis. Knowledge of facility and physician reimbursement methods will be combined with data analysis and decision-making abilities to… 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 ... service focus and application of positive language principles + Expert knowledge of Medicare reimbursement , tax and/or FEMA rules preferred + Strong knowledge of… more
- LA Care Health Plan (Los Angeles, CA)
- …those used by National Committee for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. Must demonstrate advanced SQL ... Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical...benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision… more
- CommonSpirit Health (Phoenix, AZ)
- …evaluating and supporting negotiations across a diverse payer portfolio, including commercial, Medicare , Medicaid , Health Insurance Exchange plans, and more. The ... **Responsibilities** **Job Summary / Purpose** The Payer Analytics Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit Health's managed… more
