- Prime Healthcare (Redding, CA)
- …their family. For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare- Medicaid Biller/Collector is responsible for both billing ... in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare- Medicaid . This includes maintaining the… more
- Abbott (Sylmar, CA)
- …facilities. **What You'll Work On** Abbott is currently seeking an experienced professional to provide: + Support for developing, updating and maintaining basic and ... routine elements of Abbott's compliance program at the franchise, business unit, divisional or...administration of division monitoring plan. **Core Job Responsibilities** The Senior Analyst performs the following with moderate supervision from… more
- Prime Therapeutics (Santa Fe, NM)
- …Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's ... Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP)… more
- Humana (Phoenix, AZ)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you...management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of… more
- University of Colorado (Aurora, CO)
- …Medicine Family Medicine Louisville Medical Director - Open Rank Sr . Instructor, Assistant, Associate, Professor** **Description** **University of Colorado Anschutz ... Medicine Family Medicine - Louisville Medical Director - Open Rank Sr . Instructor, Assistant, Associate, Professor** **Position #00825042: - Requisition #37280:**… more
- University of Colorado (Aurora, CO)
- …Assistant Aurora Wellness Community Health Center (AWCHC) Clinic - Sr . Instructor** **Description** **University of Colorado Anschutz Medical Campus** ... Assistant - Aurora Wellness Community Health Center (AWCHC) Clinic - Sr . Instructor** **Position #00835409: - Requisition #36929:** **Job Summary:** **Examples of… more
- Humana (Tampa, FL)
- …a part of our caring community and help us put health first** The Senior Consumer Experience Professional is a highly detail-oriented position responsible for ... by the Agency for Health Care Administration (AHCA) and subsequent activities. The Senior Consumer Experience Professional plays a critical role in ensuring that… more
- University of Michigan (Ann Arbor, MI)
- …identify trends, issues, and opportunities for revenue cycle optimization. + Review professional billing claims for accuracy, completeness, and compliance with ... Rev Cycle Business Analyst Sr .- PB Denials Apply Now **Job Summary** We...attention to detail. + Familiarity with relevant regulations and compliance requirements (eg, HIPAA, Medicare/ Medicaid billing regulations).… more
- Elevance Health (Overland Park, KS)
- …administration of claims/encounters processing and operational support functions to ensure compliance with KDHE (Kansas Medicaid ). This role manages day-to-day ... **Claims & Encounters Operations Management -Process Expert Sr .** **Location:** This role requires associates to be...reporting on claims timeliness, accuracy, backlog and provider payment compliance . + Serve as the operational liaison with KDHE… more
- University of Michigan (Ann Arbor, MI)
- Sr Bill Clk/Pat Acct Rep Hlth Apply Now **Job Summary** Our Revenue Cycle team is looking for a highly motivated Senior Billing Clerk/Patient Account ... discrepancies and take appropriate corrective action when necessary ensuring compliance + Move payments to accounts ensuring appropriate payment category,… more
- University of Colorado (Aurora, CO)
- …Practitioner or Physician Assistant Whole Person Pain Service/ APP- Sr . Instructor** **Description** **University of Colorado Anschutz Medical Campus** ... Nurse Practitioner or Physician Assistant - Whole Person Pain Service/ APP- Sr . Instructor** **Position #: 00832618 - Requisition #36543:** **Job Summary:** The APP… more
- Outreach Development Corporation (Richmond Hill, NY)
- …behavioral health services and training. For more information, please visit www.opiny.org. The Sr . Director of Finance will serve a key member of the financial ... $150,000. Job Scope Working closely with the CFO, the Sr . Director for Finance will provide Financial Leadership and...Assist in leading the annual budgeting process, working with senior management and program leadership to set realistic financial… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Senior Risk Manager Full Time,80 Hours Per Pay Period, Day Shifts Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than ... providing excellent care to every patient, every time. Position Summary: The senior risk manager is responsible for the facility's risk management activities, which… more
- City of New York (New York, NY)
- …the Office of Quality Assurance and Fiscal Integrity to aggressively monitor compliance with agency policy and the changes under welfare reform. PERT reviewers ... actions in the areas of Applications, Recertification and lawsuit compliance . PERT reviews are designed to ensure program ...Administrative Associate III to function as a CA PERT Sr . Case Reviewers, who will: - Conduct legally mandated… more
- Aveanna Healthcare (Atlanta, GA)
- Sr . Accountant ApplyRefer a FriendBack Job Details Requisition #: 206952 Location: Atlanta, GA 30339 Category: Accounting/Finance Salary: $75,000.00 - $85,000.00 per ... we serve. Position Overview Reporting to the Accounting Manager, the Senior Accountant will perform accurate and timely close responsibilities, including journal… more
- Waystar (Louisville, KY)
- …and work closely with User Experience team and Technology teams. The Sr . Product Manager will coordinate with key stakeholders in sales, marketing, design, ... healthcare industry standards and staying up-to-date on industry changes and compliance issues + Gathering inspiration and ideas by visiting customers regularly… more
- Molina Healthcare (El Paso, TX)
- **Job Description** **Job Summary** The Sr Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions and programs… more
- Nestle (Bridgewater, NJ)
- …teams that champion focused and forward thinking. We are committed to fostering professional growth and celebrating the achievements of our people along the way. We ... of health and nutrition for patients and consumers. **POSITION SUMMARY:** The Senior Manager is responsible for executing and refining national and regional… more
- CVS Health (Downers Grove, IL)
- …utilization/performance, network growth, and efficiency targets. Manages and oversees compliance within our network responsibilities as provided within the state ... Medicaid contractual requirements. This position holds a variety of...others to support staff. + Process Improvement: Work with Sr . Managers and Director to develop and implement strategies… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets ... and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more