- 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 ... **Join Team Tidelands and help people live better lives through better health!** ** Reimbursement Analyst ** Are you passionate about quality and committed to… more
- Centene Corporation (Providence, RI)
- …healthcare to improve outcomes, advance quality, and promote equity. The Analyst , Value-Based Payment Initiatives (VBP) will support the expansion and performance ... of Medicare -focused VBP arrangements across New York, including ...terms, and generating insights to guide strategic decision-making. The Analyst will work closely with the VBP Manager, Director,… more
- BlueCross BlueShield of North Carolina (NC)
- …of degree, 7+ years of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience + Extensive Medicare / ... plus adoption and surrogacy assistance + Career development programs and tuition reimbursement for continued education + 401k match including an annual company… more
- Centene Corporation (Tallahassee, FL)
- …for assigned function. This role will focus on data mapping for Medicare provider directories. + Support business initiatives through data analysis, identification ... + Perform data mapping and validation for large datasets related to Medicare provider directories + Support user acceptance testing (UAT) and troubleshoot issues… more
- OhioHealth (Columbus, OH)
- …for third-party inquires. * This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching ... position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for...cost reporting 4 - 6 years as a Sr. Reimbursement Analyst or similar position(s). nt. **Work… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement . + The Director will have advanced level of knowledge ... Term Disability + Health Care/Dependent Care Flexible Spending Accounts + Wellness Programs + Tuition Reimbursement My client, a large healthcare company located in… more
- Commonwealth Care Alliance (Boston, MA)
- …Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge, ... to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... of Medicare Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and… 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 Medicare , Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and… more
- BayCare Health System (Clearwater, FL)
- …dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of ... working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst - Cost Reporting **Location** Clearwater |… more
- Walgreens (Deerfield, IL)
- …close, monthly forecast, quarterly earnings, annual budget, and annual 3YP process for the Medicare reimbursement area: one of the primary sources of revenue for ... role will develop, enhance, and create financial models to project future Medicare reimbursement or understand recent trends. **Data Analytics and Management:**… 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 ... in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** + Associate?s degree in… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Reimbursement Analyst - SeniorDepartment: Reimbursement Specialist - Finance Location: Riedman Campus SUMMARY: Provide and maintain Hospital ... reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid. Prepare annual institutional cost report, physician questionnaire and other third… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare /Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance,… more
- UCLA Health (Los Angeles, CA)
- …the financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on ... degree preferred). + At least five years of experience in healthcare reimbursement or financial analysis, particularly with Medicare and Medi-Cal regulations.… more
- Zelis (Plano, TX)
- …personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement ... / Medicare Advantage or commercial billing and reimbursement a plus + Ability to manage/oversee pricer program.… more
- Humana (Santa Fe, NM)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** **Position Summary** : The Reimbursement Analyst is responsible for supporting Dignity Health hospitals with the technical expertise ... with Dignity Health Policy and Procedure Assists in the review of new reimbursement /revenue cycle strategies for the purpose of ensuring compliance and promotion of… more
- BlueCross BlueShield of North Carolina (NC)
- …medical records and charts in relation to provider coding. The Coding Analyst identifies physician practices with complex coding patterns and reports relevant data ... to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** +...and surrogacy assistance + Career development programs and tuition reimbursement for continued education + 401k match including an… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Business System Analyst I Provides the ... business needs. Experience with Microsoft Dynamics 365 preferred. Business System Analyst II Provides the interface between the business and information technology… more