- Independent Health (Buffalo, NY)
- …correlating coding complexity. They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise and ... tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit...to prepare quantitative and qualitative studies at conclusion of audit . Ability to recalculate reimbursement following conclusion… more
- CommonSpirit Health (Phoenix, AZ)
- …a more just, equitable, and innovative healthcare delivery system. **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost ... report preparation, cost report appeals , audit preparation and other duties related...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- CommonSpirit Health (Phoenix, AZ)
- …and innovative healthcare delivery system. **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost ... report preparation cost report appeals audit preparation and other duties related...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Saint Francis Health System (Tulsa, OK)
- …Reporting to the Executive Director of Finance, the Director of Reimbursement is responsible for performing Medicare audits, cost reports, compliance, analysis ... and successful resolution of appeals for the health system. Additionally, the Director performs decision support analysis, pro-formas, and reimbursement impact… more
- Halliburton (Houston, TX)
- …audit defense / controversy strategies, including audit design, technical research, audit workpaper review and audit appeals + Directly manage ... Tax Manager - Senior Tax Manager Date: Apr 2, 2025 Location:...care for sick or injured immediate family members, adoption reimbursement , paternal and maternal leave for baby bonding and… more
- Centene Corporation (Jefferson City, MO)
- …and ongoing oversight and analysis of regulatory compliance issues. Conducts audit , oversight, and monitoring activities to assess compliance with aspects of ... and assist Centene and third parties/subcontractors to maintain integrity through audit , oversight and monitoring and in meeting Government-sponsored health care… more
- Walmart (Bentonville, AR)
- …the development and then drive strategies to address crafting and executing audit plans, negotiation strategies, managing appeals , and at times supporting ... Experts (SMEs) in the implementation and execution of foreign audit plans, along with alternative dispute resolution strategies +...company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. You will also… more
- Access Dubuque (Dubuque, IA)
- Senior PBM Pricing Analyst **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3206644 Posted On 04/17/2025 **Job Overview** **Position Overview:** The Strategic ... time + Collaborate with team members to execute MAC appeals process on a weekly basis + Develop and...the size of risks/opportunities + Execute MAC maintenance tasks, audit processes, and uploads; as needed during execution, identify… more
- Stanford University (Stanford, CA)
- …you with:_** + **_Freedom to grow_** **_. We offer career development programs, tuition reimbursement , the ability to audit a course, join a TedTalk, film ... within the University Human Resources Benefits Department. Reporting to the Senior Director of Benefits, the Benefits Analyst will provide essential analytical… more
- CHS (Clearwater, FL)
- …One core service, claims administration, is where submissions for payment/ reimbursement /sharing from medical providers and covered individuals are reviewed, subject ... as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with...Examiner queues waiting to be adjudicated, and in either audit or needing approval status. * Developing and implementing… more
- Somatus (Mclean, VA)
- …Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being ... Need Plans (SNPs). The Director, Quality will work closely with Sr. Manager, Audit Risk and the Regulatory and Accreditation Team to ensure compliance with audits,… more
- St. James Hospital (Hornell, NY)
- …to assure the completion of the private, Medicare, and all other financial-related audit activities. + Coordinates the operations of the Audit Committees of ... Foundation. + In collaboration with URMC Payer Contracting and Reimbursement department, negotiates payment/contract agreements with third-party payers and assures… more
- Ventura County (Ventura, CA)
- …participation in the Flexible Spending Accounts which increase spending power through reimbursement of pre-tax dollars for IRS approved dependent care and health ... holiday. DEPARTMENT/AGENCY: Health Care Agency - Behavioral Health PAYROLL TITLE: Senior Program Administrator Senior Program Administrator is a… more
- Ascension Health (Franklin, TN)
- …disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and ... at the time of the offer._ **Responsibilities** Coordinate payer denials and appeals , respond to insurance company requests for medical records, and perform medical… more
- Pactiv Evergreen (Lake Forest, IL)
- …nine paid Holidays and two floating Holidays, wellness program, tuition reimbursement and family care benefits._ **Responsibilities** The **Benefits Analyst** will ... corporate benefits vendor partners and HR. This position will report to the Senior Manager, Health and Wellness. Location: Preferred Chicagoland area to work onsite… more
- LifePoint Health (Richlands, VA)
- …Program - mental, physical, and financial wellness assistance * Tuition Reimbursement /Assistance for qualified applicants * Employee discount program * And much ... the Operations Team, provides quality data as available to Senior Management. * Provides data for analysis, in the...on the Corporate Portal * Acts as facility Recovery Audit Coordinator. Ensures completion within the regulated time frame… more