• Ensemble Health Partners, Inc. (Romney, WV)
    …CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between ... at Valley - Hampshire Hospital in Romney, WV The Senior Patient Access Specialist is responsible for performing admitting...that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access… more
    Upward (07/28/25)
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  • Renew Health Consulting Services (Monrovia, CA)
    …company providing healthcare services including skilled nursing, assisted living and senior living communities. We believe that seniors are extraordinary people. ... for optimizing revenue cycle processes, ensuring compliance with California Medi-Cal , Medicare , Managed Care , and Private Pay billing requirements. The ideal… more
    Upward (07/27/25)
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  • Hackensack Meridian Health (Hackensack, NJ)
    …group, provides reports as needed. Participates in committee assignments and reports to senior leadership including the Audit and Compliance Committee as needed. ... regulatory requirements including but not limited to those of Medicare , Medicaid and the State of New Jersey. Responsibilities..., Medicaid and commercial payers for the purpose of reimbursement . Is an active participant in the development of… more
    Upward (07/05/25)
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  • Western Municipal Water District (March Air Reserve Base, CA)
    …Annual Comprehensive Financial Report (ACFR). Reviews, reconciles, and prepares annual audit spreadsheets, reports and journal entries in order to coordinate, ... or advice on topics such as legal consultation, parenting, senior care, childcare, pet care, and healthy rewards. RETIREMENT...vesting schedule for this retirement benefit. Social Security and Medicare As an employee of Western, you pay Social… more
    Upward (07/26/25)
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  • SCAN (Long Beach, CA)
    …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,...administration and reporting in accordance with OBM Circular A-133 Audit which includes but is not limited to: preparation… more
    Upward (07/18/25)
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  • SCAN (Long Beach, CA)
    …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,...the Accounts Payable team to complete internal and external audit deliverables, ad hoc reports and special projects as… more
    Upward (07/19/25)
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  • CommuniCare Family of Companies (Martinsburg, WV)
    …Term Care experience required At least 2 years of experience with Federal Medicare /Medicaid and Managed Care reimbursement system management in working with the ... previous Long Term Care and MDS experience. Multi-facility MDS experience or Senior MDS experience preferred. The Mobile MDS Coordinator will be detail-oriented and… more
    Upward (07/18/25)
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  • Director Medicare /Medicaid…

    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
    Robert Half Finance & Accounting (06/24/25)
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  • Senior Director, Auditing, Monitoring…

    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
    Centene Corporation (07/05/25)
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  • Senior Reimbursement Manager

    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
    UCLA Health (07/15/25)
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  • Corporate Senior Government…

    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
    Prime Healthcare (06/18/25)
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  • Pharmacy Process- Audit Technician - Sharp…

    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
    Sharp HealthCare (07/25/25)
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  • Reimbursement Analyst - Senior

    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
    Rochester Regional Health (06/26/25)
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  • Charge Audit Analyst

    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
    Sutter Health (06/01/25)
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  • Director, Corporate Reimbursement

    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
    RWJBarnabas Health (06/20/25)
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  • Sr Reimbursement Analyst

    CommonSpirit Health (Phoenix, AZ)
    **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
    CommonSpirit Health (07/29/25)
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  • Sr Reimbursement Analyst

    CommonSpirit Health (Phoenix, AZ)
    **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
    CommonSpirit Health (07/22/25)
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  • Revenue Integrity Senior Analyst - HMFP

    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
    Beth Israel Lahey Health (07/04/25)
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  • Regional Director, CAH Reimbursement

    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
    Trinity Health (06/11/25)
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  • Senior Manager, Legal Operations

    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
    Toyota (07/22/25)
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