• Ensemble Health Partners, Inc. (Romney, WV)
    …earn a professional certification relevant to their field and can obtain tuition reimbursement . Recognition - We offer quarterly and annual incentive programs ... Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between… 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)
    …holiday Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of ... SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in...healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,… more
    Upward (07/18/25)
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  • SCAN (Long Beach, CA)
    …holiday Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of ... SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in...healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,… 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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  • Audit & Reimbursement Sr

    Elevance Health (Indianapolis, IN)
    …Centers for Medicare and Medicaid Services to transform federal health programs. ** Audit & Reimbursement Sr ** **Location:** This role enables associates ... and ensures essential face-to-face onboarding and skill development. The ** Audit & Reimbursement Sr ** is...a BA/BS and a minimum of 8 years of audit / reimbursement or related Medicare experience;… more
    Elevance Health (05/20/25)
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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 ... Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement 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 ... , Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement more
    CommonSpirit Health (07/22/25)
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  • Sr . Accounting and Reporting Analyst - FT…

    Houston Methodist (Houston, TX)
    …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations, State 1115 waivers, FEMA, and ... At Houston Methodist, the Senior ( Sr .) Accountng and Reporting Analyst...application of positive language principles + Expert knowledge of Medicare reimbursement , tax and/or FEMA rules preferred… more
    Houston Methodist (06/24/25)
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  • Medicare /Medicaid Claims…

    Commonwealth Care Alliance (Boston, MA)
    Sr . Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit , compliance, and ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
    Commonwealth Care Alliance (05/31/25)
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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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  • Senior Coder

    CommonSpirit Health (Phoenix, AZ)
    **Responsibilities** The Senior Coder ( Sr . Coder) acts as a lead coder for their designated team. This position will train staff on department policies, ... procedures, systems and correct coding requirements. The Sr . Coder additionally will audit Coders, fill...NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding… more
    CommonSpirit Health (06/25/25)
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