- Creative Financial Staffing (Brewster, NY)
- CFS is partnering with a Health Center seeking a full-time Director of Finance. The role involves providing timely and reliable financial information to the ... Payroll, cash projections, and liquidity projections. Responsibilities of The Director of Finance: Preparing and presenting financial statements and reports… more
- RestoraCare Staffing (Houston, TX)
- …management, performance improvement, disease or population management and managed care reimbursement . Understanding of pre-acute and post-acute venues of care and ... in both areas. Refers cases and issues to Care Management Medical Director in compliance with department procedures and follows up as indicated.Communicates with… more
- Point32Health (Canton, MA)
- …. **Job Summary** Under the general direction of the VP, the Appeals and Grievances Director is responsible for management and oversight ... of the Enterprise Member Appeals and Grievances Department. The Director is...and changes and properly trained in all aspects of reimbursement related functions + Evaluate and establish performance and… more
- Glens Falls Hospital (Glens Falls, NY)
- …foundhere. **Job:** **Allied Health - Health Information Management* **Title:** *Coding Reimbursement Appeals Supervisor - Health Information Management (HIM) * ... Under the direction of the HIM Director , is responsible for compliant, complete and optimal...and DRG's that include all MCC's and CC's for reimbursement . In collaboration with Hospital External Review Team (HERT)… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct… more
- J&J Family of Companies (St. Paul, MN)
- Associate Director , Field Reimbursement Oncology- Network Accounts- Central District - 2406165015W **Description** **Associate Director , Field ... Customer Solutions (PECS) team is recruiting for an Associate Director , Field Reimbursement Oncology for the Associate...& bill benefit design, coding, billing, prior authorization, and appeals processes + 3 years of direct people management… more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** The Director of Reimbursement directs and coordinates activities of employees engaged in back-office revenue cycle management ... including data entry, claims filing, appeals /reconsiderations, payment posting and reconciliation, physician query processes, denial...of colleagues. Do you want to work as a(an) Director of Reimbursement where your passion for… more
- Henry Ford Health System (Detroit, MI)
- …health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third-party ... shaping the financial future of Henry Ford Health! The Director of Reimbursement is responsible for setting...+ Planning and coordination of third party audits and appeals as well as quarterly and year-end financial audits… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Public Service Manager 2 - Director of Operations Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4504305) Public Service Manager 2 - Director ... Full-time Job Number 24-03862 Agency 429 Department of Inspections, Appeals & Licensing - Racing & Gaming Commission Opening...please send cover letter and resume to Betty Tschetter, Director of Licensing Administration at ###@iowa.gov by May 20,… more
- State of Colorado (Lakewood, CO)
- …of notice or knowledge of the action: Colorado State Personnel Board/State Personnel Director , Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, ... DFPC Director of Strategic Communications Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4495436) Apply DFPC Director of Strategic… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Public Service Manager 1 - Director of Gaming Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4507757) Public Service Manager 1 - Director of ... Full-time Job Number 24-03893 Agency 429 Department of Inspections, Appeals & Licensing - Racing & Gaming Commission Opening...Please send cover letter and resume to Betty Tschetter, Director of Licensing and Administration at ###@iowa.gov by May… more
- CVS Health (Columbus, OH)
- …Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP and other complex ... UM and participate in UM front line work and appeals as needed in OH and other markets as...through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical coverage… more
- AmeriHealth Caritas (Newark, DE)
- **Medical Director , LTSS** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified candidates must reside in the state of ... leadership in the operational areas of care management, utilization review, appeals , quality improvement and related policy and practice initiatives in collaboration… more
- University of Colorado (Denver, CO)
- …the outset. + Serve as an appeal reader for student conduct and academic misconduct appeals . + Work with the AVC/DOS and Director of Student Conduct to pilot ... ** Director of Case Management and Associate Dean of...areas. + Support AVC/DOS procurement functions including purchase orders, travel/ reimbursement expense reports, and payment vouchers in accordance with… more
- Sacramento County (Sacramento, CA)
- Director of General Services Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4218528) Director of General Services Salary $223,499.52 - ... the position and to review the full recruitment brochure: Director of General Services Recruitment Brochure (https://personnel.saccounty.net/Documents/DirectorofGeneralServicesRecruitmentBrochure.pdf) How to… more
- CVS Health (Boston, MA)
- … / Special Projects and Committee participation when needed. + The Medical Director will provide clinical, coding, and reimbursement expertise as well as ... market - hospitals, outpatient networks, and value-based care relationships. The Medical Director will be required to have a Massachusetts state medical license… more
- CVS Health (Springfield, IL)
- …in these areas.Knowledge of Aetna clinical and coding policy and experience with appeals , claim review, reimbursement issues, and coding is preferable, but a ... Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next...of health care services. ◾ Apply clinical coding and reimbursement expertise to ensure alignment and correct application of… more
- Subaru of America (Camden, NJ)
- …parent's US companies' transfer pricing method. + Manages IRS federal tax audits and appeals processes. Oversees multi-state tax audits and appeals . Acts as an ... + Extensive experience in federal and state audits and appeals . + Extensive experience with consolidated federal and combined...5 Floating Holidays, and 5 Sick days + Tuition Reimbursement Program + Vehicle Discount Programs + Visit our… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …processes appeals and reconsiderations. In collaboration with the Division Director Care Coordination, the UM Director develops strategies to achieve ... **Responsibilities** **Job Summary / Purpose** The Utilization Management (UM) Director is responsible for the market(s) development, implementation, evaluation and… more
- CVS Health (Tallahassee, FL)
- …Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well as ... have a FL License without encumbrances. In the Medical Director role you will provide oversight for medical policy...consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review… more
