- Somatus (Mclean, VA)
- …care?** Somatus is on the hunt for a visionary **Senior Vice President of Finance ** to lead at the crossroads of strategy, innovation, and impact. This isn't just ... a finance role. This is a chance to architect the...Design provider incentives that balance impact and budget + ** Payment Integrity Product Areas:** Clinical Claim Review, Payment… more
- Mom's Meals (Ankeny, IA)
- …of assigned agencies + Reconciliation of assigned state or local agencies + Research and resubmit of billings to assigned agencies + Review quality assurance of ... billing tasks, mentoring junior staff, and leading cross-functional initiatives + Reduce payment agency backlog + Perform in-depth audits of project data to identify… more
- AdventHealth (Altamonte Springs, FL)
- …matter resource for Medicaid reimbursement matters. This role is focused on Medicaid payment areas. + Leads a team of reimbursement professionals, providing ... experts. Acts as a consultant to leaders ensuring the Medicaid rate setting, payment , and reconciliation processes...finance 10 years of relevant experience in healthcare finance , preferably in reimbursement including Medicare, Medicaid … more
- Commonwealth Care Alliance (Boston, MA)
- …disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, ... ensure compliance with contractual terms, state and federal regulations, and internal payment policies. + Resolve provider inquiries and disputes related to pricing… more
- University of Rochester (Rochester, NY)
- …discrepancies, and creates general ledger deposit receipts. Follows up on missed payment deadlines. Communicates with University Finance and Information Systems ... refunds. **ESSENTIAL FUNCTIONS** + Balances and posts electronic file payments from Medicare, Medicaid , Blue Cross, and MVP. Balances check payments, identifies… more
- Texas A&M University System (Bryan, TX)
- Job Title Clinical Billing Payment Poster Agency Texas A&M University Health Science Center Department Clinic Str Finance Centralized Proposed Minimum Salary ... institutes working together to improve health through transformative education, innovative research and team-based health care delivery. What we want The Clinical… more
- IQVIA (Wayne, PA)
- Job Description Summary: **Associate Director Finance Operations** Directs financial planning and accounting practices including budgeting, costing, financial ... of business results. + Manage, mentor, develop, and lead finance staff. + Strategic decision-making support and awareness in...with direct clients and payees. + Identify and manage ** payment data related to claims, rebill, and manage overrides.**… more
- IQVIA (Wayne, PA)
- …for **claims reconciliations and claims processing** . + Identify and manage ** payment data related to claims, rebill, and manage overrides.** + Audit readiness ... receipts. + **Liaison with pharmacies, PBMs, and health plans** to resolve payment discrepancies. + Educate providers on billing processes and assistance programs. +… more
- HCA Healthcare (San Antonio, TX)
- …integrity. We care like family! Jump-start your career as a Director of Finance today with Parallon. **Benefits** Parallon, offers a total rewards package that ... location._** Come join our team as a Director of Finance . We care for our community! Just last year,...cycle operations. The Director works closely with leadership to research and provide insight into operational and financial performance.… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Seamless ... Care Models Group (SCMG). As a Social Science Research Analyst, GS-0101-14, you will provide technical expertise and...guidance on Medicare Part B and D policy and payment issues; develop innovative and strategic prescription drug policy… more
- CareFirst (Baltimore, MD)
- …analyses to support CareFirst corporate position. + Provide feedback on payment policies related to Medicaid and/or Medicare processing. Participate ... preparing and maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to extend that… more
- CareFirst (Baltimore, MD)
- …analyses to support CareFirst corporate position. + Provide feedback on payment policies related to Medicaid and/or Medicare processing. Participate ... preparing and maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to extend that… more
- MyFlorida (Tallahassee, FL)
- …team based work environment. This position is located in the Bureau of Medicaid Program Finance (MPF). MPF manages and projects Florida's $34.5 billion ... and is an analysis position in the Bureau of Medicaid Program Finance . The incumbent will be...of the nursing home cost reimbursement plan including the payment mechanism, rates, grouping criteria, caps, cost projections, inflation… more
- HonorHealth (AZ)
- …special package plan agreements, financial assistance paperwork; assists with obtaining Medicaid applications, alternative financing and verifying coverage from ... care services, a cancer care network, outpatient surgery centers, clinical research , medical education, a foundation, an accountable care organization, community… more
- University of Rochester (Rochester, NY)
- …that include but are not limited to pre-certifications, Utilization Management, Medicaid Pending, third party payer issues, and denials/appeal processes. Involves ... with assigned area, Financial Assistance, Social Work, Utilization Management, Medicaid Enrollment & Outreach, patients, families, third-party payers, and… more
- NorthWest Senior & Disability Services (Salem, OR)
- …advanced professional and analytical accounting activities in support of the Agency's Finance and Budget Manager. Serves as a technical resource to fiscal services ... staff. Essential Functions + Support Finance and Budget Manager to meet goals and objectives....budget, specific department budgets, including periodic budget amendments; perform research and provide requested financial data. + Prepare monthly… more
- Trinity Health (Albany, NY)
- …therapy requirements according to FDA and NCCN guidelines. Assists patients in financing , payment plans, financial assistance and all financial options through ... or their representatives to provide financial assistance or secure payment . **Essential Functions** **Our Trinity Health Culture:** Knows, understands, incorporates… more
- Mount Sinai Health System (New York, NY)
- …and procedures provided to patients are accurately documented, coded, and submitted for payment . This position plays a key role in ensuring the financial health and ... insurance and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid , etc.), managed care contracts and coordination of benefits is… more
- Mount Sinai Health System (New York, NY)
- …largest US health systems with a strong reputation for quality of care and research . We have over 38,000 employees working together to provide billions of dollars in ... within Mount Sinai. The team includes 400+ employees with clinical, contracting, finance , IT, analytics, operations, and product development expertise. MSHP is a… more
- University of Rochester (Rochester, NY)
- …+ Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment & Outreach for possible Medicaid application and /or ... Counseling responsible areas and perform necessary follow-up to secure payment . + Notify and monitor patients COBRA entitlement and...skills to solve unique and complex problems. + Re-check Medicaid eligibility every 30 days for active coverage. +… more
