- UTMB Health (Galveston, TX)
- …on various committees and task force groups. + Maintains current knowledge of Medicare reimbursement and cost reporting regulations, keeping abreast of recent ... Director of Finance Government Reimbursement ( Medicare , Medicaid) - Government ...reimbursement experience, with at least six years of reimbursement experience at manager level or above.… more
- Centene Corporation (Queens, NY)
- …outcomes, advancing quality and ensuring equity in healthcare delivery today. The Manager , Value-Based Payments Initiatives (VBP) will lead and support the expansion ... and optimization of Medicare -focused VBP arrangements across New York. This role is...Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will serve as a subject matter expert in… more
- Methodist Health System (Dallas, TX)
- …Week :** 5 days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT ( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the ... using HFS software preferred * Working knowledge of Hospital Medicare reimbursement areas of Wage Index, Medical...to special projects as required for the Director of Reimbursement and Manager of Regulatory Compliance *… more
- Humana (Oklahoma City, OK)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... and discipline a team of sales individuals. The Senior Manager , Medicare Sales must have a solid...retirement savings plan with a competitive match + Tuition reimbursement and/or scholarships for qualifying dependent children + And… more
- Centene Corporation (New York, NY)
- …**Position Purpose:** Develops and executes action plans to improve Medicare member retention and experience. Researches, prioritizes, and determines the ... matters. Directs, monitors, and contributes to special projects aimed at reducing Medicare member disenrollment in local markets, regions, and nationally. + Supports… more
- Centene Corporation (Austin, TX)
- …fresh perspective on workplace flexibility. **Position Purpose:** Manage development of Medicare marketing and member materials in compliance with CMS regulations ... Coverage and Summary of Benefits. + Leads the Duals Medicare Communications Compliance team in the management of regulatory...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Elevance Health (Columbus, GA)
- Value Based Provider Account Manager Sr. (JR150941) **Location:** This role requires associates to be in-office (Atlanta or Columbus/Midland) 1 day per week ... willing to visit providers quarterly. The Value Based **Provider Account Manager Sr.** is responsible for developing and maintaining positive provider relationships… more
- Centene Corporation (Austin, TX)
- …fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing, ... Develop, plan, lead, monitor, and own multiple, concurrent resultant Medicare Supplemental Benefits utilizing cross functional teams to deliver defined… more
- Centene Corporation (Jefferson City, MO)
- …flexibility. **Position Purpose:** Work independently, or through finance/contracting/vendor manager partners to ideate new supplemental benefit designs, packages ... implementation of benefits to ensure the success of the Medicare line of products. + Responsible for setting performance...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Centene Corporation (Austin, TX)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Program Manager IV is responsible for all aspects of the planning and delivery ... to ensure the successful completion of complex integration initiatives. The Program Manager IV is also responsible for creating and presenting executive level… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction +… more
- Centene Corporation (Providence, RI)
- …support contract negotiations, governance discussions, and strategic planning led by the Medicare VBP Manager . + Advance efforts in health-related social needs ... Payment Initiatives (VBP) will support the expansion and performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... supervision of the Patient Financial Supervisor/ Manager , performs a variety of patient accounting functions, including but not limited to financial verification,… more
- Hartford HealthCare (Farmington, CT)
- …of Medicare and Medicaid regulatory/settlement matters for the system, including Medicare DSH, Medicare IME/GME reimbursement and Transplant Services, if ... or a closely related field *Experience* . Minimum: 5 years of healthcare reimbursement experience, including Medicare Cost Reporting . Preferred: Supervision of… more
- Masonicare (Wallingford, CT)
- RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut RN Manager Clinical Reimbursement Masonicare Health Center - Wallingford, ... CT Day Shift / 40hrs/wk The Manager Clinical Reimbursement is responsible for coordinating,...Requires at least two (2) years experience with federal Medicare /Medicaid and Managed Care reimbursement systems with… more
- Endo International (New Haven, CT)
- …helping everyone we serve live their best life. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo ... access of the above products. **Job Description** The Field Reimbursement Manager (FRM) position is a critical...regional MAC for all ENDO products. + Knowledgeable on Medicare billing/coding and appeal process. ASP, WAC as well… more
- Avera (Sioux Falls, SD)
- … Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare , Medicaid, Tricare and any other governmental ... home healths, hopices, and nursing homes. Oversight includes the Medicare , Medicaid and Tricare cost reports for all entities...expertise, guidance, and advice to the rural network on reimbursement issues and cost report impacts as requested. +… more
- Adecco US, Inc. (Columbus, OH)
- Adecco is assisting one of their top clients with their search for a Field Reimbursement Manager in the Columbus, OH area. This role is paying $32-$44/hr. and is ... remote. The Field Reimbursement Manager is responsible for managing an...training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …attestations, and preparing to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid audits and assists ... with complex academic healthcare and transplants preferred. + Strong knowledge of Medicare and Medicaid reimbursement regulations. + Excellent analytical and… more
- UCLA Health (Los Angeles, CA)
- …, financial analysis, or a related field. + Advanced knowledge of Medicare , Medi-Cal, and third-party payer reimbursement systems and regulations. + ... lead the preparation and review of financial and statistical information for Medicare and Medi-Cal cost reports. You will collaborate across departments to ensure… more
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