- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Capture Lead , Medicaid Health Plan Configuration and Member Strategy will ... health of the communities it serves. The ** Medicaid ** ** Capture Management** team's purpose is to...maximize ability of limited resources to achieve growth The ** Capture Lead , Medicaid Plan Configuration… more
- Elevance Health (ID)
- …a dynamic company in a vibrant Medicaid market. The President of our Idaho Medicaid Health Plan will have primary responsibility for the whole health , ... fiscal, operational, legislative, regulatory, and human resources objectives/agenda for assigned Medicaid health plan, part of the Medicaid Business Unit of… more
- Molina Healthcare (Scottsdale, AZ)
- …care experience comprised of technical operational, sales, growth, proposals and/or capture management **PREFERRED EXPERIENCE:** 10+ years of Medicaid managed ... The AVP Proposal Strategy is dedicated to maximizing Molina's likelihood of winning Medicaid RFPs. The AVP must have the executive presence and communication skills… more
- Deloitte (Tempe, AZ)
- …for public sector clients + Engage in continuous learning and adaptation to emerging health care trends and technologies + Lead and manage end-to-end business ... development activities, including proposal development and capture Qualifications Required: + 10+ years of health actuary experience and consulting and/or … more
- Mount Sinai Health System (New York, NY)
- …proficiency in the procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: ... the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and interacts with clinical… more
- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Vice President of Mid-Revenue Cycle is ... responsible for providing strategic leadership and direction for the health system's mid-revenue cycle operations across the enterprise. This role involves… more
- Seattle Children's (Seattle, WA)
- …per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for Clinical Lab Scientist Lead performing moderate or ... decision making while performing clinical testing, interpretation, and reporting. Provides lead support for the Laboratory team. Coordinate and leads the daily… more
- Trinity Health (Boise, ID)
- …ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid , Health Maintenance Organization and commercial insurance plans. 10. Ability ... codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitor's accuracy of centralized coder's charge capture … more
- UnityPoint Health (West Des Moines, IA)
- …Monitor all CAC's quality of work to ensure it meets Federal, State and UnityPoint Health System requirements. + Lead efforts with the regions to develop a ... or Cedar Rapids, IA. Leads and maintains efforts to ensure the UnityPoint Health System is operationally prepared to assist individuals on the Marketplace Insurance… more
- Dignity Health (Bakersfield, CA)
- …types and geographies and will lead the effort in developing Dignity Health 's Medicaid population health care management pathways. Dignity Health ... MSO's performance relative to value-based contracts. The Director will lead a team to provide and strategize results for...Health MSO Information Technology (IT) team regarding data capture optimization, data file transfers, portals and more to… more
- St. Luke's University Health Network (Allentown, PA)
- …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The Director, Research Finance and Compliance provides...to align financial strategies with institutional research goals + Lead and manage a team of research finance and… more
- Queen's Health System (Honolulu, HI)
- …employment commitment. I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for auditing the charge capture process to ensure that all valid charges are captured in the ... in the future. * Monitors functions and activities to safeguard The Queen's Health Systems (QHS) against exposure to penalties and fines by ensuring healthcare… more
- Trinity Health (Syracuse, NY)
- …adhering to coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Excellus contract specific RA Coding Specialist job primary ... specific job functions: . Participation in Quality Auditing of St. Josephs Health providers and department RA coders (2 currently requisitioned) with educational… more
- Mathematica (Woodlawn, MD)
- …team focused on, but not limited to, the Centers for Medicare and Medicaid Services (CMS). The Sr. Director is responsible for responsible for developing and ... business development opportunities, including the development of strategic partnerships that lead to new business. Additionally, the Sr. Director will seek… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** Responsible for the data capture , analysis & reporting of data information to assist the Trinity Health ... and periodic risk assessments in support of the Trinity Health Integrity & Compliance Program (ICP). Risk assessments consider...Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well… more
- National Health Care Associates (Storrs, CT)
- **-** **A Great Place to Work** **National Health Care Associates is proud to welcome the Mansfield Center for Nursing & Rehabilitation to our affiliate family!** We ... (MDS) assessments necessary for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the… more
- National Health Care Associates (East Hartford, CT)
- **-** **A Great Place to Work** Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to ... (MDS) assessments necessary for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the… more
- Pearl Interactive Network (Indianapolis, IN)
- …and revenue growth. The role combines strategic market planning with hands-on capture and proposal leadership to expand Pearl's footprint in federal, state, and ... Pearl's focus areas include contact center services, behavioral and mental health , and helpdesk/digital transformation. **Pearl offers a Competitive Compensation and… more
- Mohawk Valley Health System (Utica, NY)
- …associated with palliative care, end-of-life-care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care, ... medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act...documentation for coding and abstracting of clinical data for: capture of severity, acuity and risk of mortality and… more
- University of Virginia (Charlottesville, VA)
- …overall structure, process, oversight, and accountability of professional coding and health data collection activities to ensure accurate provider documentation and ... it relates to appropriate, compliant, and optimal reporting and reimbursement for health care services. Oversees the daily operations of either hospital or… more