- Zelis (Plano, TX)
- …gained, and the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory Analyst will collaborate with ... timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver...a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost… more
- Methodist Health System (Dallas, TX)
- …days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT (MEDICARE) ANALYST will assist the Manager of Regulatory Compliance, the Manager of ... 5. Assist CBO and other department managers to resolve Medicare/ Medicaid reimbursement , billing, and compliance issues as...the assignment + Job Title Default Job Title Default SR REIMBURSEMENT ANALYST + Restrict to Country… more
- CommonSpirit Health (Phoenix, AZ)
- …knowledge of Medicare Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and ensures value is delivered ... **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit… more
- CommonSpirit Health (Phoenix, AZ)
- …of Medicare, Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and ensures value is delivered ... **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible...appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The… more
- Abbott (Livermore, CA)
- …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... their health and get on with their lives. This position provides regulatory compliance leadership for the business, ensuring the policies, procedures, and practices… more
- University of Rochester (Rochester, NY)
- …New York State Medicaid ). Manage disputes, risks and projects related to regulatory compliance and legal transactions. + Using expert knowledge of regulatory ... Center's Office of Integrity and Compliance, providing analysis and legal advice to senior leadership on billing compliance and other regulatory matters. Advises… more
- UTMB Health (Galveston, TX)
- …degree in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of reimbursement ... senior management, staff, and other departments related to changing regulatory reimbursement requirements and related to appropriate compliance with Medicare… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Healthcare Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Ochsner Health (Jefferson, LA)
- …coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate ... reimbursement ; works in collaboration with the Clinical Documentation Improvement...current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area… more
- Ochsner Health (Jefferson, LA)
- …coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate ... reimbursement . In the inpatient setting, works in collaboration with...current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area… more
- BayCare Health System (Clearwater, FL)
- …trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their ... be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst- Cost Reporting **Location** Clearwater |… more
- Trinity Health (Livonia, MI)
- …such regulatory changes. Monitors policies and procedures to ensure reimbursement practices adhere to federal, state and other third-party reimbursement ... of the potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding… more
- Somatus (Mclean, VA)
- …business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The Sr . Manager, Quality will work closely with Sr . Manager, Audit Risk and ... Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …as unique business segments such as specialty and retail pharmacy and state Medicaid organizationsThe Sr . Director is a cross-functional leadership role that is ... Description: The Senior Director of Market Access Strategy is responsible...with key government, trade and federal markets customers. The Sr , Director of Market Access Strategy is a key… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Senior Director, Claims & Provider Reimbursement , is responsible for oversight of ... quality, timely claims processing to allow the health plan to achieve regulatory compliance, robust financial management and product strategy outcomes + Oversee… more
- 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 in for...Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding Ethics. 1.4… more
- University of Michigan (Ann Arbor, MI)
- …also utilized to educate faculty and staff, ensure facility compliance with regulatory standards, maximize reimbursement and contribute to quality initiatives ... employer. **Job Detail** **Job Opening ID** 263931 **Working Title** PPS Coordinator Senior **Job Title** Clinical Info Analyst Sr **Work Location** Michigan… more
- Outreach Development Corporation (Richmond Hill, NY)
- F/T Sr Director CCBHC; Richmond Hill, NY, US Exempt Salary range: $105,000 - $135,000 Requisition ID: 2702 Senior Director of the Certified Community Behavioral ... responsible for providing administrative and clinical leadership to Outreach's CCBHC. The Senior Director is responsible for the overall daily operations of the… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** **Fairview is looking for a Senior Corporate Compliance Auditor to join our Revenue Cycle team.** **Bring Your Possibilities to Fairview** At ... the scenes, or supporting those who do, your work matters. The Senior Corporate Compliance Auditor is an independent, self-directed professional who possesses a… more
- Modivcare (Denver, CO)
- …opportunity may be the right fit for you! Modivcare is looking for an experienced Senior Director - Benefit Operations to join our team. This role is responsible for ... (NEMT) benefits, ensuring these processes align with client contracts, regulatory requirements, and organizational goals. This role is directly accountable… more