• Actuarial Services Manager - Medicaid…

    CareOregon (Portland, OR)
    …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuarial Services Manager - Medicaid and Medicare Exemption Status Exempt Department ... Finance Manager Title Director, Actuarial Services Direct Reports Actuarial Staff Requisition # 24102 Pay...execute plans and goals for actuarial analysis of the financial performance of Medicaid and Medicare lines… more
    CareOregon (02/16/24)
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  • Patient Accounts Specialist…

    Universal Health Services (Las Vegas, NV)
    …The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre-access management, variance and ... customer service to our affiliated UHS facilities. We are seeking...Job Description: Responsible for the maintenance and processing of patient accounts and hospital insurance collections. Ensuring timely and… more
    Universal Health Services (04/18/24)
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  • Manager, Medicare Enrollment

    Universal Health Services (Reno, NV)
    …organization (HMO) and was acquired by a subsidiary of Universal Health Services , Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health ... systems across Medicare , Medicare Advantage, Accountable Care Organizations, and...improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The… more
    Universal Health Services (04/30/24)
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  • Audit & Reimbursement III - Medicare Cost…

    Elevance Health (Columbus, OH)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
    Elevance Health (04/11/24)
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  • Senior Transplant Medicare Cost Report…

    Fairview Health Services (Minneapolis, MN)
    **Overview** We at Fairview Health Services are seeking a driven Senior Financial Analyst to work in the Solid Organ Transplant specialty and be based on the ... regulatory and financial implications of the Transplant components of the Medicare Cost Report (MCR). **Responsibilities Job Description** The Sr Financial more
    Fairview Health Services (04/10/24)
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  • Audit & Reimbursement Senior - Medicare

    Elevance Health (Columbus, OH)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
    Elevance Health (04/30/24)
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  • Senior Actuarial Analytics, Medicare Bid…

    Providence (NM)
    …well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performance + Analyzing ... Join our team and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual...our Benefits and Rewards. **About the Team** Providence Shared Services is a service line within Providence… more
    Providence (04/05/24)
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  • Mgr - Billing ( Medicare )

    Universal Health Services (Las Vegas, NV)
    …year facility credentialing and regulatory experience. Other: Demonstrated knowledge of Medicare insurance billing relating to patient reimbursement. General ... Skills: Computer proficiency to include word processing, spreadsheet, database, and patient accounting system. Excellent customer service skills required as… more
    Universal Health Services (03/29/24)
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  • Audit & Reimbursement II - Medicare Cost…

    Elevance Health (Columbus, OH)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of...a valuable opportunity to gain experience in auditing and financial analysis within a growing healthcare industry. This position… more
    Elevance Health (04/26/24)
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  • Medicare Researcher (Remote Eligible)

    Mathematica (Washington, DC)
    …Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will be required ... in multidisciplinary teams, drawing on your past experience with Medicare , epidemiological and health services research methodology, pharmacoeconomics… more
    Mathematica (04/18/24)
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  • Manager Medicare Producer, Sales *Hybrid

    Providence (Portland, OR)
    …for more information about our Benefits and Rewards. **About the Team** Providence Shared Services is a service line within Providence that provides a variety of ... Join our team and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual...empower them._** **Providence Health Plan is calling a Manager Medicare Producer who will:** + Be responsible for the… more
    Providence (04/06/24)
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  • Clinical Review Nurse I - Medicare Part B…

    Elevance Health (Houston, TX)
    …+ Maine, South Portland + Wisconsin, Waukesha **Description** **Clinical Review Nurse I - Medicare Part B** National Government Services is a proud member of ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal...+match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health… more
    Elevance Health (05/01/24)
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  • Manager, Medicare Benefits Enrollment

    Healthfirst (New York, NY)
    …support to other departments by coordinating processes and guaranteeing quality of patient information resulting in maximum customer service . + 1 year ... The Manager, Medicare Benefits Enrollment oversees the activities of staff...eligible candidates for enrollment and obtaining and retaining of financial entitlements for which they are eligible. Ours is… more
    Healthfirst (04/03/24)
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  • Medicare Billing/RTP Analyst

    Hartford HealthCare (Newington, CT)
    …programs and other common practices across the system. *_Department Description:_* The Patient Financial Services Remittance Processing Department posts and ... reconciles insurance carrier and patient payments for patients cared for at the Hartford...The Account Analyst is responsible for review and correct Medicare RTP edits in FISS system, accurate and timely… more
    Hartford HealthCare (04/11/24)
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  • Medicare Territory Development Rep

    Elevance Health (Ocala, FL)
    …you a check, or ask you for payment as part of consideration for employment. ** Medicare Territory Development Rep** + Job Family: SLS > Sales - Field + Type: Full ... must reside in Ocala, FL or surrounding area. The ** Medicare Territory Development Rep** is responsible for managing the...diploma and a minimum of 3 years of consumer services sales experience; or any combination of education and… more
    Elevance Health (04/28/24)
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  • Medicare Field Sales Agent

    Elevance Health (New York, NY)
    …send you a check, or ask you for payment as part of consideration for employment. ** Medicare Field Sales Agent** + Job Family: SLS > Sales - Field + Type: Full time ... member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group...enough to fit any size business. **Field Sales & Service Rep** **Location** : The territory for this position… more
    Elevance Health (04/28/24)
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  • Medicare Field Sales Agent

    Elevance Health (Jefferson City, MO)
    …send you a check, or ask you for payment as part of consideration for employment. ** Medicare Field Sales Agent** + Job Family: SLS > Sales - Field + Type: Full time ... member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group...enough to fit any size business. **Field Sales & Service Rep** **Location** : The territory for this position… more
    Elevance Health (04/10/24)
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  • Medical Director ( Medicare )

    Molina Healthcare (Long Beach, CA)
    …policies and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, state, and local laws ... oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction… more
    Molina Healthcare (04/04/24)
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  • Operation Associate I - Medicare Advantage

    R1 RCM (Jenkintown, PA)
    …R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and ... RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and… more
    R1 RCM (04/12/24)
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  • RVP Medicare Market President (OH)

    Elevance Health (Columbus, OH)
    …a check, or ask you for payment as part of consideration for employment. **RVP Medicare Market President (OH)** + Job Family: BUS > Strategy, Planning & Execution + ... + OH, MASON + Ohio **Description** **RVP & President Medicare Market (Ohio)** **Location:** This role requires the leader...+ Collaborate with growth partners in the execution of service deliverables, manage the resolution of escalated issues, and… more
    Elevance Health (04/27/24)
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