• Director Medicare/ Medicaid Reimbursement

    Robert Half Finance & Accounting (Eatontown, NJ)
    …Required: * Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completing Medicare ... programs and will be asked to assist with regulatory research . + Maintains working knowledge of various Medicaid...is essential. * The ability to interpret Medicare and Medicaid payment regulations and develop and implement… more
    Robert Half Finance & Accounting (06/24/25)
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  • Director, Corporate Reimbursement (Hybrid/Remote)

    RWJBarnabas Health (Oceanport, NJ)
    …required. + Minimum of 10 years of experience interpreting Medicare and Medicaid payment regulations, ensuring optimization of revenue and completing Medicare ... research . The Director will also work closely with finance department personnel at system facilities and will oversee...is essential. + The ability to interpret Medicare and Medicaid payment regulations and develop and implement… more
    RWJBarnabas Health (06/20/25)
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  • Healthcare Payment & Financing

    City of New York (New York, NY)
    financing experience at local, state, and/or federal levels. Legislative, regulatory, and/or research financing and payment policy and analysis. The ... Bureau of Equitable Health Systems and the Bureau of Finance , Administration, and Services. The division's Deputy Commissioner also...Medicaid , Medicaid Policy an Programming, and payment and financing initiatives. DUTIES WILL INCLUDE… more
    City of New York (05/25/25)
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  • Medicare/ Medicaid Claims Reimbursement…

    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
    Commonwealth Care Alliance (05/31/25)
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  • Director, Health Plan Operations - PACE Elder…

    Cambridge Health Alliance (Cambridge, MA)
    …manage claim processing and approvals. * Translate Medicare and Medicaid payment data into actionable formats for finance operations. **Contracts and Vendor ... and Medicare risk adjustment documentation. * Oversee Medicare and Medicaid payment systems and performance-based payment...take on challenging public health issues, and conduct important research to help reduce barriers to care. We believe… more
    Cambridge Health Alliance (07/25/25)
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  • Section Manager

    City of New York (New York, NY)
    …and judgement, performs specialized administrative work supervising the functions of the Medicaid Reimbursement units who processes invoices for payment of ... for Medicaid transportation, Home Care Reimbursement, Premium Payment and Medicaid Reimbursement Services: MAP Third...payments. - Forward invoices to the HRA Office of Finance for payment in a timely manner… more
    City of New York (05/14/25)
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  • Finance & Accounting Assistant Director

    University of Colorado (Aurora, CO)
    …analysis, and revenue management. + Healthcare Industry Knowledge: Understanding of payment reform, Medicare, Medicaid , private insurance regulations, and ... ** Finance & Accounting Assistant Director** **Description** **University of...the board. + Coordinates and submits annual Medicare and Medicaid cost reports, quarterly audit and reporting requirements, and… more
    University of Colorado (07/15/25)
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  • Program Research Specialist 2 (Economics…

    New York State Civil Service (New York, NY)
    NY HELP Yes Agency Financial Services, Department of Title Program Research Specialist 2 (Economics Finance ), SG-23 Occupational Category Financial, Accounting, ... Department of Financial Services is seeking candidates for the position of Program Research Specialist 2 (Economic Finance ) in the Consumer Examinations Unit.… more
    New York State Civil Service (07/15/25)
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  • Senior Vice President, Finance

    Somatus (Mclean, VA)
    …engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical operational stakeholders. The ... for this role are Corporate Financial Planning and Analysis and operational finance requiring knowledge of MedEcon, Analytics, Clinical Performance and Provider … more
    Somatus (06/18/25)
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  • Payment Poster II

    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
    University of Rochester (07/07/25)
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  • Contract Agency Finance Specialist

    City of New York (New York, NY)
    …of the Bureau of Accounts Payable (BAP). As the Agency's primary payment office, BAP issues authorized payments to service providers for services delivered ... Administrative Associate II to function as the Contract Agency Finance Specialist, who will: - Review and process programmatic...actions to ensure that New York City's share of Medicaid funding is paid through the New York State… more
    City of New York (07/18/25)
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  • Director, Patient Financial Services

    University of Washington (Seattle, WA)
    …of various payment and coding systems, particularly the Outpatient Prospective Payment System (OPPS), Medicaid APGGrouper, HCPCS and CPT-4 coding schemas + ... Services, Enterprise RecordsHealthcare Information, and Revenue Integrity), Compliance, IT, Finance and Reimbursement staff + Develop and mentor direct reports… more
    University of Washington (07/22/25)
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  • Vice President, Columbia Pacific CCO

    CareOregon (Portland, OR)
    …Vice President Direct Reports CCO Leaders and Staff Manager Title Chief Medicaid Programs Officer Department Columbia Pacific CCO Requisition 25049 Pay & Benefits ... Executive reports to both the CCO Board of Directors and CareOregon's Chief Medicaid Programs Officer. The individual is responsible for managing the CCO board and… more
    CareOregon (07/10/25)
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  • Senior Policy Advisor, Bureau of Equitable Health…

    City of New York (New York, NY)
    …regulatory, and/or research policy and analysis - The regulation and financing of hospitals and other healthcare facilities and businesses at the federal, state, ... promote high-value care - Civil rights and non-discrimination in healthcare - Medicaid policy and strategy - Outstanding research , analytical, and writing… more
    City of New York (05/14/25)
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  • Patient Billing Specialist (Accounting Technician…

    University of Colorado (Aurora, CO)
    …+ Responsible for making sure that the proper paperwork is retained in the payment office and sent to the Bursar's Office. + Responsible for verifying Medicaid ... require action; Responsible for maintaining the files for all Medicaid paperwork and any Medicaid correspondence in...volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties,… more
    University of Colorado (07/16/25)
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  • Financial Analyst

    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
    NorthWest Senior & Disability Services (05/22/25)
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  • Recovery Analyst

    City of New York (New York, NY)
    …real property liens on primary residences of recipients to obtain reimbursement of Medicaid or Cash Assistance. The unit also processes all inquiries coming into the ... unit and calculates and asserts Medicaid liens on behalf of the agency. L&R is...lodging objections, corresponding with attorneys or trustees to expedite payment to the Department. Liaise with Office of Legal… more
    City of New York (05/14/25)
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  • Payer Manager

    AdventHealth (Maitland, FL)
    research , review and interpretation of Insurance Provider Manuals, payment methodologies, and reimbursement rates. Maintains a strong working knowledge of ... respectful and courteous Knowledge of governmental payer functions, regulations and payment methodologies and structure of Medicare, state Medicaid , Tricare… more
    AdventHealth (07/10/25)
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  • Health Insur & Auth Rep III

    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
    University of Rochester (05/29/25)
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  • Reimbursement Manager

    HonorHealth (AZ)
    …care services, a cancer care network, outpatient surgery centers, clinical research , medical education, a foundation, an accountable care organization, community ... for overseeing and maximizing reimbursement from government payors, including state Medicaid (AHCCCS) Reimbursement Initiatives and CMS final rules. Compiles public… more
    HonorHealth (05/02/25)
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