- Eisai, Inc (Dallas, TX)
- …a difference. If this is your profile, we want to hear from you. The Associate Director , Access and Reimbursement (AD ARM) will lead the Eisai Access and ... related to field reimbursement services.Working closely with and reporting to the Director , Access and Reimbursement , the AD ARM will be responsible for the… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …forecast gross to net components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform related ... methodologies, tools, and core deliverables. Relationships Reports to the Director , Sales Reporting & Forecasting. Position regularly interacts with members… more
- Eisai, Inc (Indianapolis, IN)
- …under Patient Services/Market Access. Working closely with and reporting to the Associate Director , Access and Reimbursement , the ARM, will be the functional ... this is your profile, we want to hear from you. The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai… more
- VNS Health (Brooklyn, NY)
- …and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. What We Provide Personal and financial ... Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a… more
- AdventHealth (Altamonte Springs, FL)
- …decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a work environment ... Altamonte Springs, FL **The role you will contribute:** The Reimbursement Director directs the Reimbursement ...team:** + Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** Join our team as Director , Actuarial Services - Medicare Pricing and lead our Medicare pricing function for all Blue Cross NC Medicare ... + Provide financial leadership on CMS updates and regulatory changes impacting Medicare pricing and reimbursement . + Drive continuous improvement in pricing… more
- CVS Health (Sacramento, CA)
- …benefits in the Commercial and Medicare environment with a focus Medicare policy., This Medical Director provides subject matter expertise in clinical ... Reimbursement and Health Care Systems. * Experience with Medicare policies and guidelines (National Coverage Determination (NCD), Local Coverage Determination… more
- Elevance Health (AR)
- Provider Network Management Director ( Medicare Network Build) JR167138 **Preferred Location** : Commuting distance to the Little Rock, Arkansas office. **Hybrid ... locations as necessary. **Preferred Skills, Capabilities and Experiences:** + Medicare network contracting/ reimbursement methodology strongly preferred. +… more
- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This ... and setting daily priorities. * This positon supports the Director of Revenue and Reimbursement and Manager...as special projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement … more
- Commonwealth Care Alliance (Boston, MA)
- …of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- Centene Corporation (Jefferson City, MO)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including committee structure,… more
- UTMB Health (Galveston, TX)
- …staff in preparation of these reports. + Supports Director , Finance-Government Reimbursement in preparing annual Medicare , Medicaid and TDCJ net revenue ... compliance with Medicare and Medicaid regulations. + Supports Director , Finance-Government Reimbursement in preparing and monitoring departmental budget.… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare /Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance,… more
- Humana (Miami Lakes, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll… more
- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, ... the Department of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits… more
- Centene Corporation (Jefferson City, MO)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** With the Medicare Finance Mid-West Regional team, you will support the Medicare ... Regional Finance Lead, who works closely with the Medicare Regional President and Market leadership. + Participate in the monthly close process, preparing financial… more
- Community Health Systems (La Follette, TN)
- …and assists in resolving claim discrepancies to reduce denials and ensure proper reimbursement . **Essential Functions** + Prepares and submits Medicare claims in ... **Job Summary** The Medicare Billing Specialist is responsible for performing timely...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- AmeriHealth Caritas (Detroit, MI)
- …us at www.amerihealthcaritas.com. **Role Overview: ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care ... needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the scope… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... supervision of a licensed provider. The RN/CNS will report to the UUMAS Director of Quality and Practice Operations and collaborate closely with Primary Care clinic… more
- R1 RCM (Boise, ID)
- …revenue. To thrive in this role, you will utilize your expertise in Medicare reimbursement , specifically Medicare Bad Debt, Disproportionate Share (DSH), ... clients **Requirements:** + 10+ years of experience selling services surrounding Medicare reimbursement , combined with a strong/effective presence with hospital… more
