- Novo Nordisk Inc. (WA)
- …Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement , Privacy, ... and globally. Relationships Reports to the Market Access and Public Affairs Senior Director, Policy. Other internal relationships include a dotted line with… more
- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription ... are as follows: DCS I - $84,000 to $103,000 DCS II - $97,000 to $119,000 Senior DCS - $118,000 to $144,000 In addition, this position is eligible for a company bonus… more
- The Judge Group Inc. (Bridgeport, PA)
- …applicable federal and state reimbursement rules and regulations and optimizes Medicare and Medicaid reimbursement through development of strategic ... Our client is currently seeking a Senior Program Manager - Reimbursement for...and audit activity (including wage index reviews or other Medicare / Medicaid reimbursement activity) for multiple… more
- UnitedHealth Group (Hopkins, MN)
- …at least 5 different payers (ie BCBS, Molina, Wellcare, Buckeye, TriCare, Medicare , Medicaid , etc.) Advanced level of proficiency in researching, understanding ... with behavioral health payer enrollment with government payers in multiple states ( Medicare and Medicaid ) Experience using MD-Staff, PECOS and Availity… more
- Sherman Oaks Hospital (Sherman Oaks, CA)
- …language 6. Working experience with all payer types including: commercial, governmental, Medicare , Medicaid , HMO, etc. and the ability to cross-over into ... time off 401K retirement plan Outstanding Medical Dental Vision coverage Tuition reimbursement Many more voluntary benefit options! Benefits may vary based on… more
- Institute for Healthcare Improvement (Boston, MA)
- …or private entity One or more of the following federal agencies: Centers for Medicare & Medicaid Services, Department of Veterans Affairs, Agency for Healthcare ... Institute for Healthcare Improvement Senior Project Research Associate Scheduled Hours Full Time...and disability plans, FSA plans, matching 401k contributions, tuition reimbursement , a personal development allowance to support what matters… more
- Corcept Therapeutics (Redwood City, CA)
- …and appeals, is required Familiarity of private payer, Medicare , and Medicaid structure, systems, and reimbursement processes is required Experience and ... payer coverage process. This role is responsible for facilitating the medication reimbursement process by supporting all involved in the coverage process, including… more
- Ivy Rehab Network (White Plains, NY)
- …adult and pediatric care spectrum. Lead contract negotiations with commercial payers, Medicare Advantage plans, Medicaid managed care organizations, and other ... to lead Ivy Rehab's payer relationship management and contract negotiations. This senior leadership position will oversee all aspects of payer contracting, … more
- Saviance (Boston, MA)
- …setting. Deep understanding of healthcare finance, including knowledge of Medicare / Medicaid , healthcare reimbursement , and regulatory requirements. ... Risk Management: Ensure compliance with all healthcare financial regulations, including Medicare , Medicaid , and private insurance requirements. Develop and… more
- FROEDTERT HEALTH (Menomonee Falls, WI)
- …technician is required. Experience with third party insurances including, but not limited to, Medicare and Medicaid is required. A minimum of 7 years of ... & Audit Specialist is responsible for ensuring accurate billing, reimbursement , and compliance for pharmacy claims. The position will...senior level pharmacy experience is preferred. EDUCATION DESCRIPTION: High… more
- Wealthy Group of Companies LLC (Champaign, IL)
- … Medicaid Documentation : Participate in evaluating documentation required for Medicaid reimbursement . Regulatory Compliance : Stay updated on RAI manual ... the Social Service Director to inform responsible parties or residents of Medicare coverage status, including continuation or termination. Reimbursement Support… more
- AdviniaCare (Providence, RI)
- …employer. AdviniaCare, a Pointe Group Care Community, is an established senior living provider operating assisted living, memory care, and skilled nursing ... Coordinator (LPN or RN) is to plan, organize, develop, and coordinate Medicaid programs. Work closely with clinical and administrative staff regarding Medicare… more
- Rochester Regional Health (Newark, NY)
- …and reporting tools highly desired. May need previously experience in CMS, Medicaid / Medicare billing, and other regulatory processes. EDUCATION: LICENSES / ... of third party payors are maintained. Creates departmental reports for senior management. RESPONSIBILITIES Oversees the review process of third party payors… more
- Bluestone Physician Services (Minneapolis, MN)
- …managing Department of Human Services (DHS) and Center for Medicare / Medicaid Services (CMS) required activities for Minnesota Senior Health Options ... medical assistance through Minnesota's Special Needs BasicCare (SNBC) & Minnesota Senior Health Options (MSHO) programs. Care Coordinators are registered nurses or… more
- Care Plus Homehealth Care (Anderson, IN)
- …Program, which is billed at a private pay hourly rate. We are a Medicare participating provider as well as a Medicaid participating provider, accepting Home ... to adjust your schedule to achieve an optimal work-life balance. Mileage Reimbursement : Receive compensation for travel between patients' homes. Our mileage … more
- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * ... cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject...assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare / Medicaid Reimbursement . + The Director will have advanced level of ... and receivables reporting complies with GAAP. + Assists in Reimbursement Department projects not listed above. + Planning, preparing...when assigned by senior management. + Prepares Medicare and Medicaid cost reports and supporting… more
- Prime Healthcare (Ontario, CA)
- …is actively seeking new members to join our corporate team! Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Prime Healthcare (Redding, CA)
- …and their family. For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Humana (Santa Fe, NM)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG,… more
