- Novo Nordisk Inc. (WA)
- …Tax, Trade, Intellectual Property, Supply Chain, Private Health Insurance, Medicare, Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement , ... and globally. Relationships Reports to the Market Access and Public Affairs Senior Director, Policy. Other internal relationships include a dotted line with… more
- Vivian (Lorton, VA)
- …on bonus! You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for maintaining a high ... and compliance with local, state, and federal regulations and regulatory agencies.Overseeing and managing rescheduled, declined, missed, and reassigned visit… more
- Vivian (Lubbock, TX)
- …terminally ill patients and their families.Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid , JCAHO, ACHC, and human ... RNDuration: OngoingEmployment Type: Staff Overview: We're looking for a Patient Care Manager Senior to join our team. You will report directly to the Executive… more
- American Hospital Association (Washington, DC)
- …offices, located in Washington, DC and Chicago. We are currently seeking a Senior Associate Director, Quality Policy for our Washington, DC office. This position is ... limited to, relevant work experience, skills, certifications, and location. The Senior Associate Director, Quality Policy is responsible for supporting and leading… more
- Children's Health (Dallas, TX)
- …Children's Health System of Texas. Assist both the Manager of Accreditation and Sr . Director in overall continual regulatory readiness and compliance with all ... for The Joint Commission, Joint Commission Resources and other regulatory agencies such as Centers for Medicaid ...provide direction in achieving established strategic goals by the Sr . Director and Executive Leadership. * Provide and direct… more
- AmeriHealth Caritas Health Plan (Newtown Square, PA)
- …inform improvement opportunities. Present actionable insights and performance trends to senior leadership, regulatory , and provider networks. Collaborate with ... Discover more about us at www.amerihealthcaritas.com. Job Summary Reporting to the Senior Vice President, the Vice President, HEDIS / Stars Risk Adjustment… more
- Sun Pharmaceutical Industries (Princeton, NJ)
- …Veterans Affairs (VA), Department of Defense (DoD), Centers for Medicare & Medicaid Services (CMS), and other public health and procurement bodies. Experience ... management with agencies such as the VA, DoD, CMS, and state Medicaid programs. Build and maintain high-impact relationships with government buyers, contracting… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and reviews results as well as corrective actions. Prepares reports for regulatory bodies and senior management, including the Compliance Oversight Committee, ... and objectives. Establishes policies and procedures to ensure adherence to regulatory and payer requirements. Monitors changes in healthcare regulations and updates… more
- Aeroflow (Asheville, NC)
- …strategies that align with health plan goals and Aeroflow's objectives. Engage with Senior Manager to Director level leadership at health plans to address claims, ... of fee schedules, ensuring they are current, accurate, and aligned for reimbursement . Review and analyze policy updates, providing internal teams with concise… more
- SCAN (Long Beach, CA)
- …401(k) Retirement Saving Plan with employer match and contribution Robust employee recognition program Tuition reimbursement An opportunity to become part of ... throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who… more
- Korn Ferry Executive Search (Paramus, NJ)
- …$150,382,758 in uncompensated care attributed to charity care, bad debt and Medicaid & Medicare shortfalls. In addition, they sponsor more than 1,000 community ... closely with the CEO, the CFO will also partner with other members of senior leadership and the Board of Directors to develop and implement strategies across the… more
- TLC Nursing Center (Oneonta, AL)
- …resident needs, develop individualized care plans, and ensure compliance with regulatory requirements. Key Responsibilities of an MDS Coordinator (RN): Completing ... reflects changes in condition and treatment. Coordinating with billing and reimbursement staff to ensure accurate coding and documentation for Medicare, … more
- 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
- 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
- OhioHealth (Columbus, OH)
- …with revenue cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject matter expert in the ... be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. *...well as the high level strategic purpose. * The Senior Reimbursement Consultant is required to use… 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
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare/ Medicaid Reimbursement . + The Director will have advanced level of knowledge ... with regulatory research. + Maintains working knowledge of various Medicaid state regulations and Medicare federal regulations. + Responsible for the completion… more
- Queen's Health System (Wahiawa, HI)
- …Compensation, No-Fault, Capitation, TPL, etc.). * Strong knowledge of third-party reimbursement and Hawaii regulatory requirements related to reimbursement ... functions, including registration, cashiering and insurance verification. * Monitors the Medicaid /Quest pending and Large Dollar work queues to ensure coverage is… more
- Queen's Health System (Ewa Beach, HI)
- …Workers' Compensation, Capitation, TPL, etc.). * Strong knowledge of third party reimbursement and Hawaii regulatory requirements related to reimbursement . ... * Proficient understanding of medical terminology. * Strong time management, organizational, and interpersonal skills. * Strong written and verbal communication skills. * Proficiency with Microsoft Office applications (ie Word, Excel, PowerPoint) and automated… more
