- Novo Nordisk Inc. (Bronx, NY)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription ... $86,000 to $106,000 Cardiometabolic Care Specialist II - $113,000 to $138,000 Senior Cardiometabolic Care Specialist - $128,000 to $156,000In addition, this position… 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 ... in forecasting of key rebate categories included but not limited to Commercial, Medicare Part D, Coverage Gap, and Medicaid Demonstrated analytical skills via… more
- Liberty Health (Wilmington, NC)
- …notification. * Perform ICD code analysis, as requested and report findings to LHM Senior Director of Coding Reimbursement . * Serve as an ICD coding resource, ... in the LTC and/or home health and hospice setting preferred * Knowledge of Medicare / Medicaid regulations preferred * Must be dependable, flexible, and able to… more
- Unknown (Raleigh, NC)
- …leadership, communication, and problem-solving skills, and a deep understanding of Medicaid , Medicare , MCO, and behavioral health funding structures. Proficiency ... cycle management, with at least five years in a senior or executive-level role. A proven track record in...as experience in payer contracting, managed care negotiations, and reimbursement modeling, is essential. The role requires a strategic… 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
- Prime Healthcare (Inglewood, CA)
- …seeking new members to join our corporate team! #LI-JV1 Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/235797/ senior - medicare - medicaid… more
- Geisinger (Danville, PA)
- Job Summary We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal ... candidate will have a strong understanding of Medicare settlement processes, compliance requirements, and hospital ...dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of… 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 (Annapolis, MD)
- …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
- AdventHealth (Altamonte Springs, FL)
- …of relevant experience in healthcare finance, preferably in reimbursement including Medicare , Medicaid reimbursement and regulatory cost reporting Strong ... Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on… more
- Deloitte (Denver, CO)
- …consulting services to public sector clients + Support engagements focused on Medicaid reimbursement , including actuarial rate development across managed care ... and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk...Experience with risk adjustment mechanisms + Experience with Provider reimbursement streams (ie, DSH, UPL, etc.) + Experience with… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Humana (Miami Lakes, FL)
- …Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid , achieve their best possible ... Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Accura Healthcare (Omaha, NE)
- …laws and regulations pertaining to the position. QUALIFICATIONS: + Knowledge of Medicaid , Medicare , and insurance reimbursement systems, including billing ... considered. Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join our growing...growing accounting and finance team! We are a multi-state senior living organization and this position will reside out… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The HIRM ... 5 out of 5 stars from the Centers for Medicare and Medicaid Services, for 6 consecutive...+ Medical, dental and vision packages, including an annual reimbursement for qualified wellness expenses, personal health coaching and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** The Senior Financial Reimbursement Analyst will work independently with managerial ... oversight to gather documents and coordinate the filing of Medicare / Medicaid /Tricare cost reports. They will also assist in the filing of the Georgia Department… more
- BayCare Health System (Clearwater, FL)
- …all levels of management. + This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically ... trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their… more
- Danaher Corporation (Portland, OR)
- …and reimbursement landscape. + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through ... Danaher Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position… more
- University of Rochester (Brighton, NY)
- …Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and New York State Medicaid ). Stays abreast of ... and expectations established for the Office of Counsel, the Senior Counsel identifies, analyzes and provides legal guidance and...the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS,… more
- Omaha Children's Hospital (Omaha, NE)
- …staff members. **Essential Functions** Cost Reporting + Coordinates preparation of all Medicare and Medicaid cost reports. + Analyzes, interprets, and utilizes ... DSH reporting, and other agency reporting over net patient revenue and reimbursement . Oversees general ledger accounts and ensures accuracy of financial statements… more
