- 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
- 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
- Staffing Solutions Organization (Albany, NY)
- …update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium reimbursement . + Demonstrate systems processes ... reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) -...from a variety of sources such as Centers for Medicare and Medicaid Services (CMS), Insurance Carriers,… more
- Deloitte (Tempe, AZ)
- …health plan/insurance company experience + 5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development + ... now or at any time in the future Preferred: + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid waivers… more
- The Cigna Group (Bloomfield, CT)
- …Strong knowledge of the PBM industry and Government Regulated Programs such as Medicare , Medicaid , HCR + Strong communication skills, including presentations and ... and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- Humana (Des Plaines, IL)
- …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager, Medicare Sales must have a...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Molina Healthcare (Fort Worth, TX)
- …adequacy, and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct ... reimbursement models in concert with direct management and senior leadership/management. * Communicates new strategies to corporate provider network leadership… more
- Centene Corporation (Cheyenne, WY)
- …Support quarterly and annual forecast development + Support Inpatient reserving for Medicaid , Marketplace, and Medicare lines of business + Proactively identify ... as a key actuarial leader for the **Coordinated Care Medicaid health plan in Washington State** . The Manager,...this role is appealing:** The opportunity to interact with senior leaders within the organization. This exposure allows candidates… more
- Cardinal Health (Doral, FL)
- …of insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid , and managed care preferred. + Proficiency in billing ... cash flow for the organization. This position is a Medicaid insurance associate on the revenue cycle management team....and work insurance accounts to ensure timely resolution and reimbursement . + Contact insurance companies via phone, portals, or… more
- BrightSpring Health Services (Arlington, TX)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing… more
- J&J Family of Companies (Santa Clara, CA)
- …coverage and reimbursement for IVL therapy, with a focus on Medicare , Medicaid , and commercial payers. + Team Leadership: Line management responsibility ... **Job Description:** Johnson & Johnson is currently seeking a ** Senior Director, Market Access & Reimbursement ** to...collaborate on activities related to Medicare , State Medicaid , and US Military Health initiatives. + Reimbursement… 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
- RWJBarnabas Health (Oceanport, NJ)
- …Director will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment ... policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid appeal and cost report...Analyst(s) in completion of certain projects when assigned by senior management. + Assists in Reimbursement Department… more
- Organon & Co. (Plymouth Meeting, PA)
- …seeking a highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid . The role will also support the development… more
- Prime Healthcare (Ontario, CA)
- …preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and ... understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how...multi-hospital system. + Experience in preparing and completing entire Medicare and Medicaid cost reports for a… more
