- 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 lead ... the US healthcare system across one or more major payer segments ( Medicare , Medicaid, Federal, and Commercial).Experience working with medical and pharmacy benefits,… 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 ... in forecasting of key rebate categories included but not limited to Commercial, Medicare Part D, Coverage Gap, and Medicaid Demonstrated analytical skills via MS… more
- CSL Behring (King Of Prussia, PA)
- …data collection and submit all reports needed for compliance. 4. Work with Senior Director, Policy Advocacy & Government Affairs, & Legal to interpret and implement ... **Experience** + Strong knowledge of the regulatory requirements for MDRP, Medicare /IRA, Veteran's Healthcare Act, and other Federal regulations mandating price… more
- Cordis (New York, NY)
- …Cordis leadership, cross-functional teams, & field-based counterparts (Regional Directors, Associate Territory Managers, CET Team, Marketing Product Managers, Key ... Account Directors, Sr . Leaders, etc.) + Provide customer feedback, competitive intel,...are inclusive, equitable and welcoming. **_Cordis customers that receive Medicare /Medicaid funding may be subject to federal COVID-19 workforce… more
- Wipfli LLP (Milwaukee, WI)
- …offers a career-defining opportunity. Job Summary Under the direction of the Partner/ Senior Manager leading the respective service area, region or industry, the ... for preparing cost reports and providing reimbursement consulting within the Senior Living space. This role includes reviewing skilled nursing Medicare… more
- Stony Brook University (Ronkonkoma, NY)
- …the Attorney General or other State or Federal (HIPAA or Medicaid / Medicare investigations) and auditors as requested. + The individual must possess excellent ... or corporation. + In lieu of Bachelor's degree, an Associate 's degree and seven years of purchasing experience in...line. **Job Number:** 2503294 **Official Job Title:** : TH Senior Staff Assistant **Job Field** : Administrative & Professional… more
- Sedgwick (Baton Rouge, LA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Medicare Associate **Job Description** + Set up new Medicare ... records/billing industry experience preferred. Two (2) years of experience as Medicare Associate required. Internal candidates - Minimum 3.25 on most recent… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Sr . Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of ... BSS, claims operations, and other business teams involved in the administration of Medicare business at Humana. The Senior Business Intelligence Engineer will… more
- Houston Methodist (Nassau Bay, TX)
- **Work Schedule: Saturday & Sunday 2:30pm-1am** At Houston Methodist, the Senior Patient Access Associate position is responsible for obtaining and entering ... cashier, etc.) and/or EHR work queues specific to patient access. The Senior Patient Access Associate employs effective communication skills, promoting excellent… more
- Zurich NA (Parsippany, NJ)
- Sr . Claims Specialist, Workers Compensation (Maine) 128029 Zurich is looking for an accomplished Workers Compensation Sr . Claims Specialist for or our Northeast ... New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's… more
- Fairview Health Services (Minneapolis, MN)
- …at the national and local level and provides updates to operational leaders and senior management of any Medicare or third-party payor changes that may adversely ... Care Organizations as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure uninterrupted patient access… more
- Rush University Medical Center (Chicago, IL)
- …files. 39. Assists Finance staff with data to support RUMC documentation for the Medicare Cost Report and GME reimbursement. 40. Covers for office staff in their ... and utilizes Access databases as requested and directed. 43. Supports the Associate Program Director for Evaluation and Ambulatory Experiences on a variety of… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Humana (Indianapolis, IN)
- …us put health first** Humana Healthy Horizons (HHH) in Indiana is seeking a Senior Vendor Management Professional to serve as the liaison between our members and our ... being available for the position to work remotely. The Senior Vendor Management Professional's work will involve moderately complex...one or more of the following + Medicaid + Medicare + Certification with Six Sigma and/or the Project… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Senior Data Architect works in all data environments which includes data design, database ... architecture, metadata and repository creation. The Senior Data Architect work assignments involve moderately complex to complex issues where the analysis of… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** We are seeking a highly skilled and proactive Senior Specialist, Cloud Engineer to lead and evolve our cloud infrastructure strategy. This ... network security. + **Certifications (Preferred):** + AWS Certified Solutions Architect - Associate + Microsoft Certified: Azure Administrator Associate + Google… more
- Humana (San Juan, PR)
- …of our caring community and help us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, ... programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately complex to… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Senior Software Engineer is responsible for leading the design, development, and implementation of ... with cross-functional teams to deliver high-quality technology solutions. The Senior Software Engineer standardizes the quality assurance procedure for software.… more
- CVS Health (Sacramento, CA)
- …holidays Responsible for managing to resolution Fast Track Appeal scenarios for Medicare products, which contain multiple issues and may require coordination of ... GPS **Preferred Qualifications** 2-3 years' experience that includes both Medicare platforms, products, and benefits; patient management; compliance and regulatory… more
- Abbott (Livermore, CA)
- …contract negotiation, payor contract implementation, payor contract monitoring, Medicare /Medicaid enrollment, state licensing, and Joint Commission accreditation + ... Revenue Cycle Management, Commercial Contracting, and Finance **Required Qualifications** + An associate degree with a minimum of 7 years of relevant experience is… more
