- LA Care Health Plan (Los Angeles, CA)
- Senior Health Care Audit Analyst Job...of LA Care deficient delegates. Participates in Centers for Medicare and Medicaid Services (CMS) claim audit ... Plans Auditor III is responsible for planning audits and audit work programs that address appropriate claims and financial...benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision… more
- RWJBarnabas Health (Oceanport, NJ)
- …fostering professional development and growth. + Prepare clear, concise, and actionable audit reports for senior management and leadership. + Monitor the ... Manager, Internal Audit (Remote-Hybrid)Req #:0000196245 Category:Accounting/Finance Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services… more
- WelbeHealth (Los Angeles, CA)
- **Plan Operation Audit Specialist** WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an ... all-inclusive care option to our most vulnerable senior population. We step in as the care provider...and social services needed to thrive. The Plan Operations Audit Specialist will be accountable for validating various system… 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...a multi-state hospital system and provide the support at audit + Knowledge of Medicare rules on… more
- Sutter Health (Sacramento, CA)
- …+ Understanding of hospital-based outpatient charging and coding + Knowledge of Medicare APC and OPPS reimbursement structures + In-depth knowledge of ... at communicating effectively with all levels of the organization, especially senior leadership and department heads. + Demonstrates skilled ability and comfort… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** **Fairview is looking for a Senior Corporate Compliance Auditor to join our Corporate Compliance department.** **Bring Your Possibilities to ... the scenes, or supporting those who do, your work matters. The Senior Corporate Compliance Auditor is an independent, self-directed professional who possesses a… more
- RWJBarnabas Health (Oceanport, NJ)
- …will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies ... reports + Monitor and validate State and federal issued reimbursement rates + Investigates and responds to audit...in reimbursement regulations and policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Acts as a subject ... matter expert and collaborates with various internal departments to ensure that Medicare Advantage (MA) clinical programs and regulatory reporting are compliant with… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
- University of Michigan (Ann Arbor, MI)
- PPS Coordinator Senior Apply Now **Job Summary** Inpatient Rehabilitation is a post-acute level of care which operates under the Inpatient Rehabilitation Facility ... Prospective Payment System (IRF PPS). The PPS Coordinator Senior oversees all aspects of data collection for, and timely transmission of the Inpatient Rehab Facility… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
- Somatus (Mclean, VA)
- …Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being ... oversight to all lines of business including Commercial, Medicaid, Medicare , and Special Need Plans (SNPs). The Sr. Manager,...Sr. Manager, Quality will work closely with Sr. Manager, Audit Risk and the Regulatory and Accreditation Team to… more
- Trinity Health (Des Moines, IA)
- …identifies and manages all financial and compliance risk associated with the reimbursement function, keeping senior leadership apprised of identified risk and ... the reimbursement function (for acute and professional services), notifying senior leadership of identified risks and tracking and monitoring progress of risk… more
- Rush University Medical Center (Chicago, IL)
- …Rush Medical Center **Hospital:** Rush University Medical Center **Department:** Cost Accounting- Reimbursement **Work Type:** Full Time (Total FTE between 0.9 and ... of each case. **Summary:** This position will be responsible for Reimbursement functions including on-going financial analysis, participating in the annual filings… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Attorney Occupational Category Legal Salary Grade 25 Bargaining Unit PS&T - ... property portfolio, OPWDD's supportive housing grants, and the property cost reimbursement process.* Provide additional support to the MCRE unit on Medicaid-related… more
- LA Care Health Plan (Los Angeles, CA)
- …and capitated hospitals. + Serves as primary contact and liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of LA Care delegates. ... Senior Health Plan Auditor Job Category: Accounting/Finance Department:...benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision… more
- JPMorgan Chase (Newark, DE)
- …results-oriented, with a focus on attention to detail and quality. As a Senior Administrative Assistant in Corporate Benefits, you will excel in a collaborative team ... and vendor inquiries. + Maintain department documents, including records retention, audit updates, and organizational charts. + Manage retiree program payments, such… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Senior Coder (Sr. Coder) acts as a lead coder for their designated team. This position will train staff on department policies, procedures, ... systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of-office Coders, and make recommendations to Coding… more
- University of Virginia (Charlottesville, VA)
- …and executive use. + Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance ... procedures, and applicable regulatory standards and requirements. + Completes chart audit reviews of clinical documentation to determine accuracy of charge capture.… more
- Cardinal Health (Charleston, WV)
- …go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and ... for every interaction using the appropriate database for the inquiry + Must self- audit intake activities to ensure accuracy and efficiency for the program + Make… more