- Novo Nordisk Inc. (WA)
- …optimal health outcomes. Are you ready to realize your potential? The Position The Senior Director works on complex issues that require an in-depth knowledge of the ... could impact the pharmaceutical industry. Interactions frequently involve interactions with senior level leaders regarding matters of significance to Novo Nordisk… more
- Elevance Health (St. Louis, MO)
- …Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) ... ** Audit & Reimbursement Senior **...** Audit & Reimbursement Senior ** **_Virtual:_** _This role enables...Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare… more
- R1 RCM (Salt Lake City, UT)
- …intelligent automation, and workflow orchestration. We are seeking to expand our Medicare reimbursement team by adding a senior analyst. Working as a part of ... the Government Navigation Suite service line, the Reimbursement Senior Analyst will partner with team...review and audit Medicaid eligible days for Medicare DSH reimbursement . **Job Responsibilities:** + Assist… more
- Centene Corporation (Raleigh, NC)
- …management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an ... process for overseeing compliance with regulations and laws related to Medicare requirements + Provides guidance to various business departments regarding compliance… more
- Cardinal Health (San Juan, PR)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, ... appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the development and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Financial Compliance Audit , $10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary Manager, Financial Compliance Audit (Finance) has a $10,000 SIGN-ON BONUS. This role...(DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and… 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
- CareFirst (Baltimore, MD)
- …in DC Medicaid reimbursement . + Knowledge of Maryland Medicaid and Medicare reimbursement . + Excellent verbal and written communication skills. + Excellent ... fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to...may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also… 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
- AdventHealth (Maitland, FL)
- …expertise in Commercial and Governmental ( Medicare , Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance Analyst works ... Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify,… more
- Ventura County (Ventura, CA)
- Behavioral Health Finance Analyst I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5001534) Apply Behavioral Health Finance Analyst ... I/II/ Senior Salary $78,312.00 - $133,993.60 Annually Location Oxnard, CA...includes a scheduled floating holiday. + Additional Benefits: Tuition Reimbursement , Disability Plans, Employee Assistance Program, LIfe Insurance, Wellness… more
- Stony Brook University (Stony Brook, NY)
- …certification, licensure and experience. + Minimum three plus years' experience in charge/ reimbursement analysis, maintenance, audit or review for a Hospital ... Senior Financial Analyst, Revenue Cycle Management **Position Summary**...with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies.… 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
- Centene Corporation (Tallahassee, FL)
- …of risk adjustment regulatory landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range: ... Adjustment processes. Ensures visibility by way of reporting out audit deliverables and risk related to each audit...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… 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
- CareFirst (Baltimore, MD)
- …in DC Medicaid reimbursement . + Knowledge of Maryland Mediciad and Medicare reimbursement . + Excellent verbal and written communication skills. + Excellent ... activities. **ESSENTIAL FUNCTIONS:** + Analyze CareFirst's new and existing reimbursement arrangements/networks and assist management or senior level… more
- Elara Caring (Toledo, OH)
- …Based Purchasing, Medicare conditions of participation, and company policy. The Senior Manager will partner closely with the Quality Audit and Education ... Care, at the Right Time, in the Right Place. **Job Description:** The Senior Manager of Quality Operations is responsible for supporting quality initiatives in his… more
- Humana (Indianapolis, IN)
- …part of our caring community and help us put health first** The Senior Data Quality/Integrity Engineer understands end-to-end data processes and flows and uses that ... and execute best-in-class operations for critical, data-centric processes. The Senior Data Quality/Integrity Engineer work assignments involve moderately complex to… more
- Beth Israel Lahey Health (Woburn, MA)
- …at the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, ... compliance with applicable coding and billing guidelines, and optimization of reimbursement . * Support departments with analyzing services for coverage and … more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Senior Claims Research and Resolution Professional reports to the Claims Research and Resolution ... strategy and operating objectives, including their applications to assignments. The Senior Claims Research and Resolution Professional follows general guidance and… more
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