- Stanford Health Care (Palo Alto, CA)
- …Knowledge, Skills and Abilities** + Advanced knowledge of CMS and state Medicaid reimbursement principles and practices. + Multi-year skill and experience ... **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …net components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform related deductions as well as ... methodologies, tools, and core deliverables. Relationships Reports to the Director , Sales Reporting & Forecasting. Position regularly interacts with members… more
- BeOne Medicines (Emeryville, CA)
- …strategy. + Deep understanding of US health policy, including IRA, MFN, Medicare/ Medicaid reimbursement , ASP-based models, and government pricing regulations. + ... **General** **Description:** The Director , Portfolio Strategic Pricing will support the development...specific strategies for policy changes (eg, Inflation Reduction Act, Medicaid Best Price, ASP-based reimbursement shifts) and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
- National Health Care Associates (Stafford Springs, CT)
- …invite you to join our team! **-** **What You'll Do:** As an MDS Director , you will manage the Minimum Data Set (MDS) assessments necessary for developing ... personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest...this exceptional opportunity. Join our team as an MDS Director in an organization where your expertise and dedication… more
- Seattle Children's (Seattle, WA)
- …and University of Washington Department of Fetal Surgery leadership, Medical Director MFM and OB Services, Perioperative Services, Nursing to oversee, assess ... growth and support the mission of Seattle Children's Hospital. The perinatal director is responsible for the day-to-day clinical nursing functions of the Special… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Director of State Government Affairs will provide direction, coordination and execution of State Policy and Government ... to work collaboratively with commercial colleagues. + Experience working with state Medicaid programs and benefits. + Strong understanding of state coverage and … more
- 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 ... this is your profile, we want to hear from you. The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into other… more
- Commonwealth Care Alliance (Boston, MA)
- …satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + ... subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience with… more
- Tidelands Health (Myrtle Beach, SC)
- …timeliness, completeness, and accuracy of the coding team to ensure optimal reimbursement and goal attainment. The coding supervisor performs quality reviews and ... and regulations, Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. + Assists with development of policies,… more
- AdventHealth (Altamonte Springs, FL)
- …Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on ... bring to the team:** + Serves as AdventHealth subject matter resource for Medicaid reimbursement matters. This role is focused on Medicaid payment areas. +… more
- UTMB Health (Galveston, TX)
- …staff in preparation of these reports. + Supports Director , Finance-Government Reimbursement in preparing annual Medicare, Medicaid and TDCJ net revenue ... compliance with Medicare and Medicaid regulations. + Supports Director , Finance-Government Reimbursement in preparing and monitoring departmental budget.… more
- AdventHealth (Altamonte Springs, FL)
- …proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for ... Altamonte Springs, FL **The role you will contribute:** The Reimbursement Director directs the Reimbursement ...Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain a strong… more
- The Cigna Group (Bloomfield, CT)
- The Director of Medicaid and Marketplace Strategy leads a team of Client Strategists to support health plan clients in achieving quality and regulatory goals, ... both proposed and existing regulatory requirements in relevant markets. Additionally, the Director will represent, influence, and guide the development of a roadmap… more
- OhioHealth (Columbus, OH)
- …This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is ... and setting daily priorities. * This positon supports the Director of Revenue and Reimbursement and Manager...projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a ... scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare/ Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare) + Medical Coding, Compliance,… more
- State of Indiana (Indianapolis, IN)
- …Overview: This role serves as the Executive Assistant and administrative specialist to the Medicaid Director and Deputy Medicaid Director /Chief of Staff. ... Executive Assistant Medicaid Date Posted: Oct 30, 2025 Requisition ID:...arrangements, and drafting professional correspondence on behalf of the Director and Deputy Director as well as… more
- Danaher Corporation (Memphis, TN)
- …Learn about the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role ... maintain a comprehensive understanding of national, regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through… more
