- Molina Healthcare (Milwaukee, WI)
- …ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter expert on developing financial models to evaluate the impact ... provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to...performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
- Molina Healthcare (Fort Worth, TX)
- …and internal business projects and programs involving department or cross-functional teams of subject matter experts. Plans and directs schedules as well as ... internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process… more
- Commonwealth Care Alliance (Boston, MA)
- …including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and ... (nice to have):** + Associate's or Bachelor's degree in Health Administration, Finance , or related field preferred. + Certified Professional Coder (CPC) - AAPC… more
- Texas Health Resources (Arlington, TX)
- …with requirements for reporting and achieving payment. + Serves as a liaison and subject matter expert in support of entity leaders and staff to enable ... This VP Government Reimbursement & Medicaid Supplemental Payments directs, administers and coordinates activities...ensuring adherence to specifications. This includes working collaboratively with subject matter experts within THR (ie, THR's… more
- AdventHealth (Altamonte Springs, FL)
- …financial impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is ... **The value you will bring to the team:** + Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain a strong working… more
- State of Colorado (Denver, CO)
- …transfers without fair consideration related to trust assets + Working on projects in this subject matter area + Working on the recovery of trust assets and ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more
- Molina Healthcare (San Diego, CA)
- …RESIDE IN THE STATE OF CALIFORNIA FOR CONSIDERATION **Job Summary** Provides subject matter expertise and responsibility for oversight, production, and ... goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits &… more
- MyFlorida (Alachua, FL)
- …be extraordinarily detail oriented. Specific Duties and Responsibilities include: + Serves as Subject Matter expert for the BNet program. + Reviews existing ... Budget Commission's Social Services Estimating Conferences. + Develops long range Medicaid , utilization or state health office programs, fiscal and cost… more
- Good Samaritan (WI)
- …training. Coordinates training and communication with Clinical Services staff as needed. Subject matter expert resource for field operations of regulatory change ... and support to all operating segments across Sanford. Responsible to review Medicare/ Medicaid documentation to assist nursing centers in completing minimum data set… more
- Stanford Health Care (Palo Alto, CA)
- …and compliance with current laws and regulations is achieved. + Participates as a subject - matter expert and may lead or facilitate task forces, teams, and/or ... Managed Care Contracting, Quality, Controller's Office, Technology and Digital Solutions, Finance , Office of General Counsel and Compliance. They are accountable for… more
- Humana (Lansing, MI)
- …latitude in determining objectives and approaches to assignments. **Position Responsibilities** + Subject Matter Expert (SME) on Michigan contractual data and ... and help us put health first** The Senior Data and Reporting Professional ( Medicaid - Michigan) generates ad-hoc reports and regular datasets or report information… more
- Molina Healthcare (Madison, WI)
- …applicable teams on integrated duals annual material through input, review, and subject matter expertise **Job Qualifications** **REQUIRED QUALIFICATIONS:** + At ... skills, including ability to effectively collaborator with business unit leaders, subject matter experts, and external resources. **PREFERRED QUALIFICATIONS:** +… more
- State of Montana (Columbia Falls, MT)
- …on overall support services objectives, operations, and communications; serves as the subject matter expert for the Support Services Department; and advises ... on overall Support Services objectives, operations, and communications; serves as the subject matter expert for the Support Services Department; and advises… more
- Prime Therapeutics (Des Moines, IA)
- …of regulatory requirements throughout the enterprise. This position acts as the subject matter expert on applicable regulations, training, and awareness ... customer needs with business goals. + Consults with business areas and other subject matter experts to identify compliance requirements, assess risks, and… more
- Medtronic (Los Angeles, CA)
- …across all Medtronic diabetes brands and customer channels, including Commercial, Medicaid , Medicare, Distribution, etc. The position supports the Pricing Committee ... Approval Process and works cross-functionally with Payer Account Management, Finance , and Market Access teams to create comprehensive pricing proposals. Overtime the… more
- Atrius Health (Newton, MA)
- …information, and best practices to inform strategic decision-making. . Develop and deploy subject matter expertise in public payer ACO models (Medicare and ... on routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge...Medicaid ) and create analyses to assess ACO performance and… more
- Molina Healthcare (KY)
- …ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter expert on developing financial models to evaluate the impact ... provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to...performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
- Bristol Myers Squibb (Princeton, NJ)
- …and provide training as appropriate. + Participate on cross-functional teams as a subject matter expert representing the Government Pricing team as required to ... (eg, various groups within MAx Order to Cash, Pricing and Customer Operations, Finance , Legal and IT) regarding a variety of issues impacting government pricing and… more
- Waystar (Atlanta, GA)
- …assignments. + A passion for personal development, aspiring to be a subject matter expert and leader within the Finance team. **ABOUT WAYSTAR** Through a ... THIS POSITION** As part of the Waystar (NASDAQ: WAY) Finance Team, this role is instrumental to the reporting,...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- State of Georgia (Baldwin, GA)
- …regulations and DBHDD policies. Directs subordinate supervisors and staff. Serves as a subject matter expert resource for the entire hospital on all matters ... related to budget, finance , billing and procurement. Primary Duties & Responsibilities: +...healthcare or government setting. + Experience with oversight of Medicaid /Medicare billings and/or cost reporting + PeopleSoft Proficiency +… more