- Vaco by Highspring (Maitland, FL)
- …SEC reporting experience is required. Technical accounting experience. Familiarity with Medicare /Medicaid billing and reimbursement preferred. Experience in home ... needs Commission for Account Executives Fixed and variable rate car reimbursement for Area Managers and Account Executives Employee discount program Employee… more
- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This ... as special projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement ...of Medicare and Medicaid cost reporting and reimbursement and remaining up to date with all regulatory… more
- Commonwealth Care Alliance (Boston, MA)
- …Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge, ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- Humana (Nashville, TN)
- …Senior Business Intelligence Engineer will develop and maintain expertise in complex Medicare reimbursement methodologies. This role is within the Integrated ... on Pricer edit resolution + Provide consultation to internal business partners on Medicare reimbursement /editing logic and Humana system logic **Use your skills… more
- BlueCross BlueShield of North Carolina (NC)
- …+ Provide financial leadership on CMS updates and regulatory changes impacting Medicare pricing and reimbursement . + Drive continuous improvement in pricing ... Description** Join our team as Director, Actuarial Services - Medicare Pricing and lead our Medicare pricing...and surrogacy assistance. + Career development programs and tuition reimbursement for continued education. + 401k match including an… more
- Elevance Health (AR)
- …locations as necessary. **Preferred Skills, Capabilities and Experiences:** + Medicare network contracting/ reimbursement methodology strongly preferred. + ... Provider Network Management Director ( Medicare Network Build) JR167138 **Preferred Location** : Commuting...this role is contracting and negotiating contract terms for ** Medicare , Medicaid,** and **ACA programs** . Deals with primarily… more
- UTMB Health (Galveston, TX)
- …on various committees and task force groups. + Maintains current knowledge of Medicare reimbursement and cost reporting regulations, keeping abreast of recent ... + Responsible for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to,… more
- R1 RCM (Boise, ID)
- …revenue. To thrive in this role, you will utilize your expertise in Medicare reimbursement , specifically Medicare Bad Debt, Disproportionate Share (DSH), ... clients **Requirements:** + 10+ years of experience selling services surrounding Medicare reimbursement , combined with a strong/effective presence with hospital… more
- CareFirst (Baltimore, MD)
- …in DC Medicaid reimbursement . + Knowledge of Maryland Mediciad 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
- 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
- Genesis Healthcare (NJ)
- … Manager in an assigned nursing center. This individual manages the Medicare /Medicaid reimbursement process through evaluating, enhancing, and training nursing ... *Must have at least two years' experience in long-term care preferably in a reimbursement related position. * Medicare and Medicaid experience and proficiency in … more
- Elevance Health (Atlanta, GA)
- …practices highly preferred. + Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred. + Excel, SQL, and SAS ... **Business Information Consultant- Health System Reimbursement ** **Location:** This role requires associates to be...required by law. The **Business Information Consultant- Health System Reimbursement ** is responsible for serving as an expert in… more
- AdventHealth (Altamonte Springs, FL)
- …impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for ... to the team:** + Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain a strong working knowledge of current laws and… more
- University of Southern California (Los Angeles, CA)
- …escalating complex issues to the Manager as needed. + Monitor and interpret CMS, Medicare , and Medicaid reimbursement , including proposed and final IPPS and OPPS ... Revenue Cyle, and third-party vendors to collect and validate data for reimbursement -related activities, including Medicare bad debt, and DSH reporting. Provide… more
- AdventHealth (Altamonte Springs, FL)
- …or finance 10 years of relevant experience in healthcare finance, preferably in reimbursement including Medicare , Medicaid reimbursement and regulatory cost ... **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on supplemental Medicaid… more
- Genesis Healthcare (Bluefield, VA)
- …MDS Nurse -- RN manages the overall process and tracking of all Medicare /Medicaid case-mix documents to ensure appropriate reimbursement for all services ... long term care clinical nursing experience is required. *Experience with Medicare /Medicaid reimbursement , MDS completion, clinical resource utilization and/or… more
- Genesis Healthcare (Albuquerque, NM)
- …of long-term care clinical nursing experience is required. *Experience with Medicare /Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... the MDS, as required by federal and state regulations. *Manage all Medicare /Medicaid case-mix documents at the nursing center to assure appropriate reimbursement… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …attestations, and preparing to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid audits and assists ... with complex academic healthcare and transplants preferred. + Strong knowledge of Medicare and Medicaid reimbursement regulations. + Excellent analytical and… more
- Abbott (Austin, TX)
- … Reimbursement ** is responsible for implementing and managing clinical trial reimbursement processes to secure Medicare and private payer reimbursement ... that support IDE, PAS/PMS and single-site clinical trials. + Create study-level Medicare Coverage Analysis inclusive of coding and reimbursement recommendations… more
- UCLA Health (Los Angeles, CA)
- …the financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on ... degree preferred). + At least five years of experience in healthcare reimbursement or financial analysis, particularly with Medicare and Medi-Cal regulations.… more
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