- Elevance Health (Hingham, MA)
- ** Audit & Reimbursement Senior - Medicare Cost Report Audit ** **_Location: This is a virtual position, the ideal candidate will live within 50 miles ... Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC)… more
- WellSense (Boston, MA)
- Sr . Provider Relations Consultant- (MA residents)-$5000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...and internal Plan departments such as Provider Enrollment, Claims, Audit , Marketing, Customer Care and Care Management. Our Investment… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize ... risk. The Senior Risk Management Professional work assignments involve moderately complex...provide accurate, actionable and thorough feedback by completing quality audit reviews on a daily basis. Quality audit… more
- Beth Israel Lahey Health (Charlestown, MA)
- …networks. The Executive Director will report directly to the Vice President of Reimbursement . In this capacity, the Executive Director will assist the VP in merging ... BILH's six individual revenue valuation and reimbursement units into a centralized, system-wide department that promotes uniform goals and efficiency. The key… more
- CVS Health (Cumberland, RI)
- …Insurance Portability and Accountability Act (HIPAA) and the Centers for Medicare and Medicaid Services (CMS) guidelines to mitigate organizational compliance risks. ... payments, sales records, service agreements, and contracts to provide a reliable audit trail for potential disputes or inquiries. + Coordinates with external… more
- Novo Nordisk (Boston, MA)
- …Access accounts encompasses third party payers of Commercial, Medicaid and Medicare medical and prescription benefit plans. Customer channels and specific customers ... organizations, etc. + Customize strategies based on Commercial, Medicaid and Medicare demographics, legislation, and trends + Develop and implement strategies that… more
- Beth Israel Lahey Health (Cambridge, MA)
- …system leadership teams responsible for accounting, payroll, AP, FP&A and revenue recognition , including the preparation of Medicare and Medicaid cost reports, ... Vice President and Chief Financial Officer of Beth Israel Lahey Health, the Senior Vice President, Corporate Finance functions as the senior executive for… more