• Director Medicare / Medicaid

    Robert Half Finance & Accounting (Eatontown, NJ)
    …company located in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare / Medicaid Reimbursement . + The Director will ... above. + Planning, preparing and reviewing of the annual Medicare / Medicaid cost reports filings. In partnership with...the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare more
    Robert Half Finance & Accounting (06/24/25)
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  • Executive Director , Data Analytics…

    City of New York (New York, NY)
    …millions of dollars in annual Medicaid spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid ... Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee...and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy… more
    City of New York (05/14/25)
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  • Outreach Worker/Enroller

    Charles B. Wang Community Health Center (Queens, NY)
    …enroll qualified Aged, Blind & Disabled population individuals into the relevant Medicaid program with Medicare eligibility assessments + Assure that application ... Full-Time Outreach Worker/Enroller Reports To: Director of Social Work Queens/Manhattan, New York United...to raise community awareness of the Program and of Medicaid enrollment services + Assist to plan, schedule, and… more
    Charles B. Wang Community Health Center (06/27/25)
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  • Provider Contracts Manager (Behavioral Health)

    Molina Healthcare (New York, NY)
    …familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not ... marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue escalations,… more
    Molina Healthcare (06/22/25)
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  • Senior CBO Appeals Analyst

    Mount Sinai Health System (New York, NY)
    …on KPI's. 7. Research and analyze impacts of various State and Federal Medicare and Medicaid policies, regulations, legislation and other proposals, including ... Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional… more
    Mount Sinai Health System (05/17/25)
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  • Patient Access Specialist - Per Diem - Day

    Hackensack Meridian Health (Brick, NJ)
    …patient demographics to validate patient identity. Conducts intensive screening of all Medicare , Medicaid and managed care patients to identify network status ... team here at Hackensack Meridian Health! We offer Scheduling Flexibility, Tuition Reimbursement , Employee Discounts and much more The Patient Access Specialist is… more
    Hackensack Meridian Health (06/25/25)
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  • Patient Access Specialist - Full Time - Evening

    Hackensack Meridian Health (Neptune City, NJ)
    …patient demographics to validate patient identity. Conducts intensive screening of all Medicare , Medicaid and managed care patients to identify network status ... Meridian Health! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement , Employee Discounts and much more The Patient Access Specialist… more
    Hackensack Meridian Health (07/09/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health ... **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager...payer plans and how they are processed, of medication reimbursement , including the prior authorization process, proficiency in the… more
    Mount Sinai Health System (07/09/25)
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  • Billing Administrator

    YAI (Manhattan, NY)
    …with benefits and entitlements in the healthcare and/or I/DD field including Medicaid , Medicare and applicable regulatory agencies. + Strong written and ... ensure timely and complete processing of billing and maximize reimbursement for services. + Submits billing on a monthly...information is updated in all applicable systems. + Assists Director of Revenue Management with gathering data and documents… more
    YAI (05/28/25)
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