- 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
- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * ... and setting daily priorities. * This positon supports the Director of Revenue and Reimbursement and Manager...assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining… more
- Commonwealth Care Alliance (Boston, MA)
- …of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the ... disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit,… more
- Commonwealth Care Alliance (Boston, MA)
- …as necessary on all new CPT and HCPCS codes for coding logic, related Medicare / Medicaid policies to make recommend reimbursement determinations. + Analyze, ... claim operations, health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare ) + Medical Coding,… more
- Molina Healthcare (Fort Worth, TX)
- …adequacy, and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct ... of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited… more
- RWJBarnabas Health (Oceanport, NJ)
- … will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment ... the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare...policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid appeal and cost report… more
- AmeriHealth Caritas (Detroit, MI)
- …psychosocial needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the ... individuals with chronic conditions or disabilities. + Strong understanding of Medicare - Medicaid Plan Long-Term Services and Supports (MMP LTSS) programs.… more
- Centene Corporation (Dover, DE)
- …for both the Long-Term Services and Supports (LTSS) and Medicare - Medicaid Duals populations. Additionally, the Medical Director will collaborate with ... Director to manage and optimize LTSS and Medicare - Medicaid Duals program operations, focusing on improving...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- BrightSpring Health Services (Arlington, TX)
- …30 days of employment (Health, dental, vision, and life insurance). + Mileage Reimbursement - We cover your travel costs. + Flexible Schedules- Work around your ... + 401k Plan- Secure your future with our retirement plan. + Tuition Reimbursement - Advance your education with our support. + Employee Discount Program- Enjoy perks… more
- Beth Israel Lahey Health (Charlestown, MA)
- …VP and AVP, the Director will develop long- and short- term Medicare , Medicaid , and other government reimbursement revenue strategies, oversee ... job, you're making a difference in people's lives.** The Director , Revenue Finance and Reimbursement , will be...and Government Audits, etc. 9. Identify and design strategic reimbursement initiatives including Medicare & Medicaid… more
- Bayer (Boston, MA)
- …and diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - (Northeast USA)** **Associate ... Director - Field Reimbursement - Oncology - Northeast USA** **PURPOSE** Responsible for...to address individual customer concerns; + Broad knowledge of Medicare , managed care, third party payers and Medicaid… more
- Trinity Health (Des Moines, IA)
- **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** The Regional Director of Reimbursement serves as the primary contact to the ... leadership to a Regional Shared Service Center managing the reimbursement function for up to ten Trinity Health RHMs...dealing with external agencies such as the Centers for Medicare and Medicaid Services (CMS), third party… more
- Abbott (Washington, DC)
- …and drive healthcare policies that impact Abbott. More specifically, you will support Medicare reimbursement activity for Abbott Diabetes Care (ADC) and other ... in the Government Affairs function. As the Government Affairs Director for Corporate Reimbursement , you will develop,...divisions. This includes Medicare reimbursement (coding, coverage and payment) for… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …as unique business segments such as specialty and retail pharmacy and state Medicaid organizationsThe Sr. Director is a cross-functional leadership role that is ... Description: The Senior Director of Market Access Strategy is responsible for...Pharmacy benefit formularies, across all lines of business (Commercial, Medicare , & Managed Medicaid ), as well as… more
- Centene Corporation (Tacoma, WA)
- …and federal health care laws, including laws applicable to managed care industry, Medicare , and Medicaid plans such as licensing requirements, prompt pay, and ... language + Identify, evaluate, and analyze the impact of Medicaid and Medicare regulatory issues and advise...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- WelbeHealth (Los Angeles, CA)
- …planning + Assess and refine risk-adjusted revenue projections for Medicare - Medicaid dual-eligible populations, incorporating CMS and state methodologies ... stability and regulatory compliance + Monitor and interpret CMS, state, and Medicaid regulatory changes impacting reimbursement rates, risk scores, and… more
- Aveanna Healthcare (Tampa, FL)
- …care to infants, children, adolescents, and/or adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all ... RN Clinical Director ApplyRefer a FriendBack Job Details Requisition #:...Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply… more
- Elara Caring (Worcester, MA)
- …at branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid , and third-party reimbursement regulations and changes. ... the Right Care, at the Right Time, in the Right Place. **Job Description:** **Branch Director ** At Elara Caring, we care where you are and believe the best place for… more
- Peoples Health Centers Family of Companies (St. Louis, MO)
- …compliance with contractual provisions and accuracy in billing. 10. Remain current on Medicaid and Medicare reimbursement policies and procedures and consult ... People's Health Centers Job Description Job Title : Director of Revenue Cycle Department : Finance Reports...and ten key calculators. 9. Knowledge of billing and reimbursement of Medicaid , Medicare and… more
- Aveanna Healthcare (Mount Laurel, NJ)
- …to 15% of salary based on branch performance), cell phone and mileage reimbursement Position Overview The Clinical Director is responsible and accountable for ... Clinical Director - RN - Home Care ApplyRefer a...or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply… more