- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * ... cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject...assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining… more
- Prime Healthcare (Ontario, CA)
- …seeking new members to join our corporate team! #LI-JV1 Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Prime Healthcare (Redding, CA)
- …and their family. For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Humana (Little Rock, AR)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG,… more
- AdventHealth (Altamonte Springs, FL)
- …of relevant experience in healthcare finance, preferably in reimbursement including Medicare , Medicaid reimbursement and regulatory cost reporting Strong ... Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on… more
- Humana (Nashville, TN)
- … Business Intelligence Engineer will develop and maintain expertise in complex Medicare reimbursement methodologies. This role is within the Integrated Pricing ... on Pricer edit resolution + Provide consultation to internal business partners on Medicare reimbursement /editing logic and Humana system logic **Use your skills… more
- Deloitte (Denver, CO)
- …consulting services to public sector clients + Support engagements focused on Medicaid reimbursement , including actuarial rate development across managed care ... and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk...Experience with risk adjustment mechanisms + Experience with Provider reimbursement streams (ie, DSH, UPL, etc.) + Experience with… more
- The Cigna Group (Bloomfield, CT)
- …Strong knowledge of the PBM industry and Government Regulated Programs such as Medicare , Medicaid , HCR + Strong communication skills, including presentations and ... and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Humana (Miami Lakes, FL)
- …Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid , achieve their best possible ... Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Accura Healthcare (Omaha, NE)
- …laws and regulations pertaining to the position. QUALIFICATIONS: + Knowledge of Medicaid , Medicare , and insurance reimbursement systems, including billing ... Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join our...growing accounting and finance team! We are a multi-state senior living organization and this position will reside out… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The HIRM ... 5 out of 5 stars from the Centers for Medicare and Medicaid Services, for 6 consecutive...+ Medical, dental and vision packages, including an annual reimbursement for qualified wellness expenses, personal health coaching 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 ... This Senior Analyst of Government Reimbursement at...payment systems and cost reporting requirements. + Experience with Medicare and Medicaid reimbursement guidelines… more
- CareFirst (Baltimore, MD)
- …expertise in DC Medicaid reimbursement . + Knowledge of Maryland Medicaid and Medicare reimbursement . + Excellent verbal and written communication ... maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position...may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This… more
- BayCare Health System (Clearwater, FL)
- …all levels of management. + This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically ... trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their… more
- Danaher Corporation (Portland, OR)
- …and reimbursement landscape. + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through ... Danaher Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position… more
- Omaha Children's Hospital (Omaha, NE)
- …staff members. **Essential Functions** Cost Reporting + Coordinates preparation of all Medicare and Medicaid cost reports. + Analyzes, interprets, and utilizes ... DSH reporting, and other agency reporting over net patient revenue and reimbursement . Oversees general ledger accounts and ensures accuracy of financial statements… more
- University of Rochester (Brighton, NY)
- …Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and New York State Medicaid ). Stays abreast of ... and expectations established for the Office of Counsel, the Senior Counsel identifies, analyzes and provides legal guidance and...the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS,… more
- Abbott (Austin, TX)
- …and appeal processes and other related matters requiring a specialized knowledge of Medicare , Medicaid and Private Payer reimbursement procedures and ... ** is responsible for implementing and managing clinical trial reimbursement processes to secure Medicare and private...On** + Review clinical investigative plan and payer policies ( Medicare , Medicare Advantage, Medicaid and… more
- Medtronic (Minneapolis, MN)
- …and impactful role as a member of the Aortic business's Health Economics, Policy and Reimbursement team. We are seeking a Senior HEPR Program Manager to support ... and strategies for endovascular aortic repair therapies, included US commercial, Medicaid and Medicare Advantage programs, working closely with cross-functional… more