- 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
- UTMB Health (Galveston, TX)
- …Bachelor's degree in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six ... , and TDCJ net revenue budget rates. + Provides oversight, direction, and analyses of Medicare and Medicaid reimbursement including, but not limited to, cost… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Senior Medicare ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209056/ senior - medicare - medicaid -biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Prime Healthcare (Redding, CA)
- …Responsibilities The Senior Medicare ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Humana (Jacksonville, FL)
- **Become a part of our caring community and help us put health first** Our Senior Manager, Medicare Sales - CarePlus motivates and drives a team of Medicare ... Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager, Medicare Sales - CarePlus will...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Deloitte (Tempe, AZ)
- …health plan/insurance company experience + 5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development + ... now or at any time in the future Preferred: + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid waivers… more
- Humana (Oklahoma City, OK)
- …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales motivates and drives a team of ... train, and discipline a team of sales individuals. The Senior Manager, Medicare Sales must have a...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Elevance Health (Columbus, OH)
- … Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of...and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare… more
- J&J Family of Companies (Santa Clara, CA)
- …coverage and reimbursement for IVL therapy, with a focus on Medicare , Medicaid , and commercial payers. + Team Leadership: Line management responsibility ... **Job Description:** Johnson & Johnson is currently seeking a ** Senior Director, Market Access & Reimbursement ** to...collaborate on activities related to Medicare , State Medicaid , and US Military Health initiatives. + Reimbursement… 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
- Trinity Health (Livonia, MI)
- …ensure reimbursement practices adhere to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare , Medicaid , Blue Cross ... the potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such… more
- Organon & Co. (Plymouth Meeting, PA)
- …seeking a highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid . The role will also support the development… more
- Fairview Health Services (Minneapolis, MN)
- …attention to detail and analytical thinking due to the complexity of Medicare / Medicaid regulations. Responsible for day-to-day functions of assigned accounts. ... Three to Five years medical billing or collection experience, Medicare , Medicaid , Third Party experience + Maintain...disability insurance, PTO and Sick and Safe Time, tuition reimbursement , retirement, early access to earned wages, and more!… more
- WellSense (Boston, MA)
- …Experience with Behavioral Health providers preferred** + Experience with Commercial, Medicare and Medicaid reimbursement methodologies + Understanding ... Senior Provider Relations Consultant, BH Network Strategy WellSense...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans.… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Wipfli LLP (Spokane, WA)
- …consultative projects. This role involves working closely with hospitals and RHCs to optimize Medicare and Medicaid reimbursement as well as manage the RHC ... and Medicaid payors. Responsibilities + Preparation of Medicare and Medicaid cost reports + Assist in various reimbursement preparations such as DSH… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and other ... of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Masonicare (Wallingford, CT)
- …in geriatric nursing; Requires at least two (2) years experience with federal Medicare / Medicaid and Managed Care reimbursement systems with a thorough ... RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut RN Manager...billing office. + Keeps abreast of changes in the Medicare , Medicaid and managed care areans and… more
- Prime Healthcare (Lynwood, CA)
- …state Medicaid billing guidelines + Knowledge of basic managed care, Medicaid / Medicare billing rules, regulations, and deadline + Working experience with all ... payer types including: commercial, governmental, Medicare , Medicaid , HMO, etc. and the ability to cross-over into different payers. Prime Healthcare offers… more
- Texas Health Resources (Arlington, TX)
- …and represents System hospitals in negotiations with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended ... + Responsible for providing financial consulting and representation on various Medicare / Medicaid regulations. + Leads resolution of reimbursement issues for … more