- Zelis (Plano, TX)
- …gained, and the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory Analyst will collaborate with ... timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver...a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost… more
- CommonSpirit Health (Phoenix, AZ)
- …knowledge of Medicare Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and ensures value is delivered ... **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit… more
- CommonSpirit Health (Phoenix, AZ)
- …of Medicare, Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and ensures value is delivered ... **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible...appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The… more
- OhioHealth (Columbus, OH)
- …with revenue cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject matter expert in the ... be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. *...well as the high level strategic purpose. * The Senior Reimbursement Consultant is required to use… more
- Abbott (Livermore, CA)
- …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... their health and get on with their lives. This position provides regulatory compliance leadership for the business, ensuring the policies, procedures, and practices… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Healthcare/Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare/ Medicaid Reimbursement . + The Director will have advanced level of knowledge ... with regulatory research. + Maintains working knowledge of various Medicaid state regulations and Medicare federal regulations. + Responsible for the completion… more
- CVS Health (Baton Rouge, LA)
- …within Medicaid or managed care programs. Strong understanding of Medicaid reimbursement models, value-based care, and risk sharing arrangements. ... with heart, each and every day. **Position Summary** The Senior Manager of Network Management is a critical role...outcomes, cost efficiency, and compliance with state and federal Medicaid obligations. Given the complex regulatory environment… more
- Queen's Health System (Wahiawa, HI)
- …Compensation, No-Fault, Capitation, TPL, etc.). * Strong knowledge of third-party reimbursement and Hawaii regulatory requirements related to reimbursement ... functions, including registration, cashiering and insurance verification. * Monitors the Medicaid /Quest pending and Large Dollar work queues to ensure coverage is… more
- Queen's Health System (Ewa Beach, HI)
- …Workers' Compensation, Capitation, TPL, etc.). * Strong knowledge of third party reimbursement and Hawaii regulatory requirements related to reimbursement . ... * Proficient understanding of medical terminology. * Strong time management, organizational, and interpersonal skills. * Strong written and verbal communication skills. * Proficiency with Microsoft Office applications (ie Word, Excel, PowerPoint) and automated… more
- Ochsner Health (Jefferson, LA)
- …coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate ... reimbursement . In the inpatient setting, works in collaboration with...current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area… more
- Ochsner Health (Jefferson, LA)
- …coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate ... reimbursement ; works in collaboration with the Clinical Documentation Improvement...current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area… more
- Molina Healthcare (Fort Worth, TX)
- … reimbursement models in concert with direct management and senior leadership/management. * Communicates new strategies to corporate provider network leadership ... activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider… more
- Centene Corporation (Cheyenne, WY)
- …position will serve as a key actuarial leader for the **Coordinated Care Medicaid health plan in Washington State** . The Manager, Actuarial Services is responsible ... Medical Loss Ratio (MLR) reporting, ensuring compliance with state and federal regulatory requirements. The position also provides expertise and technical support to… more
- BayCare Health System (Clearwater, FL)
- …trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their ... be working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst- Cost Reporting **Location** Clearwater |… more
- ConvaTec (Bridgewater, NJ)
- …learn more about Convatec, please visit http://www.convatecgroup.com **Position Overview:** The Senior Market Access & Reimbursement will drive reimbursement ... newly formed Market Access COE and report into the Senior Director, Market Access and Reimbursement . **Key...globally in dashboard format. + Analyze global legislative and regulatory changes to anticipate reimbursement challenges and… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Reimbursement Analyst - SeniorDepartment: Reimbursement Specialist - Finance Location: Riedman Campus SUMMARY: Provide and maintain Hospital ... reimbursement expertise as it relates to Medicare, Blue Cross and Medicaid . Prepare annual institutional cost report, physician questionnaire and other third… more
- Somatus (Mclean, VA)
- …business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The Sr . Manager, Quality will work closely with Sr . Manager, Audit Risk and ... Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… 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...with key government, trade and federal markets customers. The Sr , Director of Market Access Strategy is a key… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Senior Coder ( Sr . Coder) acts as a lead coder for their designated team. This position will train staff on department policies, ... procedures, systems and correct coding requirements. The Sr . Coder additionally will audit Coders, fill in for...Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding Ethics. 1.4… more