- AdventHealth (Altamonte Springs, FL)
- …. Proficient in use of regulatory cost reporting software . Experience in healthcare reimbursement including Medicare , Medicaid reimbursement and ... balances of Adventist Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- AdventHealth (Altamonte Springs, FL)
- …in Accounting or Finance + Minimum of 4 years of relevant experience in healthcare reimbursement including Medicare , Medicaid reimbursement and ... third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- Plante Moran (Columbus, OH)
- …preferred + CPA highly preferred + 10 years of experience in post- acute healthcare reimbursement including Medicare , Medicaid, and cost reporting + Strong ... Healthcare Reimbursement - Consulting Sr. Manager...manage strategic engagements focused on preparation of Medicaid and Medicare cost reports + Prepare, review, and analyze SNF… more
- Elevance Health (Smithfield, RI)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government ... and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** , will support our Medicare Administrative Contract (MAC)… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III- Medicare Cost Report Audit** **_Locations:_** _This is a virtual United States based position._ **National Government Services** is ... and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is a virtual position; US based **National Government Services** is a proud ... and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the… more
- The Cigna Group (Bloomfield, CT)
- …short-term, immediate deadlines. Preferred Requirements + Masters Degree. + Experience in Medicare managed care and/or relevant healthcare experience. + High ... senior leadership team, the Chief of Staff for the Medicare Clinical Strategy team will report directly to the...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- The Cigna Group (Bloomfield, CT)
- …a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions ... Senior Supervisor is a leadership role within the Cigna Medicare Customer & Client Service Experience (CCSE) Organization reporting...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- The Cigna Group (Nashville, TN)
- … Medicare Advantage stakeholders for complex value-based and downside risk reimbursement methodologies for Medicare provider contracting matters. + Initiates ... **What You'll Do** The Medicare National Contracting Advisor position is an integral...value-based payments, and regulatory requirements. + Knowledge of value-based reimbursement structures and payment methodologies for both hospitals and… more
- Prime Healthcare (Inglewood, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/166137/senior- medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300… more
- The Cigna Group (Bloomfield, CT)
- This job posting encompasses two **Regional Medicare ** **Provider Contracting Senior Managers** serves as an integral member of the Network Development and Solutions ... Team, supporting the Northeast Region. This role reports to the Medicare Provider Contracting Regional Vice President. This role is a key contributor to the… more
- The Cigna Group (Bloomfield, CT)
- …environments? If the foregoing describes you, then we want you! The Cigna Medicare Sales Performance Improvement team is all about leveraging training and other ... of our sales teams and helping to meet Cigna Medicare 's industry-defining business goals and we need a skillful...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- The Cigna Group (Denver, CO)
- …+ Reliable transportation and valid driver's license + Mileage reimbursement provided **Job** **Summary:** The Provider Performance External Representative is ... conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative's responsibilities include: +… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...+ Reliable transportation and valid driver's license + Mileage reimbursement provided If you will be working at home… more
- The Cigna Group (Nashville, TN)
- …transportation, valid driver's license, and insurance required - mileage reimbursement provided_** **_Bilingual preferred, but is not required_** **_Valid local ... learn a ton, and share in changing the way people think about healthcare . **Now let's talk about the role:** **SUMMARY:** Responsible for the execution of… more
- The Cigna Group (Bloomfield, CT)
- …effectiveness. **Qualifications and Competencies** + 5+ years' experience working with the Medicare market and operations environments + 5+ years' experience in ... Medicare risk adjustment rating related role, identifying opportunities, and...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- The Cigna Group (Bloomfield, CT)
- …value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician ... possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. MBA or MHA preferred. Significant industry experience… more
- Guidehouse (Lewisville, TX)
- …at ###_** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500 ... Would Be Nice To Have** **:** + Has active Medicare appeal process experience + PC skills in a...Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development… more
- The Cigna Group (Nashville, TN)
- …automation technologies strongly preferred + UIPath exposure an advantage + Medicare experience preferred + Green belt Certified preferred **Technical Skills** + ... 401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time...programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The… more
- Medical Mutual of Ohio (OH)
- …. **_Eastern & Central Time Zones preferred._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers ... standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs.… more