• Medicaid Payment & Financing

    Mathematica (Columbus, OH)
    …areas related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for-service base and supplemental ... teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and...or other relevant disciplines * A deep understanding of Medicaid payment and financing *… more
    Mathematica (09/14/24)
    - Save Job - Related Jobs - Block Source
  • Researcher - Alternative Payment

    American Institutes for Research (Washington, DC)
    **Overview** AIR is currently seeking a ** Researcher ** **- Alternative Payment Models** to join our Health Division (https://www.air.org/our-work/health) . AIR's ... position include: + Provide guidance for the implementation and evaluation of alternative payment models for Medicare, Medicaid , and commercial payers. + Support… more
    American Institutes for Research (09/27/24)
    - Save Job - Related Jobs - Block Source
  • Section Manager

    City of New York (New York, NY)
    …and judgement, performs specialized administrative work supervising the functions of the Medicaid Reimbursement units who processes invoices for payment of ... for Medicaid transportation, Home Care Reimbursement, Premium Payment and Medicaid Reimbursement Services: MAP Third...payments. - Forward invoices to the HRA Office of Finance for payment in a timely manner… more
    City of New York (10/30/24)
    - Save Job - Related Jobs - Block Source
  • Financial or Bus Analyst Sr / Inter

    University of Michigan (Ann Arbor, MI)
    …? MM, IHA, Corner Health, and Sparrow + Prepare and submit Average Commercial Rates for Medicaid Payment Uplift + Prepare and oversee EFT to State of MI and ... and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan,… more
    University of Michigan (11/04/24)
    - Save Job - Related Jobs - Block Source
  • Billing Specialist

    Aston Carter (Stockton, CA)
    …party payments. + ICD-10 + Medical Terminology + Accounts receivable + Medicare + Medicaid + Payment posting + Insurance verification + CPT coding Additional ... to thousands of clients across the globe. Specialized in accounting, finance , human resources, talent acquisition, procurement, supply chain and select… more
    Aston Carter (10/31/24)
    - Save Job - Related Jobs - Block Source
  • Financial Analyst

    Humana (Louisville, KY)
    …Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. The Finance team develops revenue and risk score ... for bids and budgets, evaluates changes in Medicare and Medicaid regulations and payment models, monitors and...eager to teach and to learn + Analytically minded; research , data, and detail oriented + Passionate about driving… more
    Humana (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Research Finance & Compliance…

    St. Luke's University Health Network (Allentown, PA)
    …we serve, regardless of a patient's ability to pay for health care. The Research Finance Coordinator II shall be responsible for assisting with the overall ... and maintaining accurate records of receivables. + Work cross-functionally with finance , research administration, and clinical teams to reconcile accounts,… more
    St. Luke's University Health Network (10/15/24)
    - Save Job - Related Jobs - Block Source
  • Sr Health Policy Analyst

    American Academy of Pediatrics (Itasca, IL)
    …compliance development for AAP initiatives in child health financing and payment including managed care, Medicaid , medical risk/liability, fraud and abuse, ... healthcare, is in search of specialized knowledge in health care financing , research , policy analysis, and medical liability/risk management. Reporting… more
    American Academy of Pediatrics (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Senior Vice President, Finance

    Somatus (Mclean, VA)
    …engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical operational stakeholders. The ... for this role are Corporate Financial Planning and Analysis and operational finance requiring knowledge of MedEcon, Analytics, Clinical Performance and Provider … more
    Somatus (09/19/24)
    - Save Job - Related Jobs - Block Source
  • Health Policy Analyst, Provider Finance

    Center For Health Information And Analysis (Boston, MA)
    …in the development and implementation of data-driven pricing policy within the Provider Finance Pricing team. As a Health Policy Analyst at CHIA, you will have ... development. In this role, you will help shape the payment rates made to health care providers by state...health care providers by state agencies, including the Commonwealth's Medicaid program (MassHealth). + Innovate and Improve: Bring your… more
    Center For Health Information And Analysis (08/23/24)
    - Save Job - Related Jobs - Block Source
  • Senior Policy Analyst, Bureau of Community…

    City of New York (New York, NY)
    …health parity and commercial insurance work. -Support the Office's work related to Medicaid , Medicare and value-based payment /alternative payment models as ... sectors and settings. DUTIES WILL INCLUDE BUT NOT BE LIMITED TO: - Research and analyze local, state and federal regulations, legislation, proposed/final budgets and… more
    City of New York (10/24/24)
    - Save Job - Related Jobs - Block Source
  • Director, Revenue Cycle Regulatory Research

    SSM Health (MO)
    …and Requirements:** **Primary Responsibilities** + Directs a coordinated regulatory research program for the organization. Participates as a regulatory resource ... Ensures extensive knowledge Medicare IPPS, and OPPS and state regulated payors ( Medicaid ) within the regulatory coordinators is maintained to cascade knowledge to… more
    SSM Health (09/21/24)
    - Save Job - Related Jobs - Block Source
  • Director of Policy & Legal/ Healthcare…

    City of New York (New York, NY)
    …ensuring regulatory compliance for cross-sector data exchange. Serve as the liaison between the Payment and Financing Team and the Office of the General Counsel, ... regulatory, and/or research policy and analysis. - The regulation and financing of hospitals and other healthcare facilities and businesses at the federal,… more
    City of New York (10/28/24)
    - Save Job - Related Jobs - Block Source
  • Health Care Coordinator 2 - Nurse

    State of Nevada (NV)
    …location. Department: Health and Human Services (http://dhhs.nv.gov/) Division: Health Care Financing & Policy Location: Reno, Sparks Job Class Code: 12.334 ... medical needs; participate in periodic reviews of facilities providing care to Medicaid eligible clients to validate and ensure adequacy of services and resident… more
    State of Nevada (11/02/24)
    - Save Job - Related Jobs - Block Source
  • Benefits Entitlement Specialist

    The Arc Erie County NY (Williamsville, NY)
    …well as Medicaid , and other insurances as necessary. + Problem solve/ research billing denials due to benefit eligibility questions including Medicaid , SSI, ... payments to individual and the agency, problem solving and specific benefit research . This position also involves: + Establish and maintain contacts with key… more
    The Arc Erie County NY (10/18/24)
    - Save Job - Related Jobs - Block Source
  • VP, Enterprise Commercial & Government Contracting…

    Children's Hospital Los Angeles (Glendale, CA)
    …Care payment arrangements, as well as shifting alternative payment models in California's Medicaid environment. **Minimum Qualifications/Work Experience:** ... care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each… more
    Children's Hospital Los Angeles (11/07/24)
    - Save Job - Related Jobs - Block Source
  • Senior Policy Advisor, Bureau of Equitable Health…

    City of New York (New York, NY)
    …regulatory, and/or research policy and analysis - The regulation and financing of hospitals and other healthcare facilities and businesses at the federal, state, ... promote high-value care - Civil rights and non-discrimination in healthcare - Medicaid policy and strategy - Outstanding research , analytical, and writing… more
    City of New York (09/21/24)
    - Save Job - Related Jobs - Block Source
  • Commercial Controller (FP&A/Gov Pricing/GTN)

    Kedrion Biopharma (Fort Lee, NJ)
    …Rebate accruals. + Research and root cause analysis on deductions on Medicaid , Tricare, and Medicare programs. + Advise and support Sales pricing meetings to ... revenue forecasts, scenarios, simulations, and sensitivity analysis. + Oversee invoice and payment reconciliation processes in Finance team. + Management of any… more
    Kedrion Biopharma (10/07/24)
    - Save Job - Related Jobs - Block Source
  • Encounter Data Management Professional

    Humana (Frankfort, KY)
    …and consults on development of tools to enhance the encounter acceptance rate for Medicaid trading partners. Conducts research on various Medicaid encounter ... + Serves as a subject matter expert for error corrections teams for multiple Medicaid States + Conducts research and testing for resolution of claim errors… more
    Humana (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Patient Billing Specialist Lead

    University of Colorado (Aurora, CO)
    …day-to-day operations, workflows, and quality assurance for the SDM patient payment windows, insurance verification, and reporting functions for the patient ... accounting office. + Monitors and coordinates adequate coverage for the patient payment windows in each of the clinics. + Recommend, coordinate, and develops… more
    University of Colorado (10/24/24)
    - Save Job - Related Jobs - Block Source