- AdventHealth (Altamonte Springs, FL)
- …in use of regulatory cost reporting software . Experience in healthcare reimbursement including Medicare, Medicaid reimbursement and regulatory cost ... knowledge of current laws and regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad… more
- AdventHealth (Altamonte Springs, FL)
- …or Finance + Minimum of 4 years of relevant experience in healthcare reimbursement including Medicare, Medicaid reimbursement and regulatory cost reporting ... knowledge of current laws and regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad… more
- New York State Civil Service (Albany, NY)
- …or unit to initiate the recovery process.* Take appropriate actions regarding Medicaid enrollment and premium reimbursement .* Create and modify HIPP/MIPP payees ... clients and coworkers. * Handle incoming phone calls from Medicaid clients with questions about their premium reimbursement... Medicaid clients with questions about their premium reimbursement checks. Review eMedNY, NYSoH, KTT, and JIRA to… more
- CVS Health (Dallas, TX)
- … product pricing + Health Plan Operations + Provider contracting and reimbursement methodologies + Medicaid , Medicare or Commercial health insurance products ... and affordable. **Position Summary** The Executive Director, CFO Texas Medicaid Market role will function as the CFO for...role will function as the CFO for the Texas Medicaid Health Plan, and will lead the respective markets'… more
- Geisinger (Danville, PA)
- …- American Health Information Management Association Experience with Medicare and Medicaid reimbursement methodologies; experience with Facets Preferred Internet ... Job Summary Geisinger Health Plan is looking for candidates with significant Medicare/ Medicaid policy experience to join the reimbursement services team.… more
- Genesis Healthcare (Philadelphia, PA)
- …will maximize revenue through the evaluation and optimization of the Medicare/ Medicaid reimbursement process. Position Highlights*Participate in the development, ... implementation, evaluation and outcomes management of reimbursement priorities in nursing centers to assure proper utilization...a BA degree is required *Must have Medicare and Medicaid experience. Other Info + Position Type: Full Time… more
- Genesis Healthcare (Lebanon, NH)
- …long term care clinical nursing experience is required. *Experience with Medicare/ Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... MDS Nurse -- RN manages the overall process and tracking of all Medicare/ Medicaid case-mix documents to ensure appropriate reimbursement for all services… more
- Guthrie (Athens, PA)
- …in coding required. Experience: Three to five years of professional reimbursement experience. Medicare/ Medicaid reimbursement experience required. Extensive ... leaders, managers, providers, and clinic personnel to ensure effective and efficient reimbursement and coding procedures for all clinic sites. Assigned area consists… more
- MyFlorida (Tallahassee, FL)
- …contracted Medicaid health plans, calculates both institutional and non-institutional Medicaid reimbursement rates, and disburses supplemental payments to ... adjustments to determine allowable costs. Set facility rates in accordance with Medicaid reimbursement plans, policies, applicable federal and state rules, and… more
- Providence (Renton, WA)
- …strategies, provider fee analysis, various cost-based reimbursement strategies, and any reimbursement methodology related to Medicare and Medicaid that have ... **Description** **THE ROLE** The Director Reimbursement , Regulatory Analytics ( Reimbursement , Regulatory Analytics) is responsible for overseeing analytics and… more
- Elevance Health (Columbus, OH)
- …short timelines is strongly preferred. + Knowledgeable of the application of Medicaid , Medicare or Commercial reimbursement policies and guidelines. + FACETS ... Admin** ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate … more
- AbbVie (Chicago, IL)
- …and products including but not limited to health care and Medicare and Medicaid reimbursement . + Analyze Federal Registry documents and prepare policy analysis ... trends and initiatives on health policies, patient access, and provider reimbursement . This position will call on commercial payors, managed care organizations,… more
- Commonwealth Care Alliance (Boston, MA)
- … reimbursement policies for a variety of audiences, providing Medicare/ Medicaid business requirements for payment system changes + Interpreting and implementing ... of health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare) + Applies subject matter knowledge;… more
- Beth Israel Lahey Health (Charlestown, MA)
- …VP and AVP, the Director will develop long- and short- term Medicare, Medicaid , and other government reimbursement revenue strategies, oversee preparation and ... and Government Audits, etc. 9. Identify and design strategic reimbursement initiatives including Medicare & Medicaid DSH,...design strategic reimbursement initiatives including Medicare & Medicaid DSH, GME, UC, bad debt reimbursement ,… more
- New York State Civil Service (Albany, NY)
- …reports, and other operational documents for financial feasibility and impact on Medicaid reimbursement rates; Develops and reviews cost reports, including CFRs, ... program areas. Performs Medicaid rate setting activities.Calculates and updates Medicaid reimbursement rates by reviewing and analyzing relevant information… more
- UNC Health Care (Goldsboro, NC)
- …who meet the eligibility criteria. Obtains eligibility for patients entitled to Medicaid for the purpose of obtaining reimbursement for services provided ... well-being of the unique communities we serve. Summary: The Medicaid Eligibility Specialist screens, coordinates and facilitates the ...on complex financial concepts and procedures of applying for Medicaid . 6. In some cases, may act as the… 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 working ... RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut RN Manager...office. + Keeps abreast of changes in the Medicare, Medicaid and managed care areans and MDS/RAI processes through… more
- Elderwood (Cheektowaga, NY)
- …requests and appeals processes. + Manages NYS RUGs III case mix for Medicaid reimbursement . + Completes occasional travel between facilities and Elderwood ... Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology, have experience Patient Driven Payment Model (PDPM), and Case… more
- Elderwood (Waverly, NY)
- …requests and appeals processes. + Manages NYS RUGs III case mix for Medicaid reimbursement . + Completes occasional travel between facilities and Elderwood ... Do you consider yourself an expert in assessment and reimbursement methodology? We want to talk with you! RN...Case Mix Index (CMI) preferred + Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III… more
- BrightSpring Health Services (Englewood, CO)
- …acceptable) and working knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement , and Cash Applications + Home infusion industry ... collection of all Accounts Receivable, including but not limited to Medicare, Medicaid , commercial insurances and patient balances. The Collection Group Leader will… more