- AdventHealth (Altamonte Springs, FL)
- …balances of Adventist Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid ... Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate… more
- AdventHealth (Altamonte Springs, FL)
- …third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid ... Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate… more
- Elevance Health (Smithfield, RI)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government ... Services to transform federal health programs. The **Audit and Reimbursement Senior** , will support our Medicare ...and Reimbursement Senior** , will support our Medicare Administrative Contract (MAC) with the federal government (The… 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
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …to MDS and MA Medicaid payment methodology. + Extensive knowledge of Medicare reimbursement , compliance, and eligibility. Knowledge, Skills, and Abilities + ... CLINICAL REIMBURSEMENT SPECIALIST/ MULTI FACILITY We offer competitive compensation...Ensures compliance with federal and state regulations, MA Medicaid, Medicare and Managed Care payment systems. Monitors, consults, and… more
- Stryker (MD)
- …of their businesses. This person should have a material understanding of Medicare reimbursement and a general understanding of Commercial plans. **Essential ... product specific market access threats and opportunities (such as reimbursement , payment, etc.) for Medicare and private payers. + Work with other senior health… 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 of services to maximize… more
- Elevance Health (Columbus, OH)
- … and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with ... Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . This position provides a… more
- Elevance Health (Columbus, OH)
- … and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with ... contractual workload involving the Medicare cost report and Medicare Part A reimbursement . This position provides a valuable opportunity to lead team members… more
- Abbott (Washington, DC)
- …healthcare policies that impact Abbott. More specifically, you will support Medicare reimbursement activity for Abbott cardiovascular and neuromodulation (CVNM) ... divisions. This includes Medicare reimbursement (coding, coverage and payment) for all CVNM products. You will also lead development and advocacy of Abbott's… more
- Genesis Healthcare (Lebanon, NH)
- …MDS Nurse -- RN manages the overall process and tracking of all Medicare /Medicaid case-mix documents to ensure appropriate reimbursement for all services ... long term care clinical nursing experience is required. *Experience with Medicare /Medicaid reimbursement , MDS completion, clinical resource utilization and/or… 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
- Elevance Health (Columbus, OH)
- …short timelines is strongly preferred. + Knowledgeable of the application of Medicaid, Medicare or Commercial reimbursement policies and guidelines. + FACETS or ... Admin** ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate … more
- Geisinger (Danville, PA)
- Job Summary Geisinger Health Plan is looking for candidates with significant Medicare /Medicaid policy experience to join the reimbursement services team. ... Keeps fully informed of current and anticipated changes in Medicare and other third party payor reimbursement ...in Medicare and other third party payor reimbursement regulations and advises leadership of the possible effects.… 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
- Healthfirst (NY)
- …to support the annual bid process + Partner with DSE in supporting the Medicare provider reimbursement modernization efforts + Support Medicare team with ... Duties & Responsibilities: + Partners with Medicare Team members and others in the organization...provide leadership within various constituents of Finance that support Medicare products in various forms and functions + Acts… more
- Elderwood (Buffalo, NY)
- …completion, coding, and submission requirements. + Demonstrated experience and background in Medicare Reimbursement including CMI and PDPM payment model. + ... MDS Assessor to join our elite team of Clinical Reimbursement specialists! This position is a per diem, remote...reimbursement for each individual assessment. + Completes all Medicare Prospective Payment System (PPS) Minimum Data Set (MDS)… more
- Houston Methodist (Houston, TX)
- …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations and the budget system. Shares ... service focus and application of positive language principles + Working knowledge of Medicare reimbursement , tax and/or FEMA rules preferred + Strong knowledge… more
- Plante Moran (Columbus, OH)
- …+ CPA highly preferred + 10 years of experience in post- acute healthcare reimbursement including Medicare , Medicaid, and cost reporting + Strong background in ... Healthcare Reimbursement - Consulting Sr. Manager + Location: United...manage strategic engagements focused on preparation of Medicaid and Medicare cost reports + Prepare, review, and analyze SNF… more