• Audit & Reimbursement Sr

    Elevance Health (Columbus, OH)
    …Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) ... ** Audit & Reimbursement Senior **...** Audit & Reimbursement Senior ** **Location:** This is a...Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare more
    Elevance Health (10/29/24)
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  • Senior Finance Medicare

    AdventHealth (Altamonte Springs, FL)
    …**Job Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
    AdventHealth (08/16/24)
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  • Audit & Reimbursement Lead

    Elevance Health (Columbus, OH)
    …Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with ... a BA/BS degree and a minimum of 8 years audit / reimbursement or related Medicare experience...Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or… more
    Elevance Health (10/21/24)
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  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… more
    Medical Mutual of Ohio (09/20/24)
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  • Healthcare Review/ Audit Senior

    Guidehouse (Philadelphia, PA)
    …is looking for a Senior Consultant to work on a Centers for Medicare and Medicaid Services (CMS) project with the Office of Financial Management (OFM). This role ... CMS programs, specific to the Affordable Care Act. The Senior Consultant will work with a team of reviewers...+ 3 - 5 years of professional experience in audit , compliance, research, program management, process improvement, or operations… more
    Guidehouse (10/19/24)
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  • Associate Director, Risk Adjustment Audit

    CenterWell (Tallahassee, FL)
    …various reimbursement methodologies, including risk adjustment, fee for service, Medicare , etc. + Passionate about contributing to an organization focused on ... ICD-10-CM, CPT, & HCPCS codes that are submitted to the Centers for Medicare and Medicaid Services (CMS), other payers, and over government agencies. In addition,… more
    CenterWell (10/30/24)
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  • Corporate Senior Government…

    Prime Healthcare (Ontario, CA)
    …preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and ... understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how...a multi-state hospital system and provide the support at audit + Knowledge of Medicare rules on… more
    Prime Healthcare (09/07/24)
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  • Senior Reimbursement Analyst

    Sanford Health (Grand Forks, ND)
    …**Weekly Hours:** 40.00 **Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement ... and procedures for reimbursement functions including estimating, modeling and reimbursement functions, which includes Medicare , Medicaid or other third party… more
    Sanford Health (10/01/24)
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  • Senior Manager, Project Management (Limited…

    MetroLink (Los Angeles, CA)
    Senior Manager, Project Management (Limited Term) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4663705) Apply  Senior Manager, Project ... (SCRRA), operator of the METROLINK Commuter Rail System, is seeking a Senior Manager, Project Management who will provide leadership and oversight for day-to-day… more
    MetroLink (10/21/24)
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  • Behavioral Health Finance Analyst I/II/…

    Ventura County (Ventura, CA)
    Behavioral Health Finance Analyst I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4617164) Apply  Behavioral Health Finance Analyst ... I/II/ Senior Salary $75,660.36 - $129,463.29 Annually Location Oxnard, CA...auditors. Oversees audits, interprets and assists with resolution to audit findings; + Plans, schedules and coordinates all aspects… more
    Ventura County (10/25/24)
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  • Senior Hospital Compliance Analyst

    Penn Medicine (Bala Cynwyd, PA)
    …departments resulting in improved documentation of hospital services while limiting external audit risk. + Prepare executive reports for Senior Leadership. + ... future each day. Are you living your life's work? ** Senior Hospital Compliance Analyst** Job Summary: + Responsible for...also participate in performing coding research and other hospital-based audit activity that may be necessary in support of… more
    Penn Medicine (10/01/24)
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  • Senior Compliance Coding Auditor…

    Nuvance Health (Danbury, CT)
    …*Summary:* Reporting to the Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor providesHospital ... on auditing results. Effectively uses abstracting databases, internal and external audit results, QIO reports and revenue cycle edit/denial information. Effectively… more
    Nuvance Health (10/29/24)
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  • Senior Accountant Net Revenue Remote

    AdventHealth (Tampa, FL)
    Reimbursement , Cash, Tax, and Government Reporting. . The Senior Accountant routinely analyzes, compiles and summarizes data using deductive reasoning ... favorable scorecard results when reviewed periodically by AHS Corporate including internal audit , cash management, and reimbursement reviews. This position also… more
    AdventHealth (11/01/24)
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  • Sr Reimbursement Analyst

    CommonSpirit Health (Englewood, CO)
    …happen both inside our hospitals and out in the community. **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report ... preparation, cost report appeals, audit preparation and other duties...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement more
    CommonSpirit Health (10/16/24)
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  • Financial Analyst Senior - Financial…

    Penn State Health (Hershey, PA)
    …duties involving at least one of the following core areas: Revenue and Reimbursement ; General Accounting; Third Party Contracting; Medicare / Medicaid Cost ... C. Kieffer at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Senior Financial Analyst is a member of the Finance… more
    Penn State Health (10/19/24)
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  • Senior Accountant

    AdventHealth (Sebring, FL)
    …by AHS Corporate including internal audit , cash management, and reimbursement reviews. The Senior Accountant works collaboratively with Adventist Health ... functions of the Accounting Department that include Fixed Assets, Foundation, Reimbursement , Cash, Tax, and Government Reporting.The Senior Accountant routinely… more
    AdventHealth (09/26/24)
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  • Senior Charge Capture Auditor - TxCtr-Admin…

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …paragraph summarizes the general nature, level and purpose of the job. The Senior Charge Capture Auditor works closely with clinical departments to ensure compliance ... is also responsible for managing Med Assets charge capture audit results, conducting root cause analysis and taking corrective...Service Standards and its Code of Conduct. + Assists Senior Financial Manager with removing coding exceptions from CDM… more
    Lucile Packard Children's Hospital Stanford (08/27/24)
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  • Inpatient Senior Coding Specialist

    AdventHealth (Maitland, FL)
    …coding experience in a hospital setting + Thorough knowledge of Medicare reimbursement methodology, documentation guidelines, data abstraction and encoder ... ICD-10PCS and DRG codes used for quality reporting and reimbursement purposes. The Senior Inpatient Coder provides...as needed for newer coders and for external coding audit review + Mentors more junior level staff and… more
    AdventHealth (10/12/24)
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  • Medical Claims FP&A Senior Manager

    The Cigna Group (Denver, CO)
    The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid ... to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations, and external Audit Firms. Given the close partnership between this team and the… more
    The Cigna Group (10/22/24)
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  • Director, Reimbursement Configuration

    Healthfirst (NY)
    …of claim payment methodologies and regulatory frameworks governing health plan reimbursement methods in Medicare , Medicaid and commercial insurance markets ... met + Identify and resolve inconsistencies between system configurations and reimbursement contracts and policies + Maintain effective and consistent configuration… more
    Healthfirst (09/28/24)
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