• 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)
    - Save Job - Related Jobs - Block Source
  • Senior Director, Audit , Monitoring…

    Centene Corporation (Austin, TX)
    …Purpose:** Leads teams and individuals in the performance of internal audit activities, provides independent objective assurance and consulting services, builds ... strategic relationships between the Internal Audit department and other departments, and helps to promote...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
    Centene Corporation (11/28/24)
    - Save Job - Related Jobs - Block Source
  • Senior Medicare Compliance Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Implements and manages ... the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the Company's Medicare Advantage… more
    Medical Mutual of Ohio (11/27/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Medicare Healthcare Internal Consultant…

    Vanderbilt University Medical Center (Nashville, TN)
    …Prepares data for inclusion in presentations on strategic requirements to senior leadership related to implementations of systematic and procedural changes to ... in the assembly of documentation and data to support analytical reporting to senior business operational leaders and physician leadership regarding: + Audit more
    Vanderbilt University Medical Center (11/07/24)
    - Save Job - Related Jobs - Block Source
  • Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …and LinkedIn. **Brief summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records ... problem-solver. **Responsibilities** **Primary Job Responsibilities:** + This position supports the Senior Director of Internal Audit in their leadership of… more
    Fallon Health (11/09/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Senior Compensation Consultant

    Medical Mutual of Ohio (Brooklyn, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. We are seeking an ... updates to Finance as needed.Collaborates with HR, finance, internal and external audit , and communications to ensure proper annual award payment and messaging to… more
    Medical Mutual of Ohio (11/10/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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 (11/26/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Senior Cardiology and Interventional…

    Banner Health (ND)
    …collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement . The Senior Cardiology and Interventional Radiology Certified Coder's ... gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue… more
    Banner Health (11/14/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Senior Director, Risk Adjustment Compliance…

    Centene Corporation (Raleigh, NC)
    …and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective ... and actual CMS and other regulatory audits and coordinates with Internal Audit , Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency… more
    Centene Corporation (11/24/24)
    - Save Job - Related Jobs - Block Source