- 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
- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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