- Stanford Health Care (Palo Alto, CA)
- …works closely with all members of the Stanford Health Care Executive and Senior Leadership Teams. The Corporate Controller is one of the primary executives ... responsible for reporting to the Board of Directors, Audit , Compliance and Enterprise Risk Committee and Finance &...and approve the issuance of monthly financial package to senior management including CEO, CFO and COO. Provide expertise… more
- Stanford Health Care (Palo Alto, CA)
- …accurate capture of all legitimate reimbursement opportunities. + Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals ... is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …Inflation Reduction Act ("IRA") processes and compliance activities for the Medicare Drug Negotiation Program. Ensures accurate and timely input and implementation ... support for SOX inquiries and ensure adherence to SOX controls. Performs post audit reviews and analysis of 340B PHS chargebacks and MFP rebates Ensure timely… more
- Elevance Health (Miami, FL)
- …Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and … more
- Covenant Health Inc. (Knoxville, TN)
- …liaison between CFOs, department managers, providers, and billing staff to maximize reimbursement within compliance guidelines for Medicare , Medicaid and other ... Summary: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to charging,… more
- Houston Methodist (Houston, TX)
- …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations, State 1115 waivers, FEMA, and ... At Houston Methodist, the Senior ( Sr .) Accountng and Reporting Analyst...application of positive language principles + Expert knowledge of Medicare reimbursement , tax and/or FEMA rules preferred… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr . Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit , compliance, and ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- Catholic Health Services (Rockville Centre, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate ... complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare /Medicaid reimbursement , managed care contracts, and healthcare finance. Key… more
- Serco (Herndon, VA)
- **Position Description** Serco is seekinga self-starter ** Senior Manager Compliance** to join our talented and fast-paced team supporting millions of people applying ... program goals. The candidate will also manage policy, internal and external audit , data analytics and research teams to improve program performance, quality, and… more
- WellSense (MA)
- …between provider and internal Plan departments such as Provider Enrollment, Claims, Audit , Marketing, Customer Care and Care Management. **Our Investment in You:** . ... to pre-set site visit servicing standards** + **Acts as liaison for all reimbursement , credentialing, claims, EDI web site procedures and issues of key providers** +… more
- University of Virginia (Charlottesville, VA)
- …and executive use. + Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance ... procedures, and applicable regulatory standards and requirements. + Completes chart audit reviews of clinical documentation to determine accuracy of charge capture.… more
- Saint Francis Health System (Tulsa, OK)
- …area. + Relocation assistance is available to support the transition. Job Summary: The Senior Internal Audit Analyst plays a critical role in evaluating and ... software, and data analytics platforms. Working knowledge of healthcare billing and reimbursement processes, particularly related to Medicare and Medicaid is… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …staff, Benefits Administration staff, Provider Audit , Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... Medicare Advantage must have working knowledge of Medicare enrollment guidelines and reimbursement . **Licenses and...well as coordinating projects and time frames with less senior reimbursement staff. + Accountable for complying… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Financial Compliance Audit , $10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary Manager, Financial Compliance Audit (Finance) has a $10,000 SIGN-ON BONUS. This role...(DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and… more
- University of Southern California (Alhambra, CA)
- …(nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare /Medicaid reimbursement , managed ... the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM)...with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. + Req Knowledge of… more
- Sutter Health (Sacramento, CA)
- …+ Understanding of hospital-based outpatient charging and coding + Knowledge of Medicare APC and OPPS reimbursement structures + In-depth knowledge of ... at communicating effectively with all levels of the organization, especially senior leadership and department heads. + Demonstrates skilled ability and comfort… more
- Omaha Children's Hospital (Omaha, NE)
- …DSH reporting, and other agency reporting over net patient revenue and reimbursement . Oversees general ledger accounts and ensures accuracy of financial statements ... members. **Essential Functions** Cost Reporting + Coordinates preparation of all Medicare and Medicaid cost reports. + Analyzes, interprets, and utilizes statistics… more
- Banner Health (Phoenix, AZ)
- …As a ** Senior Financial Analyst,** you will be responsible for pharmacy reimbursement , 340B pricing, Medicare Fair Price and Medicare Transaction ... risk summaries; as well as monitoring federal price updates, audit flags, and regulatory changes functioning as the primary...Shifts may change slightly depending on the needs of Sr leaders and the meeting schedules in order to… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, accuracy, and regulatory compliance of ... payer, and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the development and execution of the annual… more
- University of Rochester (Brighton, NY)
- …on relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and New York State Medicaid). Stays abreast of Medicare ... the goals and expectations established for the Office of Counsel, the Senior Counsel identifies, analyzes and provides legal guidance and services on complex… more
