- Elevance Health (Columbus, OH)
- …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
- Elevance Health (Boston, MA)
- …as needed. **Requirements:** + a BA/BS and a minimum of 8 years of audit / reimbursement or related Medicare experience; or any combination of education ... Monday-Friday 8:30am-5:00pm **Responsible for coordinating all activities of an audit or reimbursement team in the initiation and completion of assignments which… 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 ... , Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Johns Hopkins University (Baltimore, MD)
- We are seeking a ** Sr . Compliance Auditor** **Trainer** who will provide on-going training and support to physicians, non-physician providers, professional fee ... of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or results… more
- CareOregon (Portland, OR)
- …Mastery of one or more core organizational accounting functions (eg, IBNR, Medicare estimates, Risk Corridors, Regulatory Reporting, Audit , Reporting software) + ... for remote positions must reside in Oregon or Washington. Job Title Sr Accountant Exemption Status Exempt Department Finance Manager Title Accounting Supervisor -… more
- WellSense (Boston, MA)
- Sr . Provider Relations Consultant- (MA residents)-$5,000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...and internal Plan departments such as Provider Enrollment, Claims, Audit , Marketing, Customer Care and Care Management. Our Investment… more
- University of Rochester (Rochester, 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
- Stanford Health Care (Palo Alto, CA)
- …and cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational ... strategies to drive optimal performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between PFS operations and other departments in the… more
- The Cigna Group (Bloomfield, CT)
- The Medicare Technology Operations organization is looking for experienced, innovative and motivated leaders with strong technology engineering and cloud acumen, a ... strategic mindset, and demonstrated empathic collaboration. The Cloud Engineering Senior Manager will oversee a team dedicated to creating and delivering… more
- Medical Mutual of Ohio (OH)
- …questions with payment recovery staff.** + **Performs other duties as assigned.** ** Senior Medicare Clinical Auditor** + **Audits outpatient, inpatient and ... with payment recovery staff.** + **Performs other duties as assigned.** **Qualifications** ** Medicare Clinical Auditor & Sr . Medicare Clinical Auditor**… 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
- The Cigna Group (Plano, TX)
- …in driving medical cost and affordability saving strategies + Knowledge of various Medicare reimbursement methodologies such as MS-DRG, OPPS, IPPS, APR-DRG, and ... will be accountable for the financial results and medical cost savings of Medicare Advantage payment integrity programs. Work with business partners to identify and… more
- Guidehouse (Mclean, VA)
- …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
- 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 ... **Responsibilities** **Primary Job Responsibilities:** + This position supports the Senior Director of Internal Audit in their...as required. + Provide in-depth progress reports to the Sr . Audit Director for review and prepare… 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
- 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
- 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
- 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