- City of New York (New York, NY)
- …to healthcare systems strategy and accountability. Plan and direct research related to Medicaid payment and financing . Plan and direct research ... Health Services seeks to hire a Director of Healthcare Payment & Financing Initiatives. DUTIES WILL INCLUDE...Medicaid . Conduct analyses and disseminate key findings for research policy and programmatic change and improvement related to… more
- City of New York (New York, NY)
- …and judgement, performs specialized administrative work supervising the functions of the Medicaid Reimbursement units who processes invoices for payment of ... for Medicaid transportation, Home Care Reimbursement, Premium Payment and Medicaid Reimbursement Services: MAP Third...payments. - Forward invoices to the HRA Office of Finance for payment in a timely manner… more
- State of Colorado (Denver, CO)
- …Job Number UHA08968 11/20/2024 Department Department of Health Care Policy and Financing Division Finance Office Opening Date 11/26/2024 Closing Date 12/10/2024 ... Finance Temporary Aide Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4736981) Apply ...by law. The Department of Health Care Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's… more
- New York State Civil Service (Albany, NY)
- …of Health (DOH) employee with permanent or contingent-permanent status as a Program Research Specialist 1 (Health Care Finance ), G-18, Program Research ... 1 (Health Care Finance ), NS or Program Research Specialist Trainee 2 (Health Care Finance ),...science, or data modeling and one year of professional research experience in health care financing performing… more
- University of Rochester (Rochester, NY)
- …trends of specific problems and recommends corrective action. 20%** + Communicate with Finance on special EFT deposits and Medicare/ Medicaid ledger bookings + ... is recorded and claimed in various Excel logs + Research EFT deposits received with no matching payment file or EOB + Organize and maintain payment… more
- American Academy of Pediatrics (Itasca, IL)
- …compliance development for AAP initiatives in child health financing and payment including managed care, Medicaid , medical risk/liability, fraud and abuse, ... healthcare, is in search of specialized knowledge in health care financing , research , policy analysis, and medical liability/risk management. Reporting… more
- Somatus (Mclean, VA)
- …engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical operational stakeholders. The ... for this role are Corporate Financial Planning and Analysis and operational finance requiring knowledge of MedEcon, Analytics, Clinical Performance and Provider … more
- Center For Health Information And Analysis (Boston, MA)
- …in the development and implementation of data-driven pricing policy within the Provider Finance Pricing team. As a Health Policy Analyst at CHIA, you will have ... development. In this role, you will help shape the payment rates made to health care providers by state...health care providers by state agencies, including the Commonwealth's Medicaid program (MassHealth). + Innovate and Improve: Bring your… more
- City of New York (New York, NY)
- …ensuring regulatory compliance for cross-sector data exchange. Serve as the liaison between the Payment and Financing Team and the Office of the General Counsel, ... regulatory, and/or research policy and analysis. - The regulation and financing of hospitals and other healthcare facilities and businesses at the federal,… more
- State of Nevada (NV)
- …location. Department: Health and Human Services (http://dhhs.nv.gov/) Division: Health Care Financing & Policy Location: Reno, Sparks Job Class Code: 12.334 ... medical needs; participate in periodic reviews of facilities providing care to Medicaid eligible clients to validate and ensure adequacy of services and resident… more
- The Arc Erie County NY (Williamsville, NY)
- …well as Medicaid , and other insurances as necessary. + Problem solve/ research billing denials due to benefit eligibility questions including Medicaid , SSI, ... payments to individual and the agency, problem solving and specific benefit research . This position also involves: + Establish and maintain contacts with key… more
- Children's Hospital Los Angeles (Glendale, CA)
- …Care payment arrangements, as well as shifting alternative payment models in California's Medicaid environment. **Minimum Qualifications/Work Experience:** ... care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each… more
- New York State Civil Service (Albany, NY)
- …and directing staff in performing utilization review, including prepayment or post- payment review of requested health care services, prior approval or authorization ... activities, adjudication or pricing of claims for payment , or analysis of patterns of health care. 3....directing staff in developing mechanisms for the reimbursement and financing of health care services, including rate-setting or approval,… more
- City of New York (New York, NY)
- …regulatory, and/or research policy and analysis - The regulation and financing of hospitals and other healthcare facilities and businesses at the federal, state, ... promote high-value care - Civil rights and non-discrimination in healthcare - Medicaid policy and strategy - Outstanding research , analytical, and writing… more
- Kedrion Biopharma (Fort Lee, NJ)
- …Rebate accruals. + Research and root cause analysis on deductions on Medicaid , Tricare, and Medicare programs. + Advise and support Sales pricing meetings to ... revenue forecasts, scenarios, simulations, and sensitivity analysis. + Oversee invoice and payment reconciliation processes in Finance team. + Management of any… more
- University of Colorado (Aurora, CO)
- …+ Responsible for making sure that the proper paperwork is retained in the payment office and sent to the Bursar's Office. + Responsible for verifying Medicaid ... parties results that require action; Responsible for maintaining the files for all Medicaid paperwork and any Medicaid correspondence in the patient accounting… more
- New York State Civil Service (Albany, NY)
- …laws, rules, and regulations; establishing mechanisms for the reimbursement and financing of health care services, including rate-setting, development of capitation ... prior approval or authorization activities, adjudication of claims for payment and/or provider credentialing; AND/OR conducting independent examinations of health… more
- HonorHealth (Scottsdale, AZ)
- …special package plan agreements, financial assistance paperwork; assists with obtaining Medicaid applications, alternative financing and verifying coverage from ... care services, a cancer care network, outpatient surgery centers, clinical research , medical education, a foundation, an accountable care organization, community… more
- New York State Civil Service (Albany, NY)
- …and inquiries escalated from unit staff. The incumbent will conduct complex research and verification of claims payment history for providers, communicate ... laws, rules, and regulations; establishing mechanisms for the reimbursement and financing of health care services, including rate-setting, development of capitation… more
- VNS Health (Manhattan, NY)
- …amounts. Works closely with TPA in reviewing CMS payments to plan and research payment discrepancies. Validates that appropriate payments are received and ... Health Plans Products through various Governmental Agency produced reports (eg Center for Medicaid and Medicaid Services (CMS), Department of Health (DOH), Local… more