- Mathematica (Columbus, OH)
- …areas related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for-service base and supplemental ... teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and...or other relevant disciplines * A deep understanding of Medicaid payment and financing *… more
- 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
- American Institutes for Research (Washington, DC)
- **Overview** AIR is currently seeking a ** Researcher ** **- Alternative Payment Models** to join our Health Division (https://www.air.org/our-work/health) . AIR's ... position include: + Provide guidance for the implementation and evaluation of alternative payment models for Medicare, Medicaid , and commercial payers. + Support… 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
- University of Michigan (Ann Arbor, MI)
- …? MM, IHA, Corner Health, and Sparrow + Prepare and submit Average Commercial Rates for Medicaid Payment Uplift + Prepare and oversee EFT to State of MI and ... and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan,… more
- Aston Carter (Stockton, CA)
- …party payments. + ICD-10 + Medical Terminology + Accounts receivable + Medicare + Medicaid + Payment posting + Insurance verification + CPT coding Additional ... to thousands of clients across the globe. Specialized in accounting, finance , human resources, talent acquisition, procurement, supply chain and select… more
- Humana (Louisville, KY)
- …Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. The Finance team develops revenue and risk score ... for bids and budgets, evaluates changes in Medicare and Medicaid regulations and payment models, monitors and...eager to teach and to learn + Analytically minded; research , data, and detail oriented + Passionate about driving… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Research Finance Coordinator II shall be responsible for assisting with the overall ... and maintaining accurate records of receivables. + Work cross-functionally with finance , research administration, and clinical teams to reconcile accounts,… 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)
- …health parity and commercial insurance work. -Support the Office's work related to Medicaid , Medicare and value-based payment /alternative payment models as ... sectors and settings. DUTIES WILL INCLUDE BUT NOT BE LIMITED TO: - Research and analyze local, state and federal regulations, legislation, proposed/final budgets and… 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
- SSM Health (MO)
- …and Requirements:** **Primary Responsibilities** + Directs a coordinated regulatory research program for the organization. Participates as a regulatory resource ... Ensures extensive knowledge Medicare IPPS, and OPPS and state regulated payors ( Medicaid ) within the regulatory coordinators is maintained to cascade knowledge to… 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
- 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
- Humana (Frankfort, KY)
- …and consults on development of tools to enhance the encounter acceptance rate for Medicaid trading partners. Conducts research on various Medicaid encounter ... + Serves as a subject matter expert for error corrections teams for multiple Medicaid States + Conducts research and testing for resolution of claim errors… more