- 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
- Aston Carter (Parsippany, NJ)
- …Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental ... Job Title: Medicaid Claims Analyst Job Description The Medicaid... systems and authorize transactions. Document errors and perform research . + Conduct initial quality check on summary data… more
- Public Consulting Group (Columbus, OH)
- …. **Job-Specific Responsibilities** + Provide strong leadership on all Medicare/ Medicaid cost settlement and supplemental payment projects, effectively ... + Support the completion of SOC reports on our Medicaid supplemental payment work and services. +...years of relevant work experience with government and/or nonprofit finance office, accounting firm, consulting firm, Medicaid … more
- Humana (Frankfort, KY)
- …risk score projections for bids and budgets, evaluates changes in Medicare and Medicaid regulations and payment models, monitors and reports on risk adjustment ... risk score projections for bids and budgets, evaluates changes in Medicare and Medicaid regulations and payment models, monitors and reports on risk adjustment… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Medicaid Eligibility Examiner 2 (NY HELPS) - 15228, 15243, 15445, 79193, 79228, 79696 Occupational Category Other ... which financial eligibility criteria must be met; performing utilization review, including pre- payment or post- payment review of requested health care services,… more
- NORC (Bethesda, MD)
- …NORC's expertise and ongoing work in health care delivery and financing - including access to insurance, payment and delivery-system ... Part D, Medicaid data as well as commercial data + Research productivity in peer-reviewed publications and/or grey literature, desired + A strong foundation… 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
- New York State Civil Service (Albany, NY)
- …degree AND one year of professional experience in conducting public policy research and analysis in finance .Senior Health Care Management System Analyst: ... degree AND two years of professional experience in conducting public policy research and analysis in finance .Preferred Qualifications: Critical thinking skills,… more
- State of Colorado (Denver, CO)
- …Job Number UHA04807 - 9/2024 Department Department of Health Care Policy and Financing Division Finance Office Opening Date 09/03/2024 Closing Date 9/17/2024 ... used to fill multiple openings. The Department of Health Care Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid … more
- University of Washington (Seattle, WA)
- …of various payment and coding systems, particularly the Outpatient Prospective Payment System (OPPS), Medicaid APG Grouper, HCPCS and CPT-4 coding schemas ... POSITION QUALIFICATIONS** + Bachelor's Degree (BA or BS) in business administration, finance healthcare, or a related field. Equivalent experience may substitute for… 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
- University of Michigan (Ann Arbor, MI)
- …and correct account payment . **Required Qualifications + Knowledge of health care finance or accounting + The ability to work autonomously + Problem solving and ... of experience-Senior **Experience:** Preferred candidate will have experience in healthcare finance and preferably experience with Medicare, Medicaid , Blue Cross… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …specialty organizations, American Medical Association, Centers for Medicare and Medicaid Services (CMS/HCFA), Louisiana Medicare and American Academy of Professional ... regulatory agency policies (CMS/HCFA). + Requires consultant-level expertise with in-depth research , analysis and application of CPT, HCPCS, and ICD-10-CM coding,… 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
- 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
- AbbVie (Chicago, IL)
- …will call on commercial payors, managed care organizations, Medicare MACs, state Medicaid , Medicare Advantage and commercial plans to increase coverage of PRM ... Aetna, United Health Care, etc., managed care organizations, Medicare MACs, state Medicaid , and Advantage plans to increase coverage of PRM product portfolio by… more
- New York State Civil Service (New York, NY)
- …a health care facility, health care agency, health care delivery system, Medicaid program, and/or other public or private health insurance program: establishing, ... health services programs; establishing mechanisms for the reimbursement and financing of health care services, including rate-setting, development of capitation… more
- AdventHealth (Maitland, FL)
- …AND EXPERIENCE PREFERRED:** * Knowledge of governmental payer functions, regulations and payment methodologies and structure of Medicare, state Medicaid , Tricare ... to understand and interpret payer contract terms, complex reimbursement schedules, payment policies, patient accounting billing information and other sources of data… more
- City of New York (New York, NY)
- …data to MAQC director for inclusion in error reports to be forwarded to Medicaid Executives on the key factors causing payment errors. Participate and assist ... A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Medicaid Audit and Quality Control's primary responsibility is to...the development of corrective action plans aimed at reducing payment errors to avoid federal and fiscal sanctions. -… more