- Brookdale Senior Living (Lakeway, TX)
- …to establish appropriate level of care in accordance with Medicare /Medicaid reimbursement levels. + Assists the Director , Clinical Services in ensuring ... offered include, but are not limited to: + Tuition Reimbursement + Pet Insurance + Adoption Reimbursement ...us for at least a year. Responsibilities Assists the Director , Clinical Services in planning, organizing, developing and directing… more
- The Cigna Group (Plano, TX)
- …TEXAS market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare ** serves as an integral member of the ... for service and sophisticated value-based reimbursements with providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- AdventHealth (Altamonte Springs, FL)
- …balances of Adventist Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid ... Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate… more
- AdventHealth (Altamonte Springs, FL)
- …third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid ... Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate… more
- The Cigna Group (Bloomfield, CT)
- …a critical position on the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment. Experience with Medicare Advantage ... This is a ** Medicare Advantage position** WORK LOCATION: REMOTE position The...quality programs. + Accountable for negotiation to deliver competitive reimbursement and drive financial performance of contracted vendor relationships… more
- The Cigna Group (Nashville, TN)
- …of the National Development and Network Solutions team, reporting directly to the Medicare National Partnerships Director . This role is a key contributor for ... Medicare Advantage stakeholders for complex value-based and downside risk reimbursement methodologies for Medicare provider contracting matters. + Initiates… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director , and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...+ Reliable transportation and valid driver's license + Mileage reimbursement provided If you will be working at home… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and AVP, the Director will develop long- and short- term Medicare , Medicaid, and other government reimbursement revenue strategies, oversee preparation and ... job, you're making a difference in people's lives.** The Director , Revenue Finance and Reimbursement , will be...and Government Audits, etc. 9. Identify and design strategic reimbursement initiatives including Medicare & Medicaid DSH,… more
- The Cigna Group (Nashville, TN)
- …Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework and policies to drive improvements in the provider ... covering the following domains: + Credentialing + Directory + Reimbursement \Capitation + Configuration + Network **Essential Functions and Responsibilities** +… more
- Beth Israel Lahey Health (Charlestown, MA)
- …networks. The Executive Director will report directly to the Vice President of Reimbursement . In this capacity, the Executive Director will assist the VP in ... of reimbursement optimization strategies across the system. The Executive Director will also be responsible for collaborating with hospital and system leadership… more
- Trinity Health (Atlanta, GA)
- …follow up on overdue accounts and rejected claims. + Notify the Department Director or Manager as necessary regarding billing and claim processing. + Facilitate ... and resolve payment discrepancies. + Experience in physician offices with Medicare /Medicaid exposure is a plus. **Position Highlights and Benefits:** + Day-1… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Executive Director of Reimbursement REIMBURSEMENT ... Functions * Establishes and maintains policies, processes, and best practices for reimbursement functions across all enterprise entities, including Medicare Cost… more
- Stryker (MD)
- …of their businesses. This person should have a material understanding of Medicare reimbursement and a general understanding of Commercial plans. **Essential ... link to learn more:US Stryker employee benefits. (https://d25zu39ynyitwy.cloudfront.net/oms/000000/document/2024/6/SMVZW\_USStrykerEmployeebenefits/USStrykerEmployeebenefits.pdf) The ** Director , Health Policy and Reimbursement ** is a… more
- ConvaTec (Bridgewater, NJ)
- …as the Director /Senior Director , US Policy and Global Market Access and Reimbursement - AWC and you won't either. Market Access & Reimbursement is a ... globally and (2) Lead Convatec in ensuring optimal US reimbursement policies, especially Medicare , and advancing Convatec...note, this position could be hired at either a Director or Senior Director level depending on… more
- Providence (Renton, WA)
- …reimbursement methodology related to Medicare and Medicaid that have reimbursement implications. The Director also oversees data and analytics support for ... **Description** **THE ROLE** The Director Reimbursement , Regulatory Analytics ( Reimbursement , Regulatory Analytics) is responsible for overseeing analytics… more
- University of Miami (Medley, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of UHealth Reimbursement is currently seeking a full time ... Director , Government Reporting and Reimbursement to work in Medley. The incumbent in this...this position assists the AVP of Government Reporting and Reimbursement in all areas of Medicare and… more
- BrightSpring Health Services (Arlington, TX)
- …Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing ... productivity goals with regard to calls/claims per hour, as determined by the Director and Clinical Hub Manager. + Prioritizes work to meet daily and competing… more
- Daiichi Sankyo Inc. (Seattle, WA)
- …areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Field Reimbursement (ADFR) is a critical front-line member of ... the DSI oncology Field Reimbursement team. The primary purpose of this role is...Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes and the general evolution of the healthcare… more
- Daiichi Sankyo Inc. (Boston, MA)
- …areas centered around rare diseases and immune disorders. **Summary:** The Associate Director Field Reimbursement (ADFR) is a critical front-line member of ... the DSI oncology Field Reimbursement team. The primary purpose of this role is...Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes and the general evolution of the healthcare… more
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