- Centene Corporation (Austin, TX)
- …federal and state legal and regulatory requirements as it relates to Medicare compliance and HPMS/CMS regulations. + Oversee and monitor various of cross-functional ... completion of CMS requirements and expectations. + Ensure all Medicare and Medicaid product and services are being tested...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… 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
- Centene Corporation (Austin, TX)
- …including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene… more
- RWJBarnabas Health (Oceanport, NJ)
- …filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport,...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing… more
- Community Health Systems (Oro Valley, AZ)
- **Job Summary** The Medicare IRF PAI Coordinator is responsible for ensuring documentation in patient's medical records are accurate, detailed, and supports all CMS ... guidelines for admission and reimbursement for the admission in the Hospital/Facility. This position...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Edwards Lifesciences (Minneapolis, MN)
- …and healthier lives. Join us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based role responsible for ... Administrative Contractors (MAC), Medicaid, Veteran Affairs (VA) and commercial payers. **The Director , Global Health Economics and Reimbursement will be located… more
- BrightSpring Health Services (Arlington, TX)
- …30 days of employment (Health, dental, vision, and life insurance). + Mileage Reimbursement - We cover your travel costs. + Flexible Schedules- Work around your ... Secure your future with our retirement plan. + Tuition Reimbursement - Advance your education with our support. + Employee...regard to calls/claims per hour as determined by the Director and Clinical Hub Manager + Provide clinical support… more
- GRAIL (Washington, DC)
- …companies. For more information, please visit grail.com . As the Policy and Reimbursement Lead reporting to the Senior Vice President of Government Affairs & ... focusing on maximizing the impact through strategic interactions with the Centers for Medicare and Medicaid Services (CMS) and the CMS Coverage and Analysis Group… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** The Executive Director of Clinical Reimbursement leads and oversees the clinical reimbursement process across the organization's long-term ... This role ensures compliance with federal and state regulations, optimizes reimbursement strategies, and drives operational excellence in clinical documentation and… more
- Seattle Children's (Seattle, WA)
- …reimbursement and government reporting environment. + Extensive experience in Medicare , Medciaid and commercial payer contracting and reimbursement /reporting, ... you will: + Provide leadership in all areas affecting government reporting & reimbursement . + Proactively monitor and provide input on federal and state government… more
- Healthfirst (NY)
- …of claim payment methodologies and regulatory frameworks governing health plan reimbursement methods in Medicare , Medicaid and commercial insurance markets ... met + Identify and resolve inconsistencies between system configurations and reimbursement contracts and policies + Maintain effective and consistent configuration… 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
- Elderwood (Waverly, NY)
- …implementation. + Requires RN license. Elderwood Benefits as a ADON - Assistant Director of Nursing (must qualify): + Tuition Reimbursement Programs + Employee ... Overview APPLY HERE FOR FULL TIME ADON - ASSISTANT DIRECTOR OF NURSING OPPORTUNITY with Elderwood at Waverly ADON...all admissions and readmissions for eligibility or denial of Medicare Skilled services regulations. + Notify all providers, in… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …researching on real-world evidence, and creating hope for all facing illness. The Director , Corporate Accounts, is a field based national leader that is responsible ... therapy and future products in the United States. The Director will be responsible for holding the team accountable...with key customers and external groups including Commercial Payers, Medicare , Medicare Advantage plans, Part D, PBM's,… more
- Robert Half Finance & Accounting (Irving, TX)
- …Medicaid/Medical Assistance . Knowledge of basic insurance policies, procedures, and reimbursement practices with Medicare coding . Experience supervising staff ... Description The Revenue Cycle Director is responsible for overseeing revenue cycle management...and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies 7. Reconcile all receivables… more
- CenterWell (Henderson, NV)
- …of our patients, and the healthcare industry as a whole. The Associate Medical Director serves as a health-care professional and capable of handling a variety of ... health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities...in assigned centers + Management of CME time and reimbursement requests. + Service recovery reports (Patient complaints) +… more
- CenterWell (Mesa, AZ)
- …of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling a variety of ... health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities...by the organization. + Management of CME time and reimbursement requests. + Service recovery reports (Patient complaints). +… more
- Elara Caring (Des Plaines, IL)
- …branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and changes. Identifies and ... have countless ways to make a difference as Branch Director . Being a part of something this great starts...make a difference + Competitive compensation package + Tuition reimbursement for full-time staff and continuing education opportunities for… more
- Marshfield Clinic (Eau Claire, WI)
- …in the world!** **Job Title:** Assistant Service Line Medical Director - Hematology/Oncology **Cost Center:** 301081251 Systems Operations **Scheduled Weekly ... Part time **Job Description:** **POSITION TITLE:** Assistant Service Line Medical Director for Hematology/Oncology **REPORTS TO:** Service Line Medical Director … more
- CSL Behring (King Of Prussia, PA)
- The Associate Director , Corporate Accounts (ADCA) is responsible for optimizing access, reimbursement , and profitability for CSL Behring's portfolio of brands in ... role in CSL Behring's commercial organization and reports to the Senior Director of Corporate Accounts. The ADCA is responsible for executing CSL Behring's… more
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