- Elevance Health (Tampa, FL)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** This is a virtual position, the ideal candidate will live within 50 miles of ... federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... Duties assigned are performed under the oversight of the Reimbursement Manager . **The value that you bring...of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare… more
- Humana (Chicago, IL)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of ... train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must...retirement savings plan with a competitive match + Tuition reimbursement and/or scholarships for qualifying dependent children + And… more
- The Cigna Group (Springfield, IL)
- The **Regional Medicare ** **Provider Contracting Senior Manager - Midwest** serves as an integral member of the Network Development and Solutions Team and ... reports to the Medicare Provider Contracting Regional Vice President. This role is...Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement … more
- The Cigna Group (Birmingham, AL)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- The Cigna Group (Bloomfield, CT)
- …training in Case Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager ... health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time off per year and paid… 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...financial analysis & participate in market financial review with senior management. + Trouble shoot claims issues for providers… more
- The Cigna Group (Bloomfield, CT)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of ... value-based reimbursements with hospitals and other providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- The Cigna Group (Bloomfield, CT)
- …The **Project Manager ** is a key role that supports **Cigna's Medicare Advantage** line of business, directly addressing customer and client demands for higher ... quality of care and greater affordability for the senior population. The primary focus for this role includes...service performance outcomes within their assigned segment(s). The **Project Manager ** will serve as a liaison between the National… more
- The Cigna Group (Nashville, TN)
- **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework ... covering the following domains: + Credentialing + Directory + Reimbursement \Capitation + Configuration + Network **Essential Functions and Responsibilities** +… more
- The Cigna Group (Little Rock, AR)
- …transportation, valid driver's license, and insurance required - mileage reimbursement provided** **Bilingual preferred, but is not required** **Valid local ... about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- The Cigna Group (Nashville, TN)
- …into concept through a team of business analytics professionals. Reporting to the Senior Manager of Risk Adjustment Analytics, this position will manage the ... to lead complex analytics projects and initiatives for Cigna's Medicare Advantage Risk Adjustment business. The Manager ...help them achieve business goals in conjunction with the senior manager + Provide individual and team… more
- The Cigna Group (Denver, CO)
- …leadership including creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, ... development, and vision for assigned territory. Participating with the Senior Manager / Manager in monthly financial review. + Assisting in initiatives and… more
- The Cigna Group (Plano, TX)
- …member of the Network Development and Strategy Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of ... for service and sophisticated value-based reimbursements with providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- Elevance Health (Dearborn, MI)
- … and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior -Appeals** will support our Medicare Administrative Contract ... Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- BrightSpring Health Services (Arlington, TX)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing… more
- The Cigna Group (Bloomfield, CT)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and ... and managing key provider relationships + Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred + Demonstrated… more
- ConvaTec (Bridgewater, NJ)
- … pathways globally and (2) Lead Convatec in ensuring optimal US reimbursement policies, especially Medicare , and advancing Convatec reimbursement ... the chosen candidate._** **Key Responsibilities:** **AWC Business Global Market Access and Reimbursement Leadership:** + Work with AWC General Manager and… more
- The Cigna Group (Scottsdale, AZ)
- The System Contract Senior Manager will have oversight of a region of facility network and will be responsible for its contract performance. This Senior ... manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other...and demand as well as the evolution of our reimbursement models. **Role and Responsibilities** + Oversee system contract… more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Manager Charge Capture Senior Analyst** _Texas Health Resources is looking for a top skilled Revenue Cycle Manager Charge Capture Senior ... contracts preferred. **What You Will Do** Under general direction of the Revenue Cycle Manager Charge Capture the Senior Analyst Charge Capture serves in a role… more