• Audit & Reimbursement Senior

    Elevance Health (Manchester, NH)
    ** Audit & Reimbursement Senior -** ** Medicare Cost Report Audit ** **Locations:** This is a virtual position, the ideal candidate will live within 50 ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** , will support our Medicare Administrative Contract… more
    Elevance Health (06/29/24)
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  • Audit & Reimbursement Sr

    Elevance Health (Manchester, NH)
    …and Medicaid Services to transform federal health programs._ The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) ... ** Audit & Reimbursement Senior **...** Audit & Reimbursement Senior ** **Location:** This is a...Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare more
    Elevance Health (06/27/24)
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  • Senior Fraud and Abuse Investigator

    Humana (Boston, MA)
    …part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... practices. The Senior Fraud and Waste Professional work assignments involve moderately...ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Begins to influence department's strategy. Makes decisions… more
    Humana (07/13/24)
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  • Executive Director, Net Revenue…

    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 merging ... BILH's six individual revenue valuation and reimbursement units into a centralized, system-wide department that promotes uniform goals and efficiency. The key… more
    Beth Israel Lahey Health (06/15/24)
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  • Claims Performance Manager

    Commonwealth Care Alliance (Boston, MA)
    …claim operations, health care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Ability to work cross ... across the Claims Operations department that is compliant with all applicable Medicare and State Medicaid regulations. This position will collaborate with Sr.… more
    Commonwealth Care Alliance (07/18/24)
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