- Plante Moran (Traverse City, MI)
- Healthcare Reimbursement Consultant - Acute Care + Location: United States, Michigan, Traverse City + Location: United States, Michigan, Southfield + Location: United ... wide array of services including the filing of their Medicare and Medicaid Cost Reports, Medicare DSH...pleased to offer eligible staff a robust benefits package. Eligibility and contribution requirements for some of these benefits… more
- Elevance Health (Nashville, TN)
- **JR127301 Business Consultant Sr (Operational)** The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor ... systems; minimum of 3 years experience as a Business Consultant with project management skills; or any combination of...risk adjustment and/or health insurance industry. + Experience in Medicare Advantage and Medicaid in a provider based or… more
- Elevance Health (Palo Alto, CA)
- Care Consultant Sr. (California Provider Success) - JR126324 **Location** : Must reside **in the state of California** , and within 50 miles (1 hour commute) of one ... the 4 offices listed above, at least 1 day per week. The **Care Consultant Sr.** for **Provider Success** is responsible for consulting with providers (Commercial, … more
- Elevance Health (Cerritos, CA)
- **Network Relations Consultant - CA** Location: **This position will work a Hybrid Model (remote and office).** **Ideal candidates Must live within 50 miles or a 1 ... **Monday through Friday, 40 hours a week.** The **Network Relations Consultant ** develops and maintains positive provider relationships with provider community by… more
- Wipfli LLP (Oakland, CA)
- …a difference, Wipfli is the place for you. Responsibilities: + Prepare Medicare /Medicaid/Medi-Cal cost reports and payment reconciliations for a variety of providers ... experience. + Bachelor's degree in accounting, finance, or business. + Medicare /Medicaid/Medi-Cal cost reporting knowledge preferred. + Ability to identify issues… more
- MetroLink (Los Angeles, CA)
- …+ Manage SCRRA's Project Management (PM), Construction Management (CM) consultant contracts, job order contracts, construction contracts, or other necessary ... done in-house or contracted through public bidding. + Manage consultant contracts, contract task orders, schedule, cost, and scope....if he/she is covered under a SCRRA health plan. Eligibility begins the first of the month following hire… more
- Billings Clinic (Billings, MT)
- …all aspects of the net patient revenue accounting, preparation of the Medicare and Medicaid cost reports (including maintaining models and providing decision ... best practices for reimbursement functions across all enterprise entities, including Medicare Cost Reporting, monthly and annual financial reporting, required state… more
- Silicon Valley Power (Santa Clara, CA)
- …track record of designing and delivering utility projects and administering consultant and construction contracts. The qualified candidate will have experience ... systems * Provide construction management, construction contract administration, and consultant contract administration for public works projects * May prepare… more
- SUNY Upstate Medical University (Syracuse, NY)
- … Enrolled with Medicare Identification Number (or PTAN) OR be eligible for Medicare Enrollment within 6 months of hire ( eligibility criteria for NP requires ... their scope of practice. TEACHING AND STAFF DEVELOPMENT 1. Acts as a consultant to nursing staff and when appropriate participates in inservice training for the… more
- NHS Management, LLC (Athens, AL)
- …other business office related tasks, including but not limited to: + Medicaid, Medicare and/or secondary billing + Assist with evaluation and selection of all ... application process and timely submission to prevent delays in the attainment of eligibility and payment. Process to include: + Meeting with family and or resident… more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility , and more! **Responsibilities** **Franciscan Medical Group, a part of ... up of the patient's primary care provider, a psychiatric consultant and, when available, other providers in the primary...hire. + Eligible to be credentialed and enrolled in Medicare and private payers for reimbursement. **Pay Range** $35.28… more
- MyFlorida (Fort Pierce, FL)
- …Ensures that any applicable hierarchy of payer sources is used appropriately. Screens for Medicaid eligibility , PAC Waiver eligibility , Medicare A, B, and D ... Program Office. This position reports to the Operations Management Consultant II Completes comprehensive Needs Assessments of individuals presenting themselves… more
- City of La Mesa, CA (La Mesa, CA)
- …and set priorities; assign work tasks and oversee the services of consultant staff. + Review engineering design and construction plans, drawings, specifications, ... may be distributed to eligible employees if funds are available. Social Security and Medicare : Employees are required to pay into Social Security at 6.2% and … more
- Commonwealth of Pennsylvania (PA)
- …to evaluate the quality of care and services, as well as determining eligibility of facilities for state licensure and certification and federal long-term care ... spam/junk folders, for these notices. REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY QUALIFICATIONS Special Requirements: + This position requires successful completion… more
- Baylor Scott & White Health (Grapevine, TX)
- …INCLUDE FACILITATION, OF CONTINUOUS SURVEY READINESS. SERVES AS AN INTERNAL CONSULTANT FOR THE INTERPRETATION OF STANDARDS AND FUNCTIONAL COMPLIANCE ASSESSMENT AND ... AND TRAINING ON ACCREDITATION REQUIREMENTS AND SERVES AS AN INTERNAL CONSULTANT FACILITATING QUALITY IMPROVEMENT TEAMS. + COORDINATES PREPARATION FOR AND EXECUTION… more
- CVS Health (Pittsburgh, PA)
- …delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, ... chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative… more
- CVS Health (Springfield, IL)
- …delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements ... chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative… more
- CVS Health (Hartford, CT)
- …delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, ... chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative… more
- CVS Health (Albany, NY)
- …delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, ... chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative… more
- CVS Health (Columbus, OH)
- …chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative ... aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. + Communicates with member/client and other… more