- The George Washington University (Washington, DC)
- I. JOB OVERVIEW Job Description Summary: The Senior Financial Analyst , Clinical Research is the primary contact in the GWCC Clinical Trials Office responsible for ... when applicable. Follow institutional guidelines and policies in performing Medicare Coverage Analysis (MCA). Responsible for entering event schedules, budgets,… more
- ICONMA (Atlanta, GA)
- Performs duties of moderate to high complexity, judgment and scope. Assists the Reimbursement Manager in preparing Medicare and Medicaid cost reports, wage index ... reviews and other reimbursement analysis. Prepares workpapers to support the cost reports,...well as analyzing the data for accuracy and additional reimbursement opportunities; is a resource to other reimbursement… more
- AdventHealth (Altamonte Springs, FL)
- …FL; Hybrid- Monday, Wednesday and Thursday onsite **The role you'll contribute:** The Reimbursement Analyst is responsible for assisting the Reimbursement ... balances of Adventist Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- AdventHealth (Altamonte Springs, FL)
- …Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the annual ... third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product ... Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental in the building of plan...fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.… more
- Kelsey-Seybold Clinic (Houston, TX)
- …of high dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** **Claims** **Job Type: Full ... Essential job functions include: Apply knowledge of Centers for Medicare & Medicaid Services (CMS) rules specific to DRG...CRM Module. Review and interpret provider issues and member reimbursement requests. Utilize DRG and other pricing tools and… 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
- The Cigna Group (Denver, CO)
- …+ Reliable transportation and valid driver's license + Mileage reimbursement provided **Job** **Summary:** The Provider Performance External Representative is ... conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative's responsibilities include: +… more
- UCLA Health (Los Angeles, CA)
- …this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs ... required * Five or more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5 years of experience with Encounter… more
- The Cigna Group (Bloomfield, CT)
- …goals, and service levels + Proficient knowledge of policies and procedures, Medicare , HIPPA and NCQA standards; + Professional demeanor and the ability to ... 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)
- …in Case Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager preferred ... 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 (Denver, CO)
- **Summary** The Medicare Risk Adjustment Advanced Analytics team is searching for a highly motivated and collaborative person to build new data processes, expand ... 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)
- …and management of medical cases + Proficient knowledge of policies and procedures, Medicare , HIPAA and NCQA standards + Professional demeanor and the ability to work ... 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
- Medical Mutual of Ohio (OH)
- … Medicare Supplement, and individual plans.** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned ... toward alternative payment models. . Performs other duties as assigned. **Provider Reimbursement Analyst III** Under general to limited supervision, supports… more
- University of Michigan (Ann Arbor, MI)
- …hospitals, payers, outside agencies and government entities. The reimbursement analyst will maintain current knowledge of Medicare , Medicaid and other ... Reimbursement Analyst Senior Apply Now **How...our contribution to society. **Responsibilities + Analyze and complete Medicare , Medicaid, Tricare and Blue Cross cost reports, settlements,… more
- CommonSpirit Health (Englewood, CO)
- …inside our hospitals and out in the community. **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, ... of Medicare , Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and… more
- BayCare Health System (Clearwater, FL)
- …dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of ... working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst **Location** Clearwater:BayCare Sys Office West… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Federal & State R** **eporting and Defense** + Manages production aspects of Medicare & State reimbursement including completing mandatory State and /or ... in patient care, education, and research. **Organization:** Finance - Reimbursement Strate **Job Summary:** The primary purpose of this...990 Schedule H or specific components of the annual Medicare cost report. Can serve in the roles of… more
- WellSpan Health (York, PA)
- Reimbursement Analyst Senior Location: WellSpan Health, York, PA Schedule: Full Time Hours: M-F Days Full Time: 40 Hours/Week General Summary Responsible for ... entries using the Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must stay abreast of current governmental … more
- Avera (Sioux Falls, SD)
- …Insurance!** + **Career growth opportunities!** **Job Summary** + The Reimbursement Analyst assists with the preparation of Medicare , Medicaid, and Tricare ... and opportunities for career growth. **Join Avera as a Reimbursement Analyst and join a mission driven...Analytics software (RCA). + Assist with the preparation of Medicare and Medicaid 3rd Party Settlement Reserves analysis for… more
