- Elevance Health (West Des Moines, IA)
- … and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with ... The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . This… more
- Elevance Health (West Des Moines, IA)
- … and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). Under guided supervision, the Audit and Reimbursement II will gain experience on the Medicare cost report and … more
- Avera (Des Moines, IA)
- …Report Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare , Medicaid, Tricare and any other ... sign-on and relocation assistance. Seeking a candidate with 5+ years of Medicare Cost Reporting experience. Avera offers competitive salary and benefits! **You… more
- Highmark Health (Des Moines, IA)
- …teams that engage providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different ... of workflows resulting in outstanding performance in the Organization's value-based reimbursement programs ensuring that ROI targets as set by the Organization… more
- Care Initiatives (West Des Moines, IA)
- …in long term care and skilled nursing. + Extensive knowledge of MDS/RAI, Medicare reimbursement , PDPM systems, compliance and Medicaid Clinical Reimbursement ... exceptional care and support at every stage of the healthcare journey. The Director of Clinical Reimbursement ...and monitor integrity of: + Overall RAI process + Medicare , Medicaid, VA and Managed Care program requirements +… more
- Molina Healthcare (Sioux City, IA)
- …of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- Molina Healthcare (IA)
- …clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** ... Experience, Knowledge, Skills, and Abilities:** + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or… more
- Molina Healthcare (IA)
- …clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** ... + 3 - 5 years supervisory experience + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Experience with Databricks +… more
- Molina Healthcare (IA)
- …of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translate strategic ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more
- Baylor Scott & White Health (Des Moines, IA)
- JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH… more