- Elevance Health (Cincinnati, OH)
- …in accordance with Government Auditing Standards (GAS). The Auditor II will gain experience on Medicare Part A Audit and Reimbursement as part of our Medicare ... ** Audit & Reimbursement II** **_Location:_** This role enables...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- Elevance Health (Columbus, OH)
- …Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract ... + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and experience which would… more
- Elevance Health (Independence, OH)
- … Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract ... a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and experience, which would… more
- Public Consulting Group (Columbus, OH)
- …principles and procedures. . Recommend accounting process improvements. . Assist with the Medicare and/or Medicaid cost report audit support and documentation. . ... learn more, visit www.publicconsultinggroup.com . Duties & Responsibilities . Prepare Medicare and/or Medicaid cost reports for ambulance providers. . Reconcile… more
- Elevance Health (Mason, OH)
- …Requirements:** + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... ** Audit & Reimbursement III** **Location** : This role...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- Trinity Health (Columbus, OH)
- …to end 04/04/2026. **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare ... wide variety of professional roles including information technology, financial analysis, audit , provider relations and more. **About the job:** Member Service… more
- Trinity Health (Columbus, OH)
- …Shift **Description:** **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare ... variety of professional roles including information technology, financial analysis, audit , provider relations and more. **Position Purpose:** Pharmacy/Clinical Service… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Acts as a subject ... matter expert and collaborates with various internal departments to ensure that Medicare Advantage (MA) clinical programs and regulatory reporting are compliant with… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …protocols which align with Bon Secours Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle services performed ... procedures for the development of compliance internal monitors and audit protocols and the prevention of fraud, waste and...hospital revenue cycle risk areas highlighted by the OIG, Medicare , State Medicaid, State Insurance Fraud; Managed Care or… more
- Trinity Health (Columbus, OH)
- …A thorough understanding of NCQA and HEDIS is required. Knowledge of Medicare Stars-including CAHPS, HOS, Part D, and operational measures-is strongly preferred. ... **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across… more