- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals ... to the Reimbursement Managers and/or Directors. Accountabilities: Prepares interim and annual cost reports for Medicare Medicaid and other State or Federal… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation ... Managers and/or Directors. Accountabilities: 1. Prepares interim and annual cost reports for Medicare , Medicaid and other...five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report… more
- Humana (Phoenix, AZ)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...are involved in Board and other administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network… more
- Molina Healthcare (Phoenix, AZ)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care. + Ensures that medical decisions are rendered… more
- CenterWell (Phoenix, AZ)
- …evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- Dignity Health (Phoenix, AZ)
- …for the clinical teams within Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical Performance Department, ... performance in value based contracts (CMS ACO, HEDIS, NCQA, etc.) and Medicare Advantage programs (HCC/RAF). In addition these positions also support our clinicians… more
- Humana (Phoenix, AZ)
- …Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost trend drivers, utilization patterns, and economic insights to support ... you will play a critical role in identifying, quantifying, and explaining healthcare cost and utilization trends. The Associate Actuary works together with a team of… more
- Tucson Electric Power (Tucson, AZ)
- …bodies and assists in the execution thereof (eg, ACA reporting, Medicare Notice of Creditable Coverage, PCORI fees, conducting monthly pension reconciliation ... special studies regarding employee benefits design to determine the cost -effectiveness of existing programs, evaluate alternatives and assess the desirability… more
- Gentiva (Yuma, AZ)
- …and procedures, delivering quality patient care and family services programs in a cost effective manner and to represent the company in the community. You will ... report directly to the VP of Operations within a...and solidify the highest quality patient care in a cost effective manner Job Responsibilities: + Adheres to Organization's… more
- HonorHealth (AZ)
- …recommendations to CFO on how to maximize reimbursement. Assists with preparation of cost report filings and other regulatory matters to provide maximum ... (AHCCCS) Reimbursement Initiatives and CMS final rules. Compiles public data from Medicare and Medicaid websites to model reimbursement effect of programs. Analyzes… more