- Elevance Health (Columbus, OH)
- …The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . ... Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative...as assigned. + Prepare and perform supervisory review of cost report desk reviews and audits. +… more
- Elevance Health (Mason, OH)
- …: + Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge of CMS computer systems and Microsoft ... on teaching, organ acquisition hospitals and other complex provider cost reports. **How you will make an impact:** +...BA/BS degree and a minimum of 5 years of audit/ reimbursement or related Medicare experience; or any… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **PMO ... and removal of barriers. Manage communication aspects of project status and track and report major issues. . Assists in managing all stages of the projects assigned… more
- Molina Healthcare (Columbus, OH)
- …Plan and Finance team through analyzing key business issues related to cost , utilization and revenue for multiple Molina Healthcare products. Analyzes data and ... to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives improvement change by recommending… more
- ProMedica Health System (Toledo, OH)
- …the system, including those related to financial, quality, safety, experience, and cost -effective care delivery. The position will be a critical thought leader with ... targets; monitors and evaluates progress of these targets, including regular report outs in meetings, and in achieving overall efficiency and effectiveness… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …is crucial to the accuracy of the facility database as well as all cost recovery programs. Perform a comprehensive review of the patient health record to abstract ... areas of regulations and policy, coding requirements, resident supervision, reimbursement , workload, accepted nomenclature, and proper sequencing. Ensure provider… more