- Public Consulting Group (Des Moines, IA)
- … Medicare or Medicaid cost reporting/audits preferred . Experience with Medicare regulations and reimbursement manual . Experience with applicable Federal ... learn more, visit www.publicconsultinggroup.com . Duties & Responsibilities . Prepare Medicare and/or Medicaid cost reports for ambulance providers. . Reconcile… more
- Molina Healthcare (Iowa City, IA)
- …**Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, including hospitals and ... **Job Description** **Job Summary** The Analyst, Reimbursement is responsible for administering complex provider reimbursement methodologies timely and… more
- Prime Therapeutics (Des Moines, IA)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages the ... coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership...not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims. + Ensures the accuracy of… 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
- Banner Health (IA)
- …Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group ... clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work… more
- Pine Acres Rehabilitation & Care Center (Oskaloosa, IA)
- …supervisor and clinical needs. + Demonstrates consistent knowledge and application of Medicare and other reimbursement regulations. + Evaluate patients based ... plan of care and patient related activities per state practice act and reimbursement regulations. + Demonstrate a positive attitude and team building approach with… more
- Cardinal Health (Des Moines, IA)
- …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement , access, and coverage issues for our products, ... Educate HCPs and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria… more
- Humana (Des Moines, IA)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- Trinity Health (Des Moines, IA)
- …Full time **Shift:** **Description:** **POSITION PURPOSE** The Regional Director of Reimbursement serves as the primary contact to the Regional Chief Financial ... leadership to a Regional Shared Service Center managing the reimbursement function for up to ten Trinity Health RHMs...dealing with external agencies such as the Centers for Medicare and Medicaid Services (CMS), third party payors, federal… more
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