- NYU Rory Meyers College of Nursing (New York, NY)
- …identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care , Commercial Insurance and other payers. Analyze, audit ... and experience. Required Skills, Knowledge and Abilities: Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues… more
- CommonSpirit Health (Phoenix, AZ)
- …for a health system, required. + Minimum 5 years of experience performing government, managed care , and commercial appeals required. + Minimum 7 years of ... of resources, medical necessity, levels of care , care progression, compliance with governmental and private payer...experience in a director level, or equivalent leadership role, required. + Prior… more
- Mount Sinai Health System (New York, NY)
- …and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid, etc.), managed care contracts and coordination of benefits is required. ... and reimbursement. This position will report to the Senior Director . This role will serve as a crucial link...payers, applicable federal and state regulations, healthcare financing and managed care . + Expected to stay updated… more
- UnityPoint Health (Fort Dodge, IA)
- …Care : Assume a support role, in collaborating with System leadership teams regarding managed care contracting and payer contracting issues. * Revenue ... collaborative member of the market leadership team, the Executive Director of Finance is responsible for a market with...of the finance function in either a hospital/group setting/health care system or an organization of similar complexity. Strong… more
- Community Health Systems (Franklin, TN)
- …claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with ... required + Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred **Knowledge, Skills and… more
- Catholic Health Initiatives (Houston, TX)
- …successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking. Other duties as ... 1) developing/maintaining Key Performance Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/business operational reports; 2) interpreting/explaining… more
- Beth Israel Lahey Health (Woburn, MA)
- …International Classification of Diseases (ICD-10) o reimbursement theories to include RBRVUS, MPFS, and managed care o NCCI edits and Medicare LCD/NCDs o health ... you're making a difference in people's lives.** Under the direction of the Director , Revenue Integrity and Coding at Harvard Medical Faculty Physicians (HMFP) at the… more
- Organon & Co. (Annapolis, MD)
- …challenges within National, Regional and local payer market including: government programs, managed health care and evolving health care systems. + ... The District Business Manager (DBM), Dermatology will report to the Regional Director , Dermatology and be responsible for hiring, leading, developing and retaining… more
- Danaher Corporation (San Francisco, CA)
- …marketing, sales, regulatory and clinical affairs, federal government agencies/institutions, and/or managed care organizations. This position reports to the US ... at the speed of life. At Cepheid, we are passionate about improving health care through fast, accurate, molecular diagnostic systems and tests. As a member of our… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Health Overview: Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and ... providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery,… more