- CVS Health (Tallahassee, FL)
- …operational oversight of Aetna's three primary provider portal solutions: Availity Commercial/ Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental ... it all with heart, each and every day. **Position Summary** The Lead Director , Provider Portal Strategy & Operations is responsible for the strategic leadership and… more
- PruittHealth (Jacksonville, FL)
- …in skilled nursing or long-term care settings. 3. Strong understanding of Medicare , Medicaid , and other third-party payer requirements related to admissions ... **JOB PURPOSE:** As a Regional Admissions Director for skilled nursing and long-term care facilities,...admissions. * Collaborate with facility administrators, clinical staff, and finance teams to facilitate smooth transitions for new residents… more
- AbbVie (Irvine, CA)
- …pricing strategy for the Eye Care Brands across all payer channels (eg Commercial, Medicare , Medicaid , and VA). This individual will be required to effectively ... and across multiple HEOR, MOSL, Medical, Reimbursement Advisor Teams, MABI, Finance , Sales, and Government Affairs/Advocacy teams. + Encouraging and demonstrating an… more
- Fairview Health Services (Minneapolis, MN)
- …Managed Care Organizations as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure uninterrupted ... position **Job Expectations:** **Enrollment Management** + Advanced working knowledge of Medicare , Medicaid , and third-party insurance/ payor plans. + Lead… more
- State of Colorado (Denver, CO)
- …counsel and negotiating complex funding and policy issues that affect the Colorado Medicaid enterprise. + Leads the Finance Office's management team in fostering ... recommendations and ensures completion of required analyses comparing Colorado Medicaid rates with Medicare and peer states....finance , or accounting + Professional experience in: + Medicaid budget and/or policy analysis + State of Colorado… more
- University of Southern California (Los Angeles, CA)
- …and independently with and for the different organ teams. Guided by the finance director and/or administrator Essential Duties: + 1. Responsible for the ... medical auditing, HIM coding or related healthcare. + Req Working knowledge of Medicare , Medicaid , and commercial insurance policies is. + Req Excellent computer… more
- Catholic Health (Buffalo, NY)
- …experience in health care finance + Extensive understanding of Medicare and Medicaid regulations, cost reports, reimbursement and financial reporting ... is responsible for the coordination, preparation, and timely filing of the various Medicare , Medicaid , Champus cost reports, surveys, rate reviews, filing of… more
- Takeda Pharmaceuticals (Boston, MA)
- …Experience and in-depth knowledge in obtaining reimbursement withthird party commercial payers, Medicare Parts D and B, Medicaid , VA/DOD, integrated payer ... your best. In this highly visible role, the Sr. Director will lead the strategic and analytic aspects of...of senior leadership from sales,patient value & access, marketing, finance and legal) that is responsible forthe pricing and… more
- HCA Healthcare (San Antonio, TX)
- …with the standards of care and meets the requirements or regulations of JCAHO, Medicare , Medicaid , and appropriate licensing or certified boards. The manager is ... the conditions of participation, requirements or regulation of the following: JCAHO, Medicare , Medicaid , Texas State Licensures and Certifications as requires.… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …of billing as assigned individually by the accounts receivable manager. Experience in Medicare and Medicaid HMO's, Commercial payers such as ChampVA, Tricare, ... paper claim filing experience including maintenance of data tables. + Knowledge of Medicare and Medicaid billing guidelines + Proficiency in Outlook, MS Excel,… more