• Healthcare Claims Policy Specialist

    TEKsystems (Honolulu, HI)
    …claims processing and policy writing. + Strong understanding of healthcare reimbursement methodologies (eg, Medicare, Medicaid, commercial insurance). + ... adjudication and policy interpretation. Qualifications: + Bachelor's degree in Healthcare Administration, Public Health , Business, or related field (Master's… more
    TEKsystems (08/08/25)
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  • Business Information Consultant Senior…

    Elevance Health (Atlanta, GA)
    **Business Information Consultant Senior - Health System Reimbursement ** **Location:** This role requires associates to be in-office 1 day per week, fostering ... KY or Mason, OH. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...required by law. The **Business Information Consultant Senior - Health System Reimbursement ** is responsible for coordinating… more
    Elevance Health (08/08/25)
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  • Assistant Scientist - Center for Health

    Henry Ford Health System (Detroit, MI)
    …and minimize the burden of disease. The Center seeks to conduct research relevant to healthcare delivery and health policy decisions at the state, national, ... Assistant or Associate Scientist(s) Center for Health Policy & Health ...access to Retirement Programs, an Employee Assistance Program, Tuition Reimbursement , Paid Time Off, Employee Health and… more
    Henry Ford Health System (06/26/25)
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  • Payor Reimbursement Administrator - Managed…

    UTMB Health (Galveston, TX)
    …business, or related field. * Five (5) years of experience in healthcare reimbursement and patient financial assistance. * An equivalent combination ... as nephrology. **LICENSES, REGISTRATIONS OR CERTIFICATIONS** **Preferred:** * Certification in healthcare reimbursement , healthcare insurance license, or… more
    UTMB Health (08/08/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Baton Rouge, LA)
    …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... and payment model design. Demonstrate of the application of healthcare economic drivers and/or population health based...reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) +… more
    Highmark Health (07/30/25)
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  • Senior Manager, Health Economics…

    Abbott (Minnetonka, MN)
    … concepts (eg, coverage, coding, and payment). + Experience in health policy , health economics, medical device reimbursement , technology assessment, or ... (eg, Clinical, Regulatory Affairs, R&D) informed about the potential impact of key health policy and macroeconomic changes; including, but not limited to,… more
    Abbott (07/11/25)
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  • Home Office Reimbursement Analyst

    UCLA Health (Los Angeles, CA)
    … Directors, driving system-wide improvements. + Leverage expertise in healthcare reimbursement , data management, financial reporting, and budgeting ... UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on policy...preferred). + At least five years of experience in healthcare reimbursement or financial analysis, particularly with… more
    UCLA Health (07/31/25)
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  • Audit & Reimbursement Senior

    Elevance Health (St. Louis, MO)
    …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement more
    Elevance Health (08/08/25)
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  • Provider Reimbursement Adm-Certified…

    Elevance Health (Indianapolis, IN)
    …of legislative mandates to support draft development and/or revision of enterprise reimbursement policy . + Translates medical policies into reimbursement ... code and fee schedule updates, analyzing each new code for coverage, policy , reimbursement development, and implications for system edits. + Coordinates… more
    Elevance Health (06/18/25)
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  • Director - Reimbursement & Managed Care

    MaineGeneral Health (Augusta, ME)
    …or related field (Master's preferred) + Minimum of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is preferred + ... Job Summary:MaineGeneral Health is a leading health care...Extensive knowledge of healthcare finance, reimbursement methodologies, and regulatory requirements… more
    MaineGeneral Health (05/15/25)
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