- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * ... as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining up to date with all regulatory requirements, both… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare / Medicaid Reimbursement . + The Director will have advanced level of ... projects not listed above. + Planning, preparing and reviewing of the annual Medicare / Medicaid cost reports filings. In partnership with the Vice President of… more
- Commonwealth Care Alliance (Boston, MA)
- …disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- Commonwealth Care Alliance (Boston, MA)
- …as necessary on all new CPT and HCPCS codes for coding logic, related Medicare / Medicaid policies to make recommend reimbursement determinations. + Analyze, ... health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare ) + Medical Coding, Compliance, Payment… more
- Baylor Scott & White Health (Indianapolis, IN)
- …5 Years of Experience + State Supplemental Payment Program Experience **preferred.** + Medicaid and Medicare Reimbursement Experience **highly preferred** + ... vary based on position type and/or level **Job Summary** The Manager of Reimbursement reviews cost reports for supported entities. Assists Reimbursement Managers… more
- RWJBarnabas Health (Oceanport, NJ)
- …Director will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment ... and policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid appeal and cost report reopening issues. + Completed Medicare… more
- Genesis Healthcare (Clayton, NM)
- …of long term care clinical nursing experience is required. *Experience with Medicare / Medicaid reimbursement , MDS completion, clinical resource utilization ... -- RN manages the overall process and tracking of all Medicare / Medicaid case-mix documents to ensure appropriate reimbursement for all services provided… more
- Genesis Healthcare (Baltimore, MD)
- …of long-term care clinical nursing experience is required. *Experience with Medicare / Medicaid reimbursement , MDS completion, clinical resource utilization ... transmitting the MDS, as required by federal and state regulations. *Manage all Medicare / Medicaid case-mix documents at the nursing center to assure appropriate … more
- Gilead Sciences, Inc. (Washington, DC)
- …or 8+ years with an advanced degree (MS, MA, MBA). + Deep knowledge of Medicare and Medicaid reimbursement systems, including Medicaid drug rebate ... impacting reimbursement for Gilead's therapies, with a focus on Medicare Advantage, Medicaid , Health Plans, and PBMs. + Develop and execute proactive and… more
- Texas Health Resources (Arlington, TX)
- …and represents System hospitals in negotiations with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended ... + Responsible for providing financial consulting and representation on various Medicare / Medicaid regulations. + Leads resolution of reimbursement issues for … more