- Molina Healthcare (NY)
- …expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical ... and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications**… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …coding, Medicare Advantage and Commercial Hierarchical Condition Category (HCC) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure compliance. * Assist in ... requested by leadership. * Maintains accuracy in all coding and reimbursement methods by researching literature and attending professional seminars, workshops, and… more
- Humana (Springfield, IL)
- …referrals). + Work with internal resources and systems (eg, claims, reimbursement , provider enrollment) to provide Exceptional Experience in all provider ... facilities, ancillary providers, and/or FQHCs. + Experience working with Illinois Medicaid . + Experience in provider operations, building strong relationships with… more
- Nestle (Bridgewater, NJ)
- …channel-specific strategies that respond to evolving healthcare market dynamics, including reimbursement models and payer landscapes ( Medicaid , Medicare, and ... record of success + Deep understanding of healthcare trends, Healthcare Reform, Reimbursement , and Payer Sources (Medicare, Medicaid , Private Insurance) +… more
- Houston Methodist (Katy, TX)
- …of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid , Workers Comp, Commercial plans, etc.; knowledge of how to interpret a ... managed care contract, Medicare and Medicaid and Workers Compensation + Extensive knowledge of billing, collections, reimbursement , contractual agreements and… more
- Providence (OR)
- …as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000 ... + Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy. + Set strategic and performance… more
- Covenant Health Inc. (Knoxville, TN)
- …knowledge of State and Federal regulations, HCFA guidelines, HIPAA, Medicare/ Medicaid guidelines and other Third Party Payor requirements assuring departmental ... provides training for new or revised rules ensuring compliance with HCFA Tenncare/ Medicaid or other State or Federal regulations. + Resolves complex collection… more
- Aveanna Healthcare (Salina, KS)
- …Holidays, Vacation Days, and Sick Days + Quarterly Bonus Opportunities + Mileage Reimbursement + 401(k) Savings Plan with Employer Matching + Employee Stock Purchase ... Plan with a 15% Discount + Tuition Discounts and Reimbursement Program (conditions apply) + Nationwide Presence with Advancement Opportunities + Employee Recognition… more
- Communitas, Inc. (Wakefield, MA)
- …Opportunities for Advancement | Regular Employee Appreciation Events | Tuition Reimbursement | Supportive Coworkers | Compassion-centric Environment | The role! ... insurance, employer-paid life insurance, and long-term disability coverage + Tuition reimbursement eligibility after 90 days of employment + Potential for shuttle… more
- Takeda Pharmaceuticals (Boston, MA)
- …--Government -- Department of Veterans Affairs (VA), Federal SupplySchedule (FSS), Medicaid , Department of Defense (DOD) -- and OncologyGPOs. This activity requires ... to sales, marketing,and CFO. + Experience and in-depth knowledge in obtaining reimbursement withthird party commercial payers, Medicare Parts D and B, Medicaid… more