- Henry Ford Health System (Troy, MI)
- …teams, ensuring optimal and compliant Mid-Revenue Cycle processes within value-based reimbursement models and initiatives. Reporting to the Director, Risk Adjustment ... to effectively manage the transition from Fee for Service toward Value-Based Reimbursement at Henry Ford Health System. EDUCATION AND EXPERIENCE: + A Bachelors… more
- Mercy Haven Inc. (Islip Terrace, NY)
- …every other Thursday | Full Time | Medical, Dental, Vision, Health Reimbursement Account, PTO, Basic Life, Supplemental, STD, LTD, Tuition Reimbursement , ... long-range service plans + Assists in securing and maintaining entitlements: SSI/SSD, PA Medicaid , SNAP, Section 8 housing, etc. + Conducts weekly home visits and… more
- National Health Care Associates (Wethersfield, CT)
- …personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven ... by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of...the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the… more
- J&J Family of Companies (Omaha, NE)
- …requirements to set up TC capabilities, overall operational considerations, pre-authorization, reimbursement and REMs. Educate entire staff on REMs set up, ... compliance and document requirements. Refer HCPs and staff to centralized access, reimbursement , or REMS support teams for questions outside of promotional scope. +… more
- Molina Healthcare (GA)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue ... attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate… more
- Bristol Myers Squibb (Princeton, NJ)
- …in the following areas is strongly preferred: Government Price reporting; Medicaid and other public sector programs; Accounting and financial analysis; controls ... military leave. Family care services such as adoption and surrogacy reimbursement , fertility/infertility benefits, support for traveling mothers, and child, elder… more
- Houston Methodist (Sugar Land, TX)
- …stay are medically necessary, communicating clinical information to payors to ensure reimbursement . In addition to performing the duties of a CM, this position ... of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital. + Secures reimbursement for hospital services… more
- Houston Methodist (Houston, TX)
- …maintenance and payer relations of the Houston Methodist (HM) contracts for reimbursement of services billed through managed care companies and serves as a ... operations staff of specific HM facility and Physician Organization contracts for reimbursement of services billed through managed care. The managed care payers… more
- Houston Methodist (Nassau Bay, TX)
- …are medically necessary and communicates clinical information to payors to ensure reimbursement . The CM PRN helps drive change by identifying areas where performance ... of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital. + Secures reimbursement for hospital services… more
- Molina Healthcare (Warren, MI)
- …the Plan's membership. + Develops and maintains a market-specific provider reimbursement strategy consistent with Reimbursement Tolerance Parameters (across ... multiple specialties/geographies). Oversees the development of new reimbursement models. Obtains input from Corporate and Legal regarding new reimbursement … more