- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the...Research and analyze impacts of various State and Federal Medicare and Medicaid policies, regulations, legislation and other proposals,… more
- Point32Health (MA)
- …. **Job Summary** Under the general direction of the Manager, Appeals and Grievances the Supervisor, Appeals and Grievances using ... and provide leadership for the daily operations of the Appeals and Grievances department. The supervisor represents the ...Committee for Quality Assurance / NCQA and Centers for Medicare & Medicaid Services / CMS), providers, high profile… more
- Penn Medicine (Bala Cynwyd, PA)
- …personnel. Appropriately files audit documents for all entities. + Coordinates with Analyst , Government Audit and Appeals to ensure appropriate communication of ... each day. Are you living your life's work? **Data Coordinator, Government Audits and Appeals ** Job Summary: + The Data Coordinator, Government Audits & Appeals … more
- OhioHealth (Columbus, OH)
- …Manager with updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals . Working with OHA and CBSA facilities on wage index ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... services of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal regulations. The Sr. Reimbursement… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director...- including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals , audit preparation and other ... services of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal regulations. The Sr. Reimbursement… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …Who We Are HII - Mission Technologies seeks a full-time Management / Intelligence Analyst to support our customer in the Centers for Medicare and Medicaid ... information related to potential and existing threats to Centers for Medicare & Medicaid Services (CMS), and develops recommendations to address associated… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and compiling information to effectively report costs ... reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues and researches… more
- Corewell Health (Grand Rapids, MI)
- …steps of the member appeal and fair hearing processes for all non- Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, ... Essential Functions + Responsible for complex and thorough investigation of appeals , external complaints, and fair hearing reviews including: formulate action plan… more