- Molina Healthcare (Caldwell, ID)
- …and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight ... to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan, monitoring and reporting… more
- Community Health Systems (Franklin, TN)
- Job Summary The Collections Specialist II - Managed Medicare is responsible for managing outstanding patient accounts, ensuring accurate and timely collections from ... accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment;… more
- CareFirst (Baltimore, MD)
- …analyst with deep experience in risk adjustment. This person will support the Director of Risk Adjustment by monitoring and reporting on risk adjustment KPIs, ... roles. + Experience in healthcare industry and deep understanding of Medicare risk adjustment (clinical,submission cycle, and financial experience). + Strong… more
- RWJBarnabas Health (Oceanport, NJ)
- …reports filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... home health, SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director ...dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Beth Israel Lahey Health (Charlestown, MA)
- …government reimbursement and net revenue analysis. Working with the VP and AVP, the Director will develop long- and short- term Medicare , Medicaid, and other ... job, you're making a difference in people's lives.** The Director , Revenue Finance and Reimbursement, will be a core...both government and commercial payment systems; and, (4) Provide Medicare , Medicaid, and payment system expertise in support of… more
- Diversicare Healthcare Services & Diversicare Ther (Jackson, MS)
- …and exceeding expectations."_ Diversicare has an exciting opportunity for an **Area Director of Clinical Reimbursement** . In this role you will provide guidance ... meeting regulatory compliance. Additionally provide subject matter consultation on Medicare , Medicaid and Managed Care reimbursement and regulatory guidelines.… more
- BAYADA Home Health Care (Sterling, VA)
- **Join BAYADA as a Home Health Director - Falls Church, VA** Are you ready to lead with purpose in a dynamic and growing healthcare field? BAYADA Home Health Care is ... seeking an experienced and compassionate ** Director ** to manage operations at our...** to manage operations at our **Falls Church, VA Medicare -certified Home Health office** . The ideal candidate will… more
- Humana (Baton Rouge, LA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- New York State Civil Service (Binghamton, NY)
- NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric (NY HELPS), Greater Binghamton Health Center, P26840 Occupational ... Description Greater Binghamton Health Center is recruiting an Assistant Director Nursing 1 Psychiatric to function as the Assistant...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more