• Bilingual Case Manager

    Cardinal Health (Honolulu, HI)
    …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
    Cardinal Health (09/03/25)
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  • Remote Professional Billing Coder II

    Truman Medical Centers (Kansas City, MO)
    …for multiple specialties + Knowledge of insurance company, third-party and government reimbursement programs; ie Medicare , Medicaid, MC+, etc. + Knowledge of ... software systems, programs and devices. + Ability to maintain knowledge of Medicare rules and Local Carrier Determination (LCD) and national Correct Coding… more
    Truman Medical Centers (09/03/25)
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  • RN Nurse Navigator - Clinically Integrated Network…

    Highmark Health (Natrona Heights, PA)
    …them meet their health goals. + This role supports a new value-based reimbursement model for Medicare beneficiaries focused on improving population health, ... Network (CIN) to enhance the quality and value of care delivered to Medicare beneficiaries. + You will collaborate with practices to assist patients with… more
    Highmark Health (08/30/25)
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  • Physical Therapist, Home Health

    Sutter Health (Santa Cruz, CA)
    …health accreditation requirements, QI outcomes/benchmarking, infection control; good understanding of reimbursement patterns for Medicare and other payors; good ... working understanding of budget and other financial reports. + Self-starter with a high degree of initiative, motivation, flexibility, energy and creativity. + Ability to form harmonious working relationships with internal and external customers. +… more
    Sutter Health (08/08/25)
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  • Reimbursement Analyst (CCS or CPC) Coding…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement Analyst ... in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** + Associate?s degree in… more
    Mount Sinai Health System (09/06/25)
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  • Associate Director Access Marketing…

    Grifols Shared Services North America, Inc (Research Triangle Park, NC)
    …forecasting, and budgeting process for market access customer segment . Support reimbursement , coding, and coverage-related responsibilities for Medicare Part B, ... countries and regions. The Associate Director, Value Access Marketing & Reimbursement is responsible for developing and executing value messaging, pull-through… more
    Grifols Shared Services North America, Inc (09/13/25)
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  • Medicaid Provider Hospital Reimbursement

    Humana (Hartford, CT)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (09/09/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Columbus, OH)
    …degree or equivalent experience. + Minimum of 8 years of healthcare-related reimbursement experience. + Strong knowledge of Medicare and commercial insurance ... Adecco is assisting a local client recruiting for Field Reimbursement Manager (FRM) opportunities in the Northeast Territory. This is an excellent opportunity to… more
    Adecco US, Inc. (08/27/25)
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  • Medical Reimbursement Technician

    Veterans Affairs, Veterans Health Administration (Asheville, NC)
    Summary The employee serves as a Medical Reimbursement Technician within the Business Office in a position aligned under the West Consolidated Patient Account Center ... (CPAC), Chief Operating Officer (COO). The Medical Reimbursement Technician is responsible for performing a broad range of duties for medical billings and… more
    Veterans Affairs, Veterans Health Administration (09/11/25)
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  • Manager of Program Operations

    University of Washington (Seattle, WA)
    …+ Serve as a subject matter expert on genetic/molecular test billing and reimbursement . This includes reviewing Medicare /CMS, commercial payer and industry focus ... involve aspects of billing, pricing, prior authorization, clinical and reimbursement policies, costs estimations, ROI, staffing needs, risk management, compliance… more
    University of Washington (08/30/25)
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