• Director, US Reimbursement Policy

    Gilead Sciences, Inc. (Washington, DC)
    …impacting reimbursement for Gilead's therapies, with a focus on Medicare Advantage, Medicaid, Health Plans, and PBMs. + Develop and execute proactive ... an advanced degree (MS, MA, MBA). + Deep knowledge of Medicare and Medicaid reimbursement systems, including Medicaid drug rebate policy, Medicare Advantage,… more
    Gilead Sciences, Inc. (07/16/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Grand Rapids, MI)
    …a high-visibility, fast-paced role that demands a strong understanding of medical reimbursement , Medicare and commercial payers, and buy-and-bill or specialty ... **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel... (Buy & Bill, Specialty Pharmacy) + Knowledge of Medicare & commercial insurance + Strong communication, customer service,… more
    Adecco US, Inc. (08/01/25)
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  • Sys Manager Reimbursement

    CommonSpirit Health (Phoenix, AZ)
    …or related field. + Minimum of five (5) years of intensive experience with Medicare and Medicaid reimbursement , two (2) years of net revenue experience and ... **Responsibilities** + Manages the healthcare organization's reimbursement activities and initiatives, to ensure timely and accurate finical reporting. + Identifies… more
    CommonSpirit Health (06/25/25)
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  • Home Office Reimbursement Analyst

    UCLA Health (Los Angeles, CA)
    …the financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on ... degree preferred). + At least five years of experience in healthcare reimbursement or financial analysis, particularly with Medicare and Medi-Cal regulations.… more
    UCLA Health (07/31/25)
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  • Sr. Accounting and Reporting Analyst - FT (Hybird)

    Houston Methodist (Houston, TX)
    …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations, State 1115 waivers, FEMA, and ... service focus and application of positive language principles + Expert knowledge of Medicare reimbursement , tax and/or FEMA rules preferred + Strong knowledge of… more
    Houston Methodist (06/24/25)
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  • Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …necessary on all new CPT and HCPCS codes for coding logic, related Medicare /Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance,… more
    Commonwealth Care Alliance (05/28/25)
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  • THR VP Gov Reimb Medcaid Pmts

    Texas Health Resources (Arlington, TX)
    …+ Responsible for providing financial consulting and representation on various Medicare /Medicaid regulations. + Leads resolution of reimbursement issues for ... in negotiations with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget...intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended forecasting. Estimates and… more
    Texas Health Resources (06/27/25)
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  • Director, Provider Contracting

    Humana (Tallahassee, FL)
    …team building + Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies + Strong financial acumen with ... productive. Our wholly owned affiliate, CarePlus, operates in 18 Florida counties, offering Medicare Advantage HMO plans that have been awarded 5-Star ratings by the… more
    Humana (07/21/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Kansas City, MO)
    …meet the following requirements to be considered:** * 8+ years of healthcare reimbursement experience ( Medicare & Commercial insurance) * Strong background in ... Adecco is assisting a local client recruiting for **Field Reimbursement Manager** opportunities in **Missouri, Illinois region.** This is an excellent opportunity to… more
    Adecco US, Inc. (07/18/25)
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  • HIM Clinical Coding Specialist III - System Coding…

    Sharp HealthCare (San Diego, CA)
    …Procedural Coding System (HCPCS) codes to assure appropriate assignment for outpatient Medicare reimbursement .Reviews and verifies charges to assure an accurate ... and APC's) as mandated. Uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, HCAL data financial and… more
    Sharp HealthCare (05/16/25)
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