• 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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  • Audit & Reimbursement III

    Elevance Health (Indianapolis, IN)
    …requirements. + Requires a BA/BS degree and a minimum of 5 years of audit/ reimbursement or related Medicare experience; or any combination of education and ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
    Elevance Health (05/20/25)
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  • MDS Reimbursement Manager

    St. John's Embrace Living (Rochester, NY)
    …medical record documentation and required clinical assessments to ensure optimal reimbursement from Medicare , Medicaid and Private Insurances. Responsibilities ... to you, continue reading about the opportunity of MDS Reimbursement Manager. This is a full-time, 40 hours per...position at St. John's Home. Position Summary: The MDS Reimbursement Manager organizes and directs the PDPM/CMI reimbursement more
    St. John's Embrace Living (07/22/25)
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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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  • VP Quality AdventHealth Central Florida Division…

    AdventHealth (Altamonte Springs, FL)
    …outcomes from the work of this committee are required to receive Medicare reimbursement for the organization. Responsible for developing Institute accreditation ... registries, certifications, and/or accreditations that impact the organizations financial reimbursement . **Operating & Capital Budget/Financial Responsibility** : Serves as… more
    AdventHealth (07/14/25)
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  • At Home Advisor

    Hackensack Meridian Health (Neptune City, NJ)
    …off to F2F team with appropriate information. + Knowledgeable in current Medicare reimbursement criteria and insurance contracts for the organization product ... including comprehensive Health Benefits, generous Paid Time Off, Travel Reimbursement as well as an investment in your future...in your future with a 401(k) match and Tuition Reimbursement . Per Diem team members are eligible to participate… more
    Hackensack Meridian Health (07/19/25)
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  • Coder II - Sharp Foundation Models - Sharp…

    Sharp HealthCare (San Diego, CA)
    …Procedural Coding System (HCPCS) to appropriately assign HCPCS codes for outpatient Medicare reimbursement .Abide by all ethical and professional standards (ie ... CPT 4 conventions and Sharp HealthCare coding guidelines.Refuses to fraudulently maximize reimbursement by assigning codes that do not conform to approved coding… more
    Sharp HealthCare (05/18/25)
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  • Lead Data Scientist, NLP & Strategic Member…

    CVS Health (Hartford, CT)
    …maintain our industry-leading satisfaction scores and drive millions of dollars of Medicare reimbursement for the business. Additionally, you will mentor junior ... day. **Position Summary:** We are seeking a Lead Data Scientist to join our Medicare Member Experience Data Science team. In this role, you will develop Artificial… more
    CVS Health (07/19/25)
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