• Master Profile - Clinical Manager

    Always Best Care Senior Services (San Diego, CA)
    …for at least one year in home care. * Knowledge of community resources, Medicare and state regulations, ACHC requirements, and reimbursement criteria for third ... Home Health is seeking a RN Clinical Manager with Medicare experience to guide, lead and build a fast...as staffing levels, patient supply needs, insurance claims and reimbursement . Must have excellent, organizational skills, ability to critical… more
    Always Best Care Senior Services (07/16/25)
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  • Therapy Access Manager (Pulmonary Hypertension)

    J&J Family of Companies (Cleveland, OH)
    …and solid business acumen. + Understanding of national and state legislative, Medicare , Medicaid, and private payer initiatives affecting reimbursement of ... at https://www.jnj.com **Job Function:** Market Access **Job Sub** **Function:** Reimbursement **Job Category:** People Leader **All Job Posting Locations:**… more
    J&J Family of Companies (09/09/25)
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  • Director, Ancillary Contracting

    Point32Health (Canton, MA)
    …care reimbursement methodologies including Ancillary Value Based Contracting and Medicare payment methodologies, as well as strong financial analytic ability + ... of managers, whose contract management teams are responsible for reimbursement strategies, negotiating and managing implementing contracts, and providing ongoing… more
    Point32Health (08/07/25)
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  • Director, CoPay Services

    AssistRx (Orlando, FL)
    …patient access to medications. + Collaborate with internal teams (eg, reimbursement , operations, account management) and external stakeholders to tailor copay ... comply with all federal, state, and industry regulations, including anti-kickback statutes, Medicare /Medicaid rules, FDA and OIG guidance. + Work closely with the… more
    AssistRx (07/29/25)
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  • RN Admissions

    Hospice Of San Joaquin (Stockton, CA)
    …PURPOSE/SUMMARY: Hospice Admission Nurse evaluates the appropriateness of patients using Medicare requirements for Hospice benefits. May be required to explain legal ... staff as required. 1. Evaluate patients for appropriateness for Hospice Medicare Benefit. 2. Provide skilled nursing assessment/delivery of direct care. 3.… more
    Hospice Of San Joaquin (09/14/25)
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  • Patient Access Specialist Sr - OBGYN

    UCHealth (Colorado Springs, CO)
    …physician. Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor ... qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year Loan Repayment: + UCHealth is a qualifying employer for the… more
    UCHealth (09/13/25)
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  • Pre-Admissions Testing Advanced Practice Provider

    SUNY Upstate Medical University (Syracuse, NY)
    …Certification consistent to the clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... and Well-being plans that include Student Loan Relief Services, Tuition Reimbursement , Adoption Assistance and an Employee Assistance Program. + Retirement options… more
    SUNY Upstate Medical University (09/13/25)
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  • Trauma Burn Center Advanced Practice Provider

    SUNY Upstate Medical University (Syracuse, NY)
    …Certification consistent to the clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... and Well-being plans that include Student Loan Relief Services, Tuition Reimbursement , Adoption Assistance and an Employee Assistance Program. + Retirement options… more
    SUNY Upstate Medical University (09/13/25)
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  • Provider Engagement Executive

    Humana (Atlanta, GA)
    …Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies + Demonstrated ability to manage multiple ... / HIPAA information **Preferred Qualifications** + Bachelor's Degree + Experience with Medicare and Medicaid + Comprehensive knowledge of Medicare policies,… more
    Humana (09/12/25)
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  • Revenue Cycle Analyst

    R1 RCM (Jenkintown, PA)
    …ICD-9 coding, CPT coding and EDI billing. + Reads and interprets expected reimbursement information from EOB's and learns legal parameters pertaining to all State ... Records for payer submission. **Required Skills:** + Background knowledge in Medicare or Medicare HMO payers + Demonstrated extensive knowledge in the health… more
    R1 RCM (09/12/25)
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