- Molina Healthcare (Omaha, NE)
- …**Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, including hospitals and ... **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and… more
- 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 ... in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** + Associate?s degree in… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Reimbursement Analyst - SeniorDepartment: Reimbursement Specialist - Finance Location: Riedman Campus SUMMARY: Provide and maintain Hospital ... reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid. Prepare annual institutional cost report, physician questionnaire and other third… more
- 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
- 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
- Zelis (Plano, TX)
- …personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement ... / Medicare Advantage or commercial billing and reimbursement a plus + Ability to manage/oversee pricer program.… more
- Humana (Topeka, KS)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- CommonSpirit Health (Englewood, CO)
- **Responsibilities** **Position Summary** : The Reimbursement Analyst is responsible for supporting Dignity Health hospitals with the technical expertise ... with Dignity Health Policy and Procedure Assists in the review of new reimbursement /revenue cycle strategies for the purpose of ensuring compliance and promotion of… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Business System Analyst I Provides the ... business needs. Experience with Microsoft Dynamics 365 preferred. Business System Analyst II Provides the interface between the business and information technology… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Master ... Data Management Analyst III** The MDM Analyst within the...fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.… more