- Gentiva (Atlanta, GA)
- …Support Growth. Drive Regulatory Excellence.** We are seeking a detail-driven Regulatory Analyst to join our growing team. Reporting directly to the Vice President ... and track a variety of healthcare regulatory applications including state licensure, Medicare , Medicaid, NPI, CLIA, CON, and accrediting bodies + Maintain detailed… more
- Abbott (Sylmar, CA)
- …An excellent retirement savings plan with a high employer contribution + Tuition reimbursement , the Freedom 2 Save student debt program, and FreeU education benefit ... administration of division monitoring plan. **Core Job Responsibilities** The Senior Analyst performs the following with moderate supervision from the OEC… more
- WellSpan Health (York, PA)
- …and researching third party payer policies and coding guidelines to optimize reimbursement for the system while ensuring compliance with applicable laws and ... courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge (ALJ) hearings as necessary for... Administrative Law Judge (ALJ) hearings as necessary for Medicare + Interacts with providers, managers, and staff in… more
- Henry Ford Health System (Troy, MI)
- …to Government fee schedules and analyzing existing healthcare (claims) data and reimbursement terms and payment methodologies; with the goal of driving necessary ... rate sections of proposed contracts and amendments to ascertain that all necessary reimbursement terms are included, and rates are depicted as negotiated. 4. Prepare… more
- WellSpan Health (York, PA)
- …Responsible for coordinating the relationship, managing and obtaining the expected reimbursement , budgeting, analyzing payor data, understanding the intent of the ... and voluntary value-based/pay for performance programs with Contracted Commercial, Medicare Advantage and Medicaid MCO Payors and appropriate WellSpan Health's… more
- Centene Corporation (Austin, TX)
- …Basic knowledge of Value Based Program:** **Required Other Thorough knowledge Medicare and Medicaid quality scoring methodologies including HEDIS, NCQA and ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
- Centene Corporation (New York, NY)
- …disenrollment compliant audits, providing examples of any gaps that could change our Medicare STAR rating by H-contract. Able to interpret and understand changes to ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
- UCLA Health (Los Angeles, CA)
- …systems, processes and procedures + Maintain compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR ... Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare /Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …(DSI) in the US Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) effort under HII's Decisive Mission Actions and Technology ... insurance; employee discounts; paid holidays and paid time off; tuition reimbursement ; as well as early childhood and post-secondary education scholarships.… more
- City of New York (New York, NY)
- …Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs ... including the Deferred Compensation Plan and NYCE IRA. In addition to negotiating collective bargaining agreements, OLR serves as a resource to agencies with regard to workforce labor issues and works with the Municipal Labor Committee (MLC) to pursue… more