- AdventHealth (Altamonte Springs, FL)
- …decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a work environment ... Altamonte Springs, FL **The role you will contribute:** The Reimbursement Director directs the Reimbursement ...team:** + Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain… more
- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This ... and setting daily priorities. * This positon supports the Director of Revenue and Reimbursement and Manager...as special projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement … more
- Centene Corporation (Raleigh, NC)
- …management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an ... process for overseeing compliance with regulations and laws related to Medicare requirements + Provides guidance to various business departments regarding compliance… more
- CVS Health (Nashville, TN)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well ... Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy...consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases… more
- RWJBarnabas Health (Oceanport, NJ)
- …filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport,...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing… more
- Centene Corporation (Queens, NY)
- …Initiatives (VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing ... end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will… 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
- UTMB Health (Galveston, TX)
- …staff in preparation of these reports. + Supports Director , Finance-Government Reimbursement in preparing annual Medicare , Medicaid and TDCJ net revenue ... compliance with Medicare and Medicaid regulations. + Supports Director , Finance-Government Reimbursement in preparing and monitoring departmental budget.… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... supervision of a licensed provider. The RN/CNS will report to the UUMAS Director of Quality and Practice Operations and collaborate closely with Primary Care clinic… more
- Houston Methodist (Katy, TX)
- …HB Epic AR management experience + Strong working knowledge of Facility Medicare (Part A) guidelines. + Problem solving thought leader with proven execution ... procedures, and provides quality reviews. Reports results of key performance metrics to director on a timely basis. **FINANCE ESSENTIAL FUNCTIONS** + Assists in the… more
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