- NTT DATA North America (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ... ** Medicare Appeals Clinical Leader** to lead service delivery engagements...recommendations and interpretations of records. + Prepare reports for senior management on appeal trends and compliance status. **Requirements:**… more
- BayCare Health System (Clearwater, FL)
- …dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of ... This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Builds and sustains ... to reconcile discrepancies and identify issues, proposes solutions, and escalates issues to senior leadership as needed. . Prepares and leads weekly, monthly, and ad… more
- Prime Healthcare (Ontario, CA)
- …of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the ... complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked to another and be… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, ... of data to support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and Governmental (… more
- CenterWell (Phoenix, AZ)
- …other providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as ... consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to… more
- City and County of San Francisco (San Francisco, CA)
- …reviews detailed and complex medical and technical records and reports. + Senior Family Physician, Internist or Medical Subspecialist + Evaluates patient signs and ... a consultant to physician specialists on difficult and complex cases. + Senior Surgical Specialist or Subspecialist + Evaluates patient signs and symptoms, reviews… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on day-to-day ... operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately complex to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Marketing Strategist Location: Hybrid | Eagan, Minnesota Career Area: ... Blue Shield of Minnesota is seeking a strategic, data-driven Senior Marketing Strategist to lead and execute high-impact marketing...to lead and execute high-impact marketing initiatives for our Medicare line of business. This role is ideal for… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Senior Consumer Service Operations Professional is responsible for the daily activities across ... multiple service functions area. The Senior Consumer Service Operations Professional work assignments involve moderately complex to complex issues where the analysis… more