- Elevance Health (Mason, OH)
- …is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid ... programs. The **Audit and Reimbursement II** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and … more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with ... risk by upholding compliance standards. Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the… more
- COOLSOFT (Jackson, MS)
- …in Jackson, MS Skills required Database Administrator, Web Based Software Development Project , Troubleshoot, Open Date 22-Oct-2025 Close Date Job type Contract ... Recruiter:coolsoft Job Description Administrator: Database Administrator, Web Based Software Development Project , Troubleshoot, Start date : 1/5/2026 End Date : At… more
- MedKoder (Mandeville, LA)
- …management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid , and third-party payer guidelines to ensure receipt of accurate ... client remotely and on-site; + Communicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task completion; + Stay current on… more
- Qualtrics (Seattle, WA)
- …domain. You will be responsible for maintaining the Healthcare data model, contracts between the Healthcare domain and other adjacent domains within Qualtrics. As ... 1. Healthcare Regulatory products require attention to detail. Center for Medicaid and Medicare Services guidelines and Qualtrics products are often orthogonal… more
- Atrius Health (Newton, MA)
- …care system in the country. Under general direction, provides analytical, project management and database support. Gathers, compiles, organizes and documents ... supervision on routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding current and… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Payment Variance and Resolution, the RI Analyst, Payment Variance and Resolution is responsible for maintenance of ... and identification of individual underpayments and underpayment trends from HFHS payers. Project work may include technical analyses or may require participation in… more
- Centene Corporation (Harrisburg, PA)
- …work process solutions + Lead meetings with various departments to assign claim project priorities and monitor days in step processes to ensure the projects stay ... ensure configuration, state mandates, benefits, etc. + Review all Medicaid Bulletins for changes and updates and submit change...any system changes and work notify the Plan CIA Manager to ensure its implementation + Collaborate with the… more
- Centene Corporation (Austin, TX)
- …Opportunity**_** **_The ideal candidate will have:_** + **_Knowledge of dual contract requirements (eg, Medicare- Medicaid plans)_** + **_Experience managing ... related to ongoing Duals compliance monitoring activities. + Partners with Duals Manager and health plans in managing relationships with regulatory agencies and seek… more
- Tidelands Health (Myrtle Beach, SC)
- …Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment of ... other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. **What you will do** +… more
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