- Mount Sinai Health System (New York, NY)
- …Mount Sinai. The team includes 400+ employees with clinical, contracting, finance , IT, analytics, operations, and product development expertise. The Managed Care ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Insight Global (Indianapolis, IN)
- Job Description As a Senior Financial Analyst within the Government Programs team, you will be responsible for managing 2-3 cost reports, including preparation and ... review of MAC adjustments. You will assist leadership by researching reimbursement scenarios, calculating impacts, and supporting settlement entries through the… more
- Bristol Myers Squibb (Madison, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Manager, Health Systems Analytics, supports the development and execution ... policies. It includes providing analytical support for strategies related to Medicare and Medicaid reforms, Pharmacy Benefit Manager (PBM) reforms, Inflation… more
- Houston Methodist (The Woodlands, TX)
- …and knowledge of electronic health record software (EPIC preferred) + Knowledge of Medicare , Medicaid, and managed care reimbursement methodologies + Ability to ... At Houston Methodist, the Senior Insurance Verifier position is responsible for obtaining...and completes high-quality work while adhering to productivity standards. ** FINANCE ESSENTIAL FUNCTIONS** + Utilizes multiple online resources to… more
- Molina Healthcare (New York, NY)
- …and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement ... skills required to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) + Coordinates and… more
- Bristol Myers Squibb (Princeton, NJ)
- …role is responsible for contracting strategy and analytics for commercial and Medicare payers and also supports field-facing team members in contract negotiations. ... value creating opportunities + Lead cross-matrix meetings with Access Strategy, P&E, Finance and RAE/NAE to present and gain approval for contract offer… more
- McLaren Health Care (Grand Blanc, MI)
- …or related field. + Three years experience in a progressively more responsible reimbursement or finance role with reimbursement responsibilities. Preferred: ... **Position Summary:** Responsible for compiling complex reimbursement data to support management decision making and...reviews the schedules required to support the submission of Medicare , Medicaid and Blue Cross cost report, complying with… more
- Sutter Health (Sacramento, CA)
- …practices, and procedures. + Knowledge of managed care payment/ reimbursement methodologies (eg, Medicaid/Medi-Cal, Medicare , fee-for-service, ... glad you are interested in joining Sutter Health! **Organization:** SSC-Sutter Senior Care **Position Overview:** Hybrid position with report requirements in… more
- Banner Health (VA)
- …coding experience in Hematology & Surgical Oncology and/or Radiology Oncology. This Senior Complex Coder will be supporting very busy providers/surgeons and is very ... wide array of disciplines. Whether your background is in Human Resources, Finance , Information Technology, Legal, Managed Care Programs or Public Relations, you'll… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating as ... a team member, in significant negotiations with Payors for acceptable reimbursement terms and contract languages for all entities with continuum of care + IE… more