- State of Indiana (Evansville, IN)
- …Commission as an Inpatient Psychiatric Hospital as well as Centers for Medicare & Medicaid Services certification as a Psychiatric Medicare /Medicaid Hospital. ... of the hospital. In this position, you will serve as a member of the senior executive board, providing management and monitoring of operation areas of finance ,… more
- Henry Ford Health System (Troy, MI)
- …investigate, analyze, and resolve issues at a high level. + Knowledge of Medicare , Medicaid, Medicaid OPPS reimbursement , and other third- party billing ... Under limited supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible… more
- Takeda Pharmaceuticals (Boston, MA)
- …of senior leadership from sales,patient value & access, marketing, finance and legal) that is responsible forthe pricing and contracting strategy across ... consultant to sales, marketing,and CFO. + Experience and in-depth knowledge in obtaining reimbursement withthird party commercial payers, Medicare Parts D and B,… more
- Henry Ford Health System (Troy, MI)
- …Under minimal supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Principal Specialist is ... to other HFHS departments. May supervise work of RI Senior Specialists and RI Specialists as well as other...+ Four (4) years experience in healthcare revenue cycle, finance , clinical areas or related experience. + Hospital billing… more
- CommonSpirit Health (Phoenix, AZ)
- …and supporting negotiations across a diverse payer portfolio, including commercial, Medicare , Medicaid, Health Insurance Exchange plans, and more. The Analyst ... with internal Core Analytics Tools, to inform contract strategy, optimize reimbursement , and identify risks and opportunities in payer arrangements. The role… more
- Centene Corporation (Cheyenne, WY)
- …Lead annual cost model submission, managing a cross functional team from Actuarial, Finance , Data & Analytics, and Accounting + Lead annual MLR submissions + Support ... forecast development + Support Inpatient reserving for Medicaid, Marketplace, and Medicare lines of business + Proactively identify opportunities for savings and… more
- Abbott (Austin, TX)
- …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... hosting pricing committee calls, communicating pricing and access strategy to senior leaders, modifying, distributing, and documenting approvals. + Collects and… more
- CommonSpirit Health (Phoenix, AZ)
- …+ Working knowledge of state and federal programs such as Medicaid and Medicare + Working knowledge of various reimbursement methodologies including DRG's, per ... letters of agreement and single case agreements at the direction of senior leadership. + Maintains supportive relationships with key departments that support the… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …assemble and produce documentation and informational materials that will guide Senior Management in making strategic network specific business decisions. Essential ... issues relative to prospective employer groups, tracking and status reporting for senior management. + Creates and maintains network tracking reports by product and… more
- University of Michigan (Ann Arbor, MI)
- …Cycle Department, Billing & Third Party Collections Team? We are seeking a Senior Billing Clerk/Patient Account Representative to join our dedicated team of revenue ... accurate claim submissions, active collections, and resolving complex insurance inquiries and reimbursement issues. In this position, you will also play a vital role… more