- Alameda Health System (Oakland, CA)
- …ability to integrate diverse datasets. Required Experience: Familiarity with healthcare reimbursement models (eg, Medicare , Medicaid, value-based care) and ... and service line performance. + Prepare detailed reports and presentations for senior management, integrating financial, market, and growth data to highlight key… more
- AdventHealth (Maitland, FL)
- …strategies. This executive will serve as a strategic partner to market senior level executives to drive contract performance in value-based payment models, achieve ... that achieve top quartile performance in quality and utilization, appropriate reimbursement for health care services, fostering partnerships with employers, leading… more
- Calvary Hospital (Bronx, NY)
- …Performance Appraisals for other assigned staff. Oversees the interface with the Finance Office regarding pertinent insurance information, eg Medicare , Medicaid, ... Intake and Outreach Services and maintains an open dialogue with the senior leadership of the hospital and referring partners. Role/Function Continuously monitors… more
- Health Care Service Corporation (Nashville, TN)
- …company that will invest in your professional development. **Job Summary** The Senior Analytics Consultant - Medical Economics role supports medical cost trend ... for the Government Business segment, with a primary focus on the Medicare Advantage business. This role is responsible for developing in-depth medical expense… more
- City of New York (New York, NY)
- …- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy and timeliness, saving the ... systems to meet identified goals and mandates. - Direct senior staff in the management of the evaluation, design,...work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in complex projects related to denial initiatives. Provides support for projects in which senior managers are involved. * Assist in the tracking and review of payer ... * Associate degree preferably in the business, healthcare, or finance field * In the absence of an Associate's...sound understanding of ICD-10, and CPT coding systems; prospective reimbursement system. * Ability to review and analyze issues… more
- Apex Health Solutions (Houston, TX)
- …based reimbursement models. * Demonstrated knowledge of contracting process, Medicare fee schedules, financial terms, and metrics. Skills * Knowledge of ... Relations, Account Management & Education; Data Exchange and Integrity; Reimbursement and Data Analysis; and, Communications and Relationship Management Create… 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
- Prime Healthcare (National City, CA)
- …Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and ... (effective 4/1/14 for all new hires)2. Bachelor's Degree in Business, Accounting or Finance preferred3. Three to five years experience in health care business office… more
- Bluestone Physician Services (Fort Myers, FL)
- …in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured ... + Documented previous sales success + Bachelor's degree in business, finance , health care administration and experience in clinic operations and/or care… more