- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. We are seeking to expand our Medicare reimbursement team by adding a senior analyst. Working as a ... of the Government Navigation Suite service line, the Reimbursement Senior Analyst will partner with team members to work...variety of hospitals and systems to review and audit Medicaid eligible days for Medicare DSH reimbursement.… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager, Network Management:** * Negotiates, executes, conducts high level ... in contract management systems per Aetna's established policies. . * Conducts research , analysis and/or audits to identify issues and propose solutions to protect… more
- AdventHealth (Altamonte Springs, FL)
- …of relevant experience in healthcare finance, preferably in reimbursement including Medicare , Medicaid reimbursement and regulatory cost reporting Strong ... Medicaid program reimbursement laws and regulations Ability to research and interpret Medicaid laws and regulations...thinking, comfortable enough to challenge the assumptions of more senior leaders if those leaders need to consider other… more
- Molina Healthcare (Green Bay, WI)
- …Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare - Medicaid recipients within ... School Diploma/GED/AA Degree **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2+ years Medicare , Medicaid , managed care or other health/insurance related… more
- Humana (Montpelier, VT)
- **Become a part of our caring community and help us put health first** Humana Medicaid is seeking a dynamic and strategic Senior Insurance Product Manager to ... for individuals who are: * Creative - Skilled in research and structured problem-solving with a flexible mindset. *...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Molina Healthcare (Boston, MA)
- …Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare - Medicaid recipients within ... **Required Education** High School diploma/GED **Required Experience** 2+ years Medicare , Medicaid , managed care or other health/insurance related… more
- CVS Health (Phoenix, AZ)
- …technical, analytical, and business support for all assigned programs for Medicare , Medicaid , and Commercial products. Programs currently include End-Stage ... successful audit experience for our clients. Your ability to research claims, read benefit setups in RxClaim, and articulate...**Knowledge of:** + 3+ years of Pharmacy Benefit Management, Medicare Part D or Medicaid experience +… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Senior Claims Research and Resolution Professional reports to the Claims Research ... strategy and operating objectives, including their applications to assignments. The Senior Claims Research and Resolution Professional follows general guidance… more
- University of Michigan (Ann Arbor, MI)
- Research Area Specialist Senior /Intermediate Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as ... + At least 1 year of experience working with claims databases, such as Medicare , Medicaid , or commercial claims + Excellent communication skills + A minimum… more
- Humana (Olympia, WA)
- …systems, reporting and data analysis + 3+ years of health care experience for Medicare and/or Medicaid populations + Proven experience with tools such as ... with the following attributes: + Creative - Adept at research to determine the opportunity and a structured yet...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more