- Mount Sinai Health System (New York, NY)
- …experience in a hospital/healthcare environment is required. Advanced knowledge of Epic, Contract Manager , and Microsoft Excel Working knowledge of other ... and timely fashion. In collaboration with the Underpayment Team manager , the Senior CBO Appeals Analyst will... compliance analyses of MSHP IPA negotiated contracts utilizing contract manager and other data sources. 4.… more
- Elevance Health (Columbus, OH)
- … Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** _Location:_ This role enables associates to work...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Elevance Health (Mason, OH)
- …long term services and supports, and psychosocial needs._ **Network Education Representative Senior - LTSS** **Location:** This position is based in Ohio, the ... workplace. Alternate locations may be considered. The **Network Education Representative Senior - LTSS** is responsible for enhancing and overseeing a comprehensive… more
- Providence (Beaverton, OR)
- …Medicare and Medicaid regulatory affairs functions. Works closely with the Sr . Director, Compliance to ensure assist with transition to oversight under a "seven ... **Description** ** Manager Regulatory Affairs** **_Remote_** This position is responsible...new laws, regulations and sub regulatory guidance, and government contract requirements applicable to Providence Health Assurance's Medicare Advantage… more
- Banner Health (Phoenix, AZ)
- …Name:** Clinical Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director, Network Performance is a senior clinical executive ... network of employed and contracted providers across Medicare Advantage, Medicaid , Commercial, and government value-based programs. This role leads enterprise… more
- Atrius Health (Newton, MA)
- …supervision on routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding current and ... evolving provider payment methodologies . Reviews and monitors contract /payer performance . Compares expected reimbursement data to negotiated rates from contract… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** The Senior Provider Relations Representative serves as primary liaison for operational matters… more
- Leidos (Baltimore, MD)
- …the direction of the Senior Business Process Analyst Lead and Deputy Program Manager , you will be responsible, to include, but not limited to: * Manage the ... IT technology solution to our Centers of Medicare and Medicaid (CMS) customer where we are challenged to provide...end-user experience while ensuring protection of the data. As Senior Material Controller you will work closely with the… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuary, Senior Requisition # 24950 Exemption Status Exempt Management Level n/a Direct Reports ... n/a Manager Title Actuarial Services Manager Department Finance...one of the listed 9 states. Job Summary This senior level position is responsible for performing a wide… more
- Elevance Health (Indianapolis, IN)
- **Legal Specialist Senior ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... ensures essential face-to-face onboarding and skill development. The **Legal Specialist Senior ** is responsible providing legal support services to our federal… more