- Zelis (Plano, TX)
- …gained, and the personal interests that shape who you are. Position Overview The Sr . Medicaid Regulatory Pricer Analyst will collaborate with the Zelis ... timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver...a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost… more
- CommonSpirit Health (Phoenix, AZ)
- …knowledge of Medicare Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and ensures value is delivered ... **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit… more
- CommonSpirit Health (Phoenix, AZ)
- …of Medicare, Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and ensures value is delivered ... **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible...appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health. The… more
- Abbott (Livermore, CA)
- …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... their health and get on with their lives. This position provides regulatory compliance leadership for the business, ensuring the policies, procedures, and practices… more
- BayCare Health System (Clearwater, FL)
- …excellence. **Position Details:** Clearwater, FL (Hybrid) | Full-Time | Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management ... mission-driven environment. **Your Role Within the Team:** + Analyze government reimbursement data and develop strategies for Medicare/ Medicaid Cost Reports… more
- Houston Methodist (Houston, TX)
- …utilization management, case management, performance improvement, and managed care reimbursement + Skill-specific areas include regulatory requirements, pathway ... At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is...responsible for facilitating appropriate length of stay (LOS) and reimbursement for all hospital admissions in accordance with set… more
- WellSpan Health (York, PA)
- …abuse laws, hospital/physician issues, complex contract negotiation and management, Medicare/ Medicaid reimbursement issues, regulatory compliance, patient ... budget, and providing legal advice and counsel to WellSpan Health board members, senior leaders, management, physicians and other staff. The DGC will (i) work… more
- Abbott (Sylmar, CA)
- …An excellent retirement savings plan with a high employer contribution + Tuition reimbursement , the Freedom 2 Save student debt program, and FreeU education benefit ... and administration of division monitoring plan. **Core Job Responsibilities** The Senior Analyst performs the following with moderate supervision from the OEC… more
- Prime Therapeutics (Santa Fe, NM)
- …Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the ... regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement . Works directly with business partners across the enterprise.… more
- Waystar (Louisville, KY)
- …that designed, built, or used RCM Revenue Integrity products + Ability to interpret regulatory guidelines from CMS, Tricare, and Medicaid websites + Ability to ... and work closely with User Experience team and Technology teams. The Sr . Product Manager will coordinate with key stakeholders in sales, marketing, design,… more