- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Senior Resident Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident ... billing and revenue collection function for the St. John's Senior Services and its affiliates. Qualifications & Education Required: + Associates Degree with five (5)… more
- Humana (Lansing, MI)
- …reviewing and analyzing large sets of claims data. + Knowledge of Medicaid regulatory requirements. + Excellent written and verbal communication skills. ... caring community and help us put health first** The Senior Claims Research and Resolution Professional reports to the...Lead and is responsible for tracking and trending Michigan Medicaid claims data and completing root cause analyses of… more
- Baystate Health (Springfield, MA)
- …1) This position will serve as a team lead and technical expert on reimbursement and regulatory rules 2) Will be responsible for hospital Medicare and ... month-end close, regulatory changes, and audit adjustments related to Medicare and Medicaid 4) As a Sr . Managed Care Contract Manager this position will… more
- Volunteers Of America Colorado (Commerce City, CO)
- …fiscal responsibility. *Identify and pursue funding opportunities, including grants and Medicaid reimbursement , to enhance program sustainability and service ... Senior Manager; Aging and Nutrition Services Commerce City,...closely with local program partners to ensure service quality, regulatory alignment, and effective program delivery. In addition to… more
- RWJBarnabas Health (West Orange, NJ)
- Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care ContractingReq #:0000206244 Category:Professional / Management Status:Full-Time Shift:Day ... 95 Old Short Hills Road, West Orange, NJ 07052 Job Title: Senior Counsel Location:SBC Corporation Department Name:General Counsel Office Req #:0000206244… more
- UTMB Health (Galveston, TX)
- …with commercial and government payers, including HMOs, PPOs, ACOs, and Medicaid /Medicare Advantage plans. * Analyze reimbursement methodologies and contract ... Senior Contract Administrator - Revenue Cycle Ops Support... reimbursement proposals. * Strong knowledge of healthcare reimbursement models, contract terms, and regulatory compliance.… more
- Gentiva (Stockbridge, GA)
- …ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid , JCAHO, ACHC, and human resource) ... ON BONUS We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly...and compliance with local, state, and federal regulations and regulatory agencies. + Preparing for, serving on, and facilitating… more
- Stony Brook University (Stony Brook, NY)
- …and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of other governmental and third ... Senior Financial Analyst, Revenue Cycle Management **Position Summary**...and experience. + Minimum three plus years' experience in charge/ reimbursement analysis, maintenance, audit or review for a Hospital… more
- Centene Corporation (Jefferson City, MO)
- …+ Leads the timely, consistent, and accurate communication of state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings in ... ethics and compliance program, and ongoing oversight and analysis of regulatory compliance practices. + Collaborates with internal teams and external vendors… more
- Sodexo (San Diego, CA)
- …in beautiful San Diego County is seeking an experienced and passionate ** Senior Area Nutrition Manager** to lead survey readiness efforts across our dynamic ... **The Joint Commission (TJC)** and **Centers for Medicare & Medicaid Services (CMS)** standards. If you're a proactive leader...you're a proactive leader with a strong background in regulatory compliance and a commitment to excellence in food… more