- CVS Health (Lincoln, NE)
- …And we do it all with heart, each and every day. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution, and/or ... and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for… more
- UNC Health Care (Smithfield, NC)
- …and well-being of the unique communities we serve. **This Revenue Cycle Rep Senior will be an onsite position in Smithfield, NC.** Summary: Responsible for ... performing a variety of complex duties in support of reimbursement from patient and insurance carriers throughout the revenue cycle from pre-service with prior… more
- Centene Corporation (Austin, TX)
- …with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of ... issues and implementation of new compliance requirements with respect to regulatory and contractual language. + Conducts compliance reviews and manages team… more
- Wheeler Clinic (Manchester, CT)
- …medical records in accordance with documentation timelines and in compliance with Medicaid , licensing and other regulatory requirements/agencies as defined by ... recovery and growth at all stages of life. POSITION SUMMARY The Senior Counselor provides direct services/case management/coordination of care to an assigned… more
- CVS Health (Richmond, VA)
- …role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations, conduct high-level reviews ... and the review and analysis of reports as part of negotiation and reimbursement modeling activities. * Responsible for identifying and managing cost issues and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …information on current trends and best practices + Interpret contractual and regulatory requirements as they apply to business continuity activities and ensure full ... internal stakeholders + Participate in and support internal/external audits and regulatory inspections of the Business Continuity Management Program + Support… more
- Texas Health Resources (Arlington, TX)
- …safety-net services through various supplemental payment programs. The VP Government Reimbursement Medicaid Payments has the following duties and ... in negotiations with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended forecasting. Estimates and… more
- Somatus (Mclean, VA)
- …Medicare, and Special Need Plans (SNPs). The Director, Quality will work closely with Sr . Manager, Audit Risk and the Regulatory and Accreditation Team to ensure ... Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Sunrise Senior Living (Charlottesville, VA)
- …timely reimbursement . + Develop and maintain current knowledge of Medicare/ Medicaid requirements to properly process billing and regulatory reporting (if ... monthly Profit and Loss (P&L) Summary reporting, balance sheet account reconciliations, Medicare/ Medicaid billing and adherence to Sunrise Senior Living business… more
- HCA Healthcare (Brentwood, TN)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... to improve the accuracy, consistency, and efficiency of code assignment for reimbursement and reporting purposes. This individual will assist in training and support… more