• Healthcare Solutions Specialist - South Florida…

    Sysco (Houston, TX)
    …Abilities:** + Proficiency in Healthcare knowledge, trends, industry regulations, and reimbursement programs (Medicare & Medicaid ) required + Analytical ... developing relationships with current and perspective customers in Acute Care, Senior Living, and Long-Term Care sectors that traditionally require expertise around… more
    Sysco (09/17/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …**Supports corporate and departmental strategies and goals in alignment with regulatory specification for the annual Healthcare Effectiveness Data and Information ... for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid ), including HEDIS audit submission, Consumer Assessment of Healthcare Providers… more
    Medical Mutual of Ohio (08/16/25)
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  • Accounting Assistant

    Sunrise Senior Living (Silver Spring, MD)
    …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
    Sunrise Senior Living (09/04/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Tampa, FL)
    …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
    HCA Healthcare (08/14/25)
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  • Managed Care Contract Manager

    AdventHealth (Maitland, FL)
    …* Responsible for remaining current on regulatory changes that could impact reimbursement relative to CMS, Medicaid , Tricare and Workers Comp and effectively ... net patient revenue for the Florida division. This position assists the Sr . Contract Manager with ensuring that preferred contract language provides for ease… more
    AdventHealth (09/12/25)
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  • Vice President, Population Health & Clinical…

    Centene Corporation (Columbus, OH)
    …The Vice President of Population Health & Health Outcomes is a senior leadership role responsible for developing and executing strategies that drive measurable ... the direction of Centene and the Ohio Department of Medicaid . While the primary focus is on Medicaid...advisor on population health strategy as part of the senior leadership team. + **Operational Execution** + Ensure the… more
    Centene Corporation (09/18/25)
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  • Director, Pricing Policy and Analytics - Job ID:

    Ascendis Pharma (Princeton, NJ)
    …team within the US, Ascendis' largest affiliate. You will report directly to the Sr . Director, Pricing & Contracting Strategy and be based in Princeton, NJ. This ... strategies and policies that align with the company's business objectives and regulatory compliance, and impact market dynamics for our leading products in the… more
    Ascendis Pharma (09/09/25)
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  • Claims and Litigation Specialist

    Ascension Health (Austin, TX)
    Medicaid regulatory requirements is preferred. + Knowledge of Texas Medicaid pricing and reimbursement methodologies is a plus. \#LI-Remote **Why Join ... disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and… more
    Ascension Health (08/29/25)
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  • Director, Market Optimization

    Modivcare (HI)
    …responses to RFPs, client expansions, or pilot programs. + Understanding of the Medicaid /Medicare regulatory environment and the role of transportation in plan ... non-emergency medical transportation (NEMT) operations. This individual will collaborate with senior leadership to build and execute data-driven action plans that… more
    Modivcare (09/19/25)
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  • Director, Market Access Contract Operations - Job…

    Ascendis Pharma (Princeton, NJ)
    …managers (PBMs). This role requires expertise in contract management and reimbursement dynamics, coupled with strong leadership and analytical skills. The Director, ... in Princeton, NJ three (3) days/week and will report directly to the Senior Director, Pricing and Contracting Strategy. + Performance Tracking and Reporting: Develop… more
    Ascendis Pharma (09/09/25)
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