- Minds Matter, LLC (Overland Park, KS)
- …experience working with Medicaid programs, including understanding of reimbursement methodologies, cost reporting, and regulatory compliance. + Familiarity ... value-based care financial models. + Knowledge of claims processing, provider reimbursement , and healthcare analytics for Medicaid populations. + Understanding… more
- 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
- The New Jewish Home (Bronx, NY)
- …application of continuous improvement principles and best practices among Medicare and Medicaid products, in collaboration with senior leadership and service ... Ensures compliance by staff with all applicable Federal, State and local regulatory and accreditation standards. o Ensures that required professional and ancillary… more
- WesleyLife (Johnston, IA)
- …and trends routinely to leadership. + Advise leadership on payer mix trends, regulatory changes, and reimbursement risk. + Prepare and file required reports ... WesleyLife is seeking a skilled Revenue Cycle Manager to lead our centralized reimbursement and billing team. This pivotal role is responsible for ensuring … more
- AmeriHealth Caritas (Newtown Square, PA)
- …improvement opportunities. + Present actionable insights and performance trends to senior leadership, regulatory , and provider networks.; + Collaborate with ... more about us at www.amerihealthcaritas.com . **Job Summary** Reporting to the Senior Vice President, the Vice President, HEDIS / Stars Risk Adjustment Performance… more
- PeaceHealth (Vancouver, WA)
- …communications. + Ensures compliance with state laws, Center for Medicare and Medicaid Services (CMS), and regulatory bodies governing the emergency management ... + Manages, maintains, and presents the Emergency Management Program for Center Medicaid /Medicare Services (CMS) and other regulatory agencies, as well as… more
- AssistRx (Orlando, FL)
- …team of professionals, ensuring operational excellence, compliance with all regulatory guidelines, and alignment with client expectations. DUTIES & RESPONSIBILITIES: ... patient access to medications. + Collaborate with internal teams (eg, reimbursement , operations, account management) and external stakeholders to tailor copay… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and reviews results as well as corrective actions. Prepares reports for regulatory bodies and senior management, including the Compliance Oversight Committee, ... and objectives. Establishes policies and procedures to ensure adherence to regulatory and payer requirements. Monitors changes in healthcare regulations and updates… more
- Methodist Health System (Dallas, TX)
- …and state laws relating to healthcare, including but not limited to Medicare/ Medicaid reimbursement , HIPAA, AKS, self-referral prohibitions, and fraud and abuse. ... management, health information management, litigation support related to operations and regulatory matters, medical staff services, marketing, and supply chain. This… more
- CVS Health (Tallahassee, FL)
- …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare- Medicaid Plan) * Develop and lead clinical strategy and objectives for ... Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP and other complex… more