- AdventHealth (Maitland, FL)
- …current on regulatory updates and rate changes that affect Medicare, Medicaid and TriCare reimbursement for contract loading and analysis purposes. * ... contracts. * Performs necessary research to obtain and maintain non-contracted payer reimbursement including Medicare, Medicaid , Tricare and other gov't payers.… more
- Abbott (Austin, TX)
- …ensuring support for long-term business growth. + Ensure strict compliance with Medicaid , Medicare, and other relevant regulatory programs, and provide guidance ... retirement savings plan with high employer contribution + Tuition reimbursement , the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …systems, health policy, including managed care organizations, IDN's, Medicare and Medicaid ; innovative reimbursement pathways, similar awareness of internal HTA ... real-world outcomes research in the pharmaceutical/biotechnology or medical device industry. + Senior level competence in US reimbursement coding, coverage and… more
- Houston Methodist (Houston, TX)
- …maintenance and payer relations of the Houston Methodist (HM) contracts for reimbursement of services billed through managed care companies and serves as a ... operations staff of specific HM facility and Physician Organization contracts for reimbursement of services billed through managed care. The managed care payers… more
- Centene Corporation (New York, NY)
- …who changes everything for our 28 million members. **Position Purpose:** Ensure regulatory compliance with state and other government agencies related to the health ... in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements. +… more
- UnityPoint Health (Waterloo, IA)
- …how much they matter to this world. Commitment to our team has earned us recognition as a Top 150 Places to Work in Healthcare 2022-2025 by Becker's Healthcare and ... time off, parental leave, 401K matching and an employee recognition program . + Dental and health insurance, paid...Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance… more
- BeOne Medicines (San Mateo, CA)
- …Evaluate the impact of evolving policy changes (eg, Inflation Reduction Act, Medicaid Best Price, ASP-based reimbursement shifts) and develop mitigation ... to enable effective execution and decision-making. This role will report to the Senior Director, Market Access Channel and GTN Strategy Essential Functions: + Lead… more
- Centene Corporation (Austin, TX)
- …in Dual Eligible Special Needs Plans (D-SNPs)_** + **_Strong background in Medicaid and Medicare Managed Care_** + **_Experience with Long-Term Services and Supports ... (LTSS) components_** + **_Solid understanding of budgetary regulatory compliance and strategic planning_** + **_Demonstrated leadership in cross-functional or… more
- Cleveland Clinic (Cleveland, OH)
- …vital to the regulatory compliance of Main Campus and continued CMS reimbursement . **A caregiver in this position works days from 7:00AM - 4:00PM, with ... accreditation activities, ensure continuous readiness for surveys and work alongside senior leadership to facilitate a culture of continuous patient readiness. In… more
- Molina Healthcare (Dayton, OH)
- …Provider Network Management and Operations Department. Works with staff and senior management to develop and implement provider contracting and service strategies ... the Plan's membership. + Develops and maintains a market-specific provider reimbursement strategy consistent with Reimbursement Tolerance Parameters (across… more