- Independent Health (Buffalo, NY)
- …correlating coding complexity. They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise and ... tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit...to prepare quantitative and qualitative studies at conclusion of audit . Ability to recalculate reimbursement following conclusion… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals , audit preparation ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
- Saint Francis Health System (Tulsa, OK)
- …Reporting to the Executive Director of Finance, the Director of Reimbursement is responsible for performing Medicare audits, cost reports, compliance, analysis ... and successful resolution of appeals for the health system. Additionally, the Director performs decision support analysis, pro-formas, and reimbursement impact… more
- Halliburton (Houston, TX)
- …audit defense / controversy strategies, including audit design, technical research, audit workpaper review and audit appeals + Directly manage ... Tax Manager - Senior Tax Manager Date: May 1, 2025 Location:...care for sick or injured immediate family members, adoption reimbursement , paternal and maternal leave for baby bonding and… more
- Centene Corporation (Jefferson City, MO)
- …and ongoing oversight and analysis of regulatory compliance issues. Conducts audit , oversight, and monitoring activities to assess compliance with aspects of ... and assist Centene and third parties/subcontractors to maintain integrity through audit , oversight and monitoring and in meeting Government-sponsored health care… more
- Walmart (Bentonville, AR)
- …the development and then drive strategies to address crafting and executing audit plans, negotiation strategies, managing appeals , and at times supporting ... Experts (SMEs) in the implementation and execution of foreign audit plans, along with alternative dispute resolution strategies +...company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. You will also… more
- Access Dubuque (Dubuque, IA)
- Senior PBM Pricing Analyst **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3206644 Posted On 04/17/2025 **Job Overview** **Position Overview:** The Strategic ... time + Collaborate with team members to execute MAC appeals process on a weekly basis + Develop and...the size of risks/opportunities + Execute MAC maintenance tasks, audit processes, and uploads; as needed during execution, identify… more
- Stanford University (Stanford, CA)
- …you with:_** + **_Freedom to grow_** **_. We offer career development programs, tuition reimbursement , the ability to audit a course, join a TedTalk, film ... within the University Human Resources Benefits Department. Reporting to the Senior Director of Benefits, the Benefits Analyst will provide essential analytical… more
- CHS (Clearwater, FL)
- …One core service, claims administration, is where submissions for payment/ reimbursement /sharing from medical providers and covered individuals are reviewed, subject ... as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with...Examiner queues waiting to be adjudicated, and in either audit or needing approval status. * Developing and implementing… more
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