- Molina Healthcare (Mesa, AZ)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and maintenance for Medical Claim Audit .… more
- Covenant Health Inc. (Knoxville, TN)
- …liaison between CFOs, department managers, providers, and billing staff to maximize reimbursement within compliance guidelines for Medicare , Medicaid and other ... Summary: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to charging,… more
- Houston Methodist (Houston, TX)
- …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations, State 1115 waivers, FEMA, and ... At Houston Methodist, the Senior ( Sr .) Accountng and Reporting Analyst...application of positive language principles + Expert knowledge of Medicare reimbursement , tax and/or FEMA rules preferred… more
- Stanford Health Care (Palo Alto, CA)
- …works closely with all members of the Stanford Health Care Executive and Senior Leadership Teams. The Corporate Controller is one of the primary executives ... responsible for reporting to the Board of Directors, Audit , Compliance and Enterprise Risk Committee and Finance &...and approve the issuance of monthly financial package to senior management including CEO, CFO and COO. Provide expertise… more
- Catholic Health Services (Rockville Centre, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate ... complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare /Medicaid reimbursement , managed care contracts, and healthcare finance. Key… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr Mgr, Managed Care Rebates Date: Nov 19, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 65029 **Who we are** ... new people to make a difference with. **The opportunity** **Position Summary:** The Senior Manager, Managed Care Rebates leads department staff in the processing of… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr . Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit , compliance, and ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- WellSense (MA)
- …between provider and internal Plan departments such as Provider Enrollment, Claims, Audit , Marketing, Customer Care and Care Management. **Our Investment in You:** . ... to pre-set site visit servicing standards** + **Acts as liaison for all reimbursement , credentialing, claims, EDI web site procedures and issues of key providers** +… more
- University of Virginia (Charlottesville, VA)
- …and executive use. + Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance ... procedures, and applicable regulatory standards and requirements. + Completes chart audit reviews of clinical documentation to determine accuracy of charge capture.… more
- Saint Francis Health System (Tulsa, OK)
- …**to login and apply.** Full Time Job Summary: The Senior Internal Audit Analyst plays a critical role ... software, and data analytics platforms. Working knowledge of healthcare billing and reimbursement processes, particularly related to Medicare and Medicaid is… more