- Elevance Health (Independence, OH)
- …Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... roles and is responsible for facilitating appropriate length of stay (LOS) and reimbursement for all hospital admissions in accordance with set goals and objectives.… more
- Abbott (Sylmar, CA)
- …An excellent retirement savings plan with a high employer contribution + Tuition reimbursement , the Freedom 2 Save student debt program, and FreeU education benefit ... and administration of division monitoring plan. **Core Job Responsibilities** The Senior Analyst performs the following with moderate supervision from the OEC… 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
- Catholic Health Initiatives (Lufkin, TX)
- …responsibility and stays current with respect to government payer reimbursement methodology changes (ie Traditional Medicare /Medicaid/Tricare). + Other ... performance of the service lines. * Make recommendations to Senior Management for action to improve such vulnerabilities and...+ Develops and prepares routine and special Finance and Audit Reports as needed. + Analyzing and interpreting data,… more
- Centene Corporation (Raleigh, NC)
- …management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an ... process for overseeing compliance with regulations and laws related to Medicare requirements + Provides guidance to various business departments regarding compliance… more
- Cardinal Health (San Juan, PR)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, ... appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the development and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Financial Compliance Audit , $10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary Manager, Financial Compliance Audit (Finance) has a $10,000 SIGN-ON BONUS. This role...(DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and… more
- UCLA Health (Los Angeles, CA)
- …Take on a key leadership role within a world-class, award-winning health system. As Senior Reimbursement Manager at UCLA Health, you will oversee complex ... this role, you will: + Prepare and file annual Medicare and Medi-Cal cost reports; lead audit ...economics in a healthcare environment. + In-depth understanding of Medicare and Medi-Cal regulations, waiver reimbursement programs,… more
- Prime Healthcare (Ontario, CA)
- …preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and ... understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how...a multi-state hospital system and provide the support at audit + Knowledge of Medicare rules on… more