• Senior Medicaid & Medicare

    OhioHealth (Columbus, OH)
    …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * ... as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining up to date with all regulatory requirements, both… more
    OhioHealth (06/07/25)
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  • Director Medicare / Medicaid

    Robert Half Finance & Accounting (Eatontown, NJ)
    …in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare / Medicaid Reimbursement . + The Director will have advanced level of ... projects not listed above. + Planning, preparing and reviewing of the annual Medicare / Medicaid cost reports filings. In partnership with the Vice President of… more
    Robert Half Finance & Accounting (06/24/25)
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  • Medicare / Medicaid Claims…

    Commonwealth Care Alliance (Boston, MA)
    …disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
    Commonwealth Care Alliance (05/31/25)
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  • Sr. Reimbursement Specialists…

    Insight Global (Orlando, FL)
    …5+ years Backend Reimbursement experience Cost reporting experience for Medicare / Medicaid Appeals Experience filing state surveys + external reviews such ... 5+ years Backend Reimbursement experience Cost reporting experience for Medicare / Medicaid Appeals Experience filing state surveys + external reviews such… more
    Insight Global (08/08/25)
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  • Medicare / Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …as necessary on all new CPT and HCPCS codes for coding logic, related Medicare / Medicaid policies to make recommend reimbursement determinations. + Analyze, ... health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare ) + Medical Coding, Compliance, Payment… more
    Commonwealth Care Alliance (05/28/25)
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  • Director Reimbursement

    AdventHealth (Altamonte Springs, FL)
    …impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible ... bring to the team:** + Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain a strong working knowledge of current… more
    AdventHealth (08/13/25)
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  • Associate Director of Finance - Government…

    UTMB Health (Galveston, TX)
    …+ Responsible for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited ... degree in accounting, business or related field plus eight (8) years of Medicare and Medicaid reimbursement experience to include four (4) years of … more
    UTMB Health (08/08/25)
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  • Director, Corporate Reimbursement

    RWJBarnabas Health (Oceanport, NJ)
    …Director will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment ... and policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid appeal and cost report reopening issues. + Completed Medicare more
    RWJBarnabas Health (06/20/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Clayton, NM)
    …of long term care clinical nursing experience is required. *Experience with Medicare / Medicaid reimbursement , MDS completion, clinical resource utilization ... -- RN manages the overall process and tracking of all Medicare / Medicaid case-mix documents to ensure appropriate reimbursement for all services provided… more
    Genesis Healthcare (08/01/25)
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  • Clinical Reimbursement Coordinator, LPN

    Genesis Healthcare (Fredericksburg, VA)
    …of long-term care clinical nursing experience is required. *Experience with Medicare / Medicaid reimbursement , MDS completion, clinical resource utilization ... transmitting the MDS, as required by federal and state regulations. *Manage all Medicare / Medicaid case-mix documents at the nursing center to assure appropriate … more
    Genesis Healthcare (08/08/25)
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