- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare/ Medicaid Reimbursement . + The Director will have advanced level of knowledge ... Term Disability + Health Care/Dependent Care Flexible Spending Accounts + Wellness Programs + Tuition Reimbursement My client, a large healthcare company located in… more
- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory ... or a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost reporting. + Experience with Medicare /Medicare… more
- Pulaski County Special School District (Little Rock, AR)
- …+ Two years in a supervisory role preferred + Extensive knowledge of Arkansas Medicaid Reimbursement REPORTS TO: Director of Special Education JOB GOAL: Assist ... provide direct therapy services and provide leadership/management of all Medicaid reimbursement programs. PERFORMANCE RESPONSIBILITIES: + Planning, developing… more
- OhioHealth (Columbus, OH)
- …This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is ... projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining up to date with all regulatory requirements,… more
- Humana (Santa Fe, NM)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- State of Indiana (Indianapolis, IN)
- …engaged with this mission. Role Overview: This role serves as the Director of Medicaid Reimbursement Compliance and will oversee the Long-Term Care (LTC) ... and the State's Rate Setting / Auditing vendor. The LTC Reimbursement team oversees Medicaid provider rate setting for Nursing Facilities, Group Homes, the… more
- State of Minnesota (St. Paul, MN)
- …recommend, develop, and represent DHS policies at the local level to support Medicaid reimbursement policies and practices with statewide school districts and ... **Working Title: School-Based Medicaid Navigator** **Job Class: Human Services Program Representative...the school's ability to provide and get reimbursed for Medicaid services provided in their setting. **Responsibilities include, but… more
- Commonwealth Care Alliance (Boston, MA)
- …responsible for the end-to-end review, analysis, and resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. ... Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and provider… more
- RWJBarnabas Health (Oceanport, NJ)
- …as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all ... and evaluate changes in reimbursement regulations and policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid appeal and cost report… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare/ Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare) + Medical Coding, Compliance,… more
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Sr Medicaid Reimbursement Regulatory