• Director of Reimbursement

    AdventHealth (Altamonte Springs, FL)
    …decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a work environment ... Altamonte Springs, FL **The role you will contribute:** The Reimbursement Director directs the Reimbursement ...team:** + Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain… more
    AdventHealth (08/13/25)
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  • 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. * This ... and setting daily priorities. * This positon supports the Director of Revenue and Reimbursement and Manager...as special projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement more
    OhioHealth (09/25/25)
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  • Senior Director , Auditing, Monitoring…

    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
    Centene Corporation (07/05/25)
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  • Medicare /Medicaid Claims…

    Commonwealth Care Alliance (Boston, MA)
    …of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
    Commonwealth Care Alliance (08/31/25)
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  • Director , Corporate Reimbursement

    RWJBarnabas Health (Oceanport, NJ)
    …filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote)Req #:0000180233 Category:Accounting/Finance...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing… more
    RWJBarnabas Health (09/19/25)
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  • Medicare /Medicaid Claims Editing…

    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
    Commonwealth Care Alliance (08/26/25)
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  • Associate Director of Finance - Government…

    UTMB Health (Galveston, TX)
    …staff in preparation of these reports. + Supports Director , Finance-Government Reimbursement in preparing annual Medicare , Medicaid and TDCJ net revenue ... compliance with Medicare and Medicaid regulations. + Supports Director , Finance-Government Reimbursement in preparing and monitoring departmental budget.… more
    UTMB Health (08/08/25)
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  • Medicare Billing Spclst

    Community Health Systems (La Follette, TN)
    …and assists in resolving claim discrepancies to reduce denials and ensure proper reimbursement . **Essential Functions** + Prepares and submits Medicare claims in ... **Job Summary** The Medicare Billing Specialist is responsible for performing timely...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
    Community Health Systems (09/09/25)
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  • Medicare Long Term Services & Support Care…

    AmeriHealth Caritas (Detroit, MI)
    …us at www.amerihealthcaritas.com. **Role Overview: ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care ... needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the scope… more
    AmeriHealth Caritas (09/19/25)
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  • Medicare Sales Field Agent - Greater…

    Humana (Chicago, IL)
    …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll… more
    Humana (09/30/25)
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