• The Ohio State University (Dublin, OH)
    …hospital's third-party reimbursement activities. This includes the annual filing of Medicare and Medicaid cost reports for a large academic medical center ... health plan. Position Summary Under the supervision of the Senior Director of Accounting, the Finance Reimbursement ... Medicare , Medicaid , Champus, and State Medicaid Programs. Develops and maintains expertise in reimbursement more
    Upward (07/13/25)
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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. * ... cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject...assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining… more
    OhioHealth (06/07/25)
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  • Medicaid Provider Hospital…

    Humana (Columbus, OH)
    …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG,… more
    Humana (07/09/25)
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  • Senior Analyst, Medical Economics - REMOTE

    Molina Healthcare (Columbus, OH)
    …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare… more
    Molina Healthcare (07/10/25)
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  • Bilingual Senior Telesales Agent (French)

    Humana (Columbus, OH)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Senior Telesales Agent conducts selling activities related to inbound calls inquiring about… more
    Humana (07/02/25)
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  • Senior Manager, Network Management,…

    CVS Health (Columbus, OH)
    …(agility and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, ... Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations,...and analysis of reports as part of negotiation and reimbursement modeling activities. * Responsible for identifying and managing… more
    CVS Health (07/19/25)
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  • VP, Network Mgmt & Ops (Ohio Health Plan)

    Molina Healthcare (Dayton, OH)
    …in Business, Health Administration, or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. \#PJHPO \#LI-AC1 To all ... Provider Network Management and Operations Department. Works with staff and senior management to develop and implement provider contracting and service strategies… more
    Molina Healthcare (07/23/25)
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  • Provider Engagement Executive

    Humana (Columbus, OH)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... more years of demonstrated project management experience and partnering with senior leadership on strategic initiatives + Proven planning, preparation and presenting… more
    Humana (07/18/25)
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  • Registered Nurse (RN), Mobile MDS Coordinator

    CommuniCare Health Services Corporate (Cincinnati, OH)
    …Current RN license in Ohio + At least 2 years of experience with Federal Medicare / Medicaid and Managed Care reimbursement system management in working with ... Term Care and MDS experience. Multi-facility MDS experience or Senior MDS experience preferred. The Mobile MDS Coordinator will...expertise in the area of specific federal and state reimbursement systems About Us A family-owned company, we have… more
    CommuniCare Health Services Corporate (06/29/25)
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  • Patient Care Manager

    Gentiva (Columbus, OH)
    …and practice, including industry standards, regulations, and best practices (ie, Medicare , Medicaid , JCAHO, ACHC), company policies/procedures, and understanding ... join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for maintaining a high… more
    Gentiva (07/22/25)
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