• 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)
    - Related Jobs
  • Audit & Reimbursement Senior

    Elevance Health (Columbus, OH)
    Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of...and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare more
    Elevance Health (05/30/25)
    - Related Jobs
  • IFG - Senior Compliance Professional

    Humana (Columbus, OH)
    …evaluation of variable factors. We are looking for a dedicated and experienced Senior Compliance Professional specializing in Medicare Advantage to join our ... community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
    Humana (06/04/25)
    - Related Jobs
  • Patient Care Manager Senior

    Gentiva (Dayton, OH)
    …and practice, including industry standards, regulations, and best practices (ie, Medicare , Medicaid , JCAHO, ACHC), company policies/procedures, and understanding ... day. **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly...Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare , Medicaid , JCAHO, ACHC, and human resource)… more
    Gentiva (05/31/25)
    - Related Jobs
  • Senior Provider Engagement Professional-1-1

    Humana (Akron, OH)
    …to provide end to end provider experience as a member of our Medicaid team. The Senior Provider Engagement Professional develops and grows positive, ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
    Humana (06/05/25)
    - Related Jobs
  • Senior /Therapy Access Manager (Ohio…

    United Therapeutics (OH)
    …industry experience and 1+ years of experience in Market Access and Field Reimbursement supporting specialty products + Senior TAM - Bachelor's Degree with ... develop and implement plans that optimize patient access and reimbursement . You will have a strong understanding of essential...of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and… more
    United Therapeutics (05/10/25)
    - Related Jobs
  • Bilingual Senior Telesales Agent (Tagalog)

    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 (05/13/25)
    - Related Jobs
  • Senior Case Manager

    Cardinal Health (Columbus, OH)
    …insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid , Managed Care, and ... get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient… more
    Cardinal Health (04/29/25)
    - Related Jobs
  • Facility Coding Inpatient Senior Coder

    Banner Health (OH)
    …compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the ... your abilities - you belong at Banner Health. Looking for a motivated, experienced ** Senior Complex Inpatient Facility | Acute Care | HIMS Coder -Remote | Medical… more
    Banner Health (05/25/25)
    - Related Jobs
  • Physician Coding Senior Coder Surgical…

    Banner Health (OH)
    …compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the ... communities we serve. As a **f** **ully** **remote Physician Coding Surgical Pediatric Senior Coder** you will be coding Surgical procedures for Pediatric team. This… more
    Banner Health (05/23/25)
    - Related Jobs