- Humana (Salem, OR)
- …interpretation and independent determination of the appropriate courses of action. The Finance Professional 2 will support Medicaid /Duals and continue ... caring community and help us put health first** The Finance Professional 2 analyzes and forecasts financial,...membership, and premium related data to provide reports to Medicaid Finance CFOs as well as assist… more
- CenterWell (Salem, OR)
- …financial data driven methods to develop and influence drug strategies for the Medicaid lines of business. + Utilizes broad understanding of pharmacy, managed care, ... PBM, market and regulatory insights to support the development of Medicaid formulary and medical drug strategies to mitigate Humana's costs and trend while improving… more
- Humana (Salem, OR)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- NorthWest Senior & Disability Services (Salem, OR)
- …Protect consumers and reduce Agency risk. + Provide excellent customer service in a professional manner. 1. Support Finance and Budget Manager to meet goals and ... and vision by performing a wide range of advanced professional and analytical accounting activities in support of the...and analytical accounting activities in support of the Agency's Finance and Budget Manager. Serves as a technical resource… more
- Prime Therapeutics (Salem, OR)
- …flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Providence (OR)
- …operates a self-administered claims program for General and Healthcare Professional Liability, Directors and Officers, Employment Practices, Fiduciary, Property, ... and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting, applicable laws, insurance… more
- Humana (Salem, OR)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a… more
- Deschutes County (Bend, OR)
- …team and problem-solving personnel issues. + Healthcare billing systems, Medicaid /Medicare reimbursement, and private insurance payment policies. + Audit procedures ... methods. + Project and time management in a high-volume billing or finance environment. + Effectively managing technical and administrative positions. *This posting… more
- Providence (OR)
- …as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000 ... + Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy. + Set strategic and performance… more
- Providence (Portland, OR)
- …and Medicaid revenue methodologies. + Demonstrated experience with managing professional staff who work independently on tasks and projects. **Salary Range by ... relationships with other leaders across the organization including Product, Finance , Underwriting, Regulatory, Pharmacy, and outside the organization (CMS, provider… more