• Advisor, Payer Rules & Credentialing

    Cardinal Health (Albany, NY)
    …problem-solving, research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, ... + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and...the organization at the state level by attending statewide payer teleconference meetings with CMS, AA Homecare… more
    Cardinal Health (10/14/25)
    - Related Jobs
  • Financial and Regulatory Analyst

    CentraCare (St. Cloud, MN)
    …in a healthcare environment. + Understanding of Medicare and Medicaid payment systems, managed care contracts, and payer policies required. + Proficiency ... reimbursement regulations, and healthcare legislation. The analyst partners with managed care , revenue cycle, government reimbursement, compliance, and… more
    CentraCare (10/20/25)
    - Related Jobs
  • Admissions Nurse - LPN

    Presbyterian Homes and Services (Eden Prairie, MN)
    …preferred. + Knowledge of MDS, payer systems and contracts (Medicare, HMO's, Managed Care , Third Party Payer Systems) + Demonstrated organizational ... and high-quality care and services within a caring Christian environment. EOE/ AA ABOUT THIS COMMUNITY Flagstone 12500 Castlemoor Drive Eden Prairie, MN 55344… more
    Presbyterian Homes and Services (10/16/25)
    - Related Jobs
  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Sioux Falls, SD)
    …of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... Varies **Job Schedule:** Full time **Weekly Hours:** 32.50 **Department Details** Acute Care department seeing a variety of patients in all age categories for… more
    Sanford Health (10/07/25)
    - Related Jobs
  • APP - Physician Assistant or Nurse Practitioner…

    Sanford Health (Fargo, ND)
    …of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... (PA) provides expert clinical guidance in a specialized field and coordinates patient care quality initiatives. Provides service to patients in acute, short and long… more
    Sanford Health (09/29/25)
    - Related Jobs
  • APP - Pediatric Trained Nurse Practitioner | Acute…

    Sanford Health (Sioux Falls, SD)
    …of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... Full time **Weekly Hours:** 32.50 **Department Details** We are expanding our Acute Care Pediatric Department and seeking a Pediatric Nurse Practitioner to join our… more
    Sanford Health (09/09/25)
    - Related Jobs
  • Revenue Cycle Manager

    New View Alliance (Williamsville, NY)
    …experience in a leadership role required + Strong knowledge of Medicaid, Medicare, Managed Care , and commercial insurance billing practices. + Proficiency in MS ... of the revenue cycle. This includes billing, coding, credentialing, accounts receivable, and payer relations. The Revenue Cycle Manager will serve as a key liaison… more
    New View Alliance (10/25/25)
    - Related Jobs
  • Financial Clearance Specialist

    Logan Health (Kalispell, MT)
    …Preferred Qualifications: + Associate's or Bachelor's degree. + Experience with managed care coverage, reimbursement, medical terminology, and medical coding. ... + Strong working knowledge of applicable rules, regulations and guidelines governing managed care coverage and reimbursement preferred. + Background knowledge… more
    Logan Health (10/22/25)
    - Related Jobs
  • Commercial Billing and Collections Specialist

    PruittHealth (Norcross, GA)
    …paid and settled in the timeliest manner. 7. Applies knowledge of specific payer billing/payment rules, managed care contracts, reimbursement schedules, ... governmental programs, regulations and billing processes, commercial third-party payers, and/or managed care contracts and coordination of benefits * Familiarity… more
    PruittHealth (10/09/25)
    - Related Jobs
  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Sioux Falls, SD)
    …of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... a provider. Our group works closely together to collaborate and provide top quality care . This schedule would be four 10-hour shifts. There are 3 other full-time… more
    Sanford Health (10/04/25)
    - Related Jobs