- Healthfirst (NY)
- …marketing, educational, and ad hoc material reviews including assisting the Regulatory Affairs Manager by reviewing, finalizing, submitting, and tracking approvals ... of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing… more
- Molina Healthcare (Boise, ID)
- …regulations pertaining to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/ Regulatory Oversight Analyst works with health plans and ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Analyst develops and performs...with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
- BlueCross BlueShield of North Carolina (NC)
- …of degree, 7+ years of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience + Extensive Medicare ... Accounting, Fraud Investigations, Investigation Techniques, Investigative Analysis, Job Interviews, Regulatory Analysis, Risk Assessments, Testifying in Court **About Us**… more
- U-Haul (Phoenix, AZ)
- …2721 N Central Ave, Phoenix, Arizona 85036 United States of America he Regulatory Compliance Analyst supports the Compliance, Actuarial, and Finance teams in ... systems. Growth Path:This role provides an opportunity to grow into a Regulatory Compliance Manager or Senior Compliance Analyst with additional experience… more
- Zelis (Plano, TX)
- …interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... an accurate and timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver programs and bulletins… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level of knowledge of ... not listed above. + Planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In partnership with the Vice President of Corporate… more
- Molina Healthcare (Buffalo, NY)
- …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience is ... highly preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience**… more
- CommonSpirit Health (Phoenix, AZ)
- …Team Orientation Flexibility Communication Ability Reasoning Required Technical Competencies: Medicare Medicare Regulatory Reporting Medicaid (Medi-Cal) ... **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit… more
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