- Stanford Health Care (Palo Alto, CA)
- …Knowledge, Skills and Abilities** + Advanced knowledge of CMS and state Medicaid reimbursement principles and practices. + Multi-year skill and experience ... shaping the financial integrity of the organization. As a senior member of the team, this individual actively contributes...to ensure complete and accurate capture of all legitimate reimbursement opportunities. + Oversee Medicare and Medi-Cal… more
- Wipfli LLP (Milwaukee, WI)
- …skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for assigned states, assisting clients with cost ... is responsible for preparing cost reports and providing reimbursement consulting within the Senior Living space....reports + Gain an understanding of the skilled nursing Medicaid reimbursement systems for the assigned states… more
- Lyric (Newtown Square, PA)
- …Extensive demonstrated understanding of US health insurance payers including Commercial, Medicare , Medicaid (FFS and MCOs), third-party claims processing ... immigration support are not available for this position. The Senior Manager, Clinical Content Maintenance will serve as a...coding and claims edit logic (including NCCI, LCDs, State Medicaid , MUEs, Lyric edits and payer medical policies) +… more
- Stony Brook University (East Setauket, NY)
- …variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of third ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the ** Senior Revenue Cycle Specialist** will act as an operational leader in the… more
- Commonwealth Care Alliance (Boston, MA)
- …their impact on provider operations and satisfaction. - Strong understanding of Medicare and Medicaid health plan operations, including regulatory and compliance ... and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to streamline provider… more
- Somatus (Mclean, VA)
- … reimbursement , health regulations, bonus methodologies, and financial structures across Medicare , Medicaid , and commercial payers. + **A clear communicator ... care?** Somatus is on the hunt for a visionary ** Senior Vice President of Finance** to lead at the...Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and… more
- Commonwealth Care Alliance (Boston, MA)
- …Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare / Medicaid ) + Experience in health plan provider relations + Experience ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening… more
- 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
- Prime Healthcare (Inglewood, CA)
- …seeking new members to join our corporate team! #LI-JV1 Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/235797/ senior - medicare - medicaid… more
- Prime Healthcare (Redding, CA)
- …and their family. For more information, visit www.shastaregional.com. Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
