Showing 1-20 of 1,098
Showing 1-20 of 1,098

Payer Medicare Director jobs

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Indeed Hire in Partnership with Urgent Team-Nashville, TN-Est. salary: $98,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Payer Contract Negotiation:. Medicare or Medicaid contract audit:. Develops and provides oversight to all payer contracting programs designed to improve...

AF Group-Southborough, MA-Est. salary: $77,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

10+ years of work experience, 5 years in a Medicare Advantage Plan, managed care environment, CMS payer role, regulatory/compliance analyst or as a consultant...

Kindred Healthcare-Denver, CO-Est. salary: $77,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Manage relationships with the payers, physicians, hospital referral sources, and your case management staff. Assist with on-site monitoring reviews by PRO, Blue...

AF Group-Southborough, MA-Est. salary: $90,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

5 years of relevant experience in similar role (e.g., Chief Clinical Officer) implementing and managing an integrated, member centric approach to utilization...

PACT MSO, LLC-Branford, CT-Est. salary: $68,000 - $91,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Demonstrated knowledge of all Insurance companies, HMO's, PPO's, Medicare, Worker's Comp, third party payers....

Cerner Corporation-Roseville, CA

Proficient with all healthcare payer models including private pay, government and contracted programs. Cerner is actively recruiting an innovative VP of Revenue...

ELAP Services LLC-Philadelphia, PA-Est. salary: $75,000 - $99,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Highly developed knowledge and understanding of healthcare payers, health plan administration, and medical service providers....

Groups-Cincinnati, OH-Est. salary: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Medicaid experience are strongly preferred · Deep knowledge of regulatory environments and payer requirements;...

LSA Family Health Service, Inc.-New York, NY-Est. salary: $99,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Knowledge of Medicaid and Medicare billing. Knowledge of Federal, State, DOH and 3rd party regulations and payer requirements. CERTIFIED HOME HEALTH AGENCY*....

Meritage Medical Network-Novato, CA-Est. salary: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

We contract with 7 HMOs and with the Centers for Medicare Services for a Medicare Shared Savings Program. Pay for Performance), for the purpose of strategically...

Professional Health Care Network-Phoenix, AZ-Est. salary: $70,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Point of contact for all payer plans for all patient concerns. Addresses questions and/or concerns for payer plans and referral sources via phone or email as...

Avalere Health-Washington, DC-Est. salary: $98,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

This practice focuses on a range of issues relating to federal and state implementation of the Affordable Care Act, Medicare Advantage and Part D, Medicare...

Five Star Home Health Care-Chantilly, VA-Est. salary: $71,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

We advocate for our clients in dealing with the payers:. Medicare, Medicaid, commercial insurance companies, payment bundles and Accountable Care Organizations....

Schein Ernst Mishra Eye-Harrisburg, PA-Est. salary: $87,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Knowledge of Medicare rules. Payer Relations and Contract Administration:. Maintains appropriate communication with payers, sustaining positive and mutually...

NOMS Healthcare-Sandusky, OH-Est. salary: $63,000 - $89,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Knowledge of rules and procedures of the Centers for Medicare and Medicaid Services (CMS), and various insurance payers. Duties and Responsibilities:....

Visiting Nurse Association Health Group-New Jersey-Est. salary: $92,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Bachelor’s degree with a graduate degree strongly preferred 10+ years of direct compliance, finance, audit or legal experience (health care setting preferred)...

Brown & Toland Physicians-Oakland, CA-Est. salary: $78,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Assures compliance with all payer contracts and federal, state, and county regulations and mandates for utilization review....

St. Joseph Hospital Orange-Orange, CA-Est. salary: $73,000 - $99,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Monitor new payer and payer relationships within the community. Review payer contracts on an. Comprehensive knowledge of Medicare, workers’compensation and....

Aegis Sciences Corporation-Nashville, TN

Proficient with all healthcare payer models *. Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party...

MAXhealth-Sarasota, FL-Est. salary: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Experience working with Medicare Advantage Population preferred. Minimum 5 years experience in healthcare, working with providers and/or payers at a management...


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