UnitedHealth Group-Eden Prairie, MN

Working knowledge of Medicaid & Medicare reimbursement methodologies. 8+ years of related experience handling complex payer or provider relationships with...

Meritage Medical Network-Novato, CAEstimated: $82,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

The Director of Contracting*. We contract with 7 HMOs and with the Centers for Medicare Services for a Medicare Shared Savings Program....

Tech Observer-Woodcliff Lake, NJEstimated: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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 role will assist the Exec Director, Payer Market team with the following:. Demonstrated managed markets/customer segment knowledge, inclusive of all major...

Avalere Health-Washington, DCEstimated: $81,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Avalere Health is seeking a *Senior Manager or Director*. Ongoing federal and state discussion around health reform, federal and state implementation of the...

UnitedHealth Group-Lenexa, KS

Working knowledge of Medicaid & Medicare reimbursement methodologies. 8+ years of related experience handling complex payer or provider relationships with...

UnitedHealth Group-Schaumburg, IL

Working knowledge of Medicaid & Medicare reimbursement methodologies. 8+ years of related experience handling complex payer or provider relationships with...

Shared Services - Houston-Houston, TX

Understand and communicate contract specific issues related to the resolution of disputed payments, discount and allowance calculations for a variety of payers...

Shared Services - Houston-Houston, TX

Understand and communicate contract specific issues related to discount and allowance calculations for a variety of payers such as Medicare, Medicaid, HMO’s,...

ELAP Services LLC-United StatesEstimated: $110,000 - $150,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Must be familiar with Medicare and Commercial reimbursement methodologies. Minimum of 10 years’ experience with a healthcare provider and payer contracts....

ATI-Gaithersburg, MDEstimated: $48,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Conduct monthly Medicare patient chart reviews to ensure chart compliance under Medicare law. Ensure documentation is fully compliant per payer type in a timely...

Kindred Healthcare-West Covina, CAEstimated: $85,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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...

ATI-Rockville, MDEstimated: $100,000 - $150,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Conduct monthly Medicare patient chart reviews to ensure chart compliance under Medicare law. Ensure documentation is fully compliant per payer type in a timely...

Change Healthcare-Atlanta, GAEstimated: $76,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

General knowledge of Medicare, Medicaid and other managed care payers. The Third Party Coverage Advocate (“TPCA”) Resolution Director will be responsible for...

Maricopa Integrated Health System-Phoenix, AZEstimated: $92,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Critical responsibilities include, development and submission of Medicare Cost Report, and other reports as required by the State or federal government to...

Lake Health-Center, OHEstimated: $52,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Ensures compliance with state, federal, and contract payer rules, including Medicare Conditions of Participation....

Conifer-Louisville, KY

Management of Information Standard Administrative Responsibility Directs and coordinates maintenance and compliance of The Joint Commission, Medicare Conditions...

Highmark Inc-Pittsburgh, PAEstimated: $66,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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 includes leading/managing three teams of nurses including the Medicare Advantage team, the commercial special groups team, and the commercial other team,...

Highmark Health-Pittsburgh, PAEstimated: $66,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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 includes leading/managing three teams of nurses including the Medicare Advantage team, the commercial special groups team, and the commercial other team,...

UnitedHealth Group-Pittsburgh, PA

5+ years of experience with Medicare and Medicaid regulations. Supporting the market CEOs for all 3 lines of business (Commercial, Medicare and Medicaid)....

UnitedHealth Group-Philadelphia, PA

5+ years of experience with Medicare and Medicaid regulations. Supporting the market CEOs for all 3 lines of business (Commercial, Medicare and Medicaid)....

VCU Health System-Richmond, VAEstimated: $65,000 - $91,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Minimum of five (5) years experience in provider enrollment in Medicare, Medicaid and managed care plans. Works with payers to create an efficient, effective...

Alnylam-San Diego, CAEstimated: $130,000 - $190,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Established relationships with Medicare Administrative Contractors (MACs) highly preferred. Comprehensive understanding of both medical benefit and pharmacy...

Medical Service Company-Cleveland, OHEstimated: $110,000 - $150,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

The Payer Partnership position works with all eligible Payers (Medicare, State Medicaid and Commercial Plans) to create executive level relationships, design...

American Care Partners-Fairfax, VAEstimated: $43,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Coordinates with physicians and medical directors regarding ACP patients. We are a Joint Commission accredited, Medicare & Medicaid certified home health agency...

Atrium Health & Senior Living-Little Falls, NJEstimated: $43,000 - $55,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

Medicare and Medicaid knowledge required. Is seeking a Director of Accounts Receivable to assist in the daily management of our centers throughout Wisconsin,...

BroadPath Healthcare Solutions-Tucson, AZEstimated: $77,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. 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.

BroadPath Healthcare Solutions provides on-demand operational and sales support to health plans and payers in the commercial, Medicare, and Medicaid sectors....


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