University Hospitals - Cleveland, OH 3.9

Comprehensive knowledge of Medicare, Medicaid and commercial insurance regulations required. Applies constant evaluation of regulatory and payer changes to...

Estimated: $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.

Ardent Home Health & Palliative Care Of Fresno - Fresno, CA 

Ensure proper communication between clinical staff, patients, referral sources and payers. Full working knowledge of Medicare, Medicaid, OASIS, PPS and daily...

$85,000 - $100,000 a yearSponsored

Baylor Scott & White Health - McKinney, TX 3.9

Serves as a subject matter expert in the requirements, rules and regulations of third party payers, Medicare, Medicaid, and governmental programs....

Estimated: $64,000 - $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.

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Alabama Hospice Care of Birmingham - Pinson, AL 3.1Online Now!

Ensures that all payer sources are coded/assigned correctly for appropriate billing to take place. Responsible for compliance with all regulations, laws,...

Estimated: $68,000 - $94,000 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.

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MDLIVE Inc. - Sunrise, FL 

Demonstrate expertise in managed Medicaid and both Federal and Commercial Medicare. Work nationally with health plan partners, including those with integrated...

Estimated: $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.

Tabula Rasa HealthCare, Inc - Moorestown, NJ Online Now!

Work directly with TRHC leadership and CSO to identify and develop new business partners and payer relationships for TRHC....

Estimated: $130,000 - $170,000 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.

Cityblock Health - New York, NY 

We partner with payers and at-risk providers, accepting capitated financial risk to care for their most vulnerable, high and rising risk members....

Estimated: $170,000 - $220,000 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.

Christus Health - Irving, TX 3.8Online Now!

Directs staff in investigating and resolving managed care reimbursement issues identified by PFS and/or payers, including root cause issues including fee...

Estimated: $110,000 - $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.

Beaumont Health - Southfield, MI 3.9Online Now!

Extensive experience with third party payer regulations including Medicare and Medicaid. Serves as key contact for payer audits....

Estimated: $81,000 - $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.

Johnson & Johnson Family of Companies - New Brunswick, NJ +1 location4.3

Proven managed markets/customer segment and pricing knowledge, inclusive of all major payer and commercial channels (buy-and-bill, MCOs/PBMs, retail pharmacy...

Estimated: $130,000 - $180,000 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.

Northern California Medical Associates - Santa Rosa, CA 3.8

Oversees payer contracting and provider credentialing unit. Regularly audits documentation and coding to assure compliance with Medicare and industry guidelines...

Estimated: $99,000 - $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.

Bayer - Whippany, NJ 4.2

Understanding and knowledge of national and state legislative and regulatory (including Medicare and Medicaid / CMS), and commercial payer initiatives affecting...

Estimated: $110,000 - $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.

VCU Health System - Richmond, VA 3.6

Supports Performance Improvement and Quality teams in formally reporting quality metrics to payers. Leads data analytics activities for Population Health...

Estimated: $68,000 - $92,000 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.

University of Colorado - Aurora, CO 4.2

Ability to develop collaborative partnerships with physicians/APPs, inter-and intra-campus partners, governmental agencies, and payers....

$75,000 a year

Alta Hospitals System - Los Angeles, CA 3Online Now!

Extensive knowledge and understanding of regulations relating to Medicare, Medicaid and commercial insurance providers....

Estimated: $140,000 - $180,000 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.

Adventist Health Ukiah Valley - Ukiah, CA 3.9

Oversees accountability for on-site monitoring reviews by outside review organizations and third-party payers....

Estimated: $86,000 - $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.

Adventist Health Simi Valley - Simi Valley, CA 3.9

Oversees accountability for on-site monitoring reviews by outside review organizations and third-party payers....

Estimated: $89,000 - $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.

Adventist Health Castle - Kailua, HI 3.9Online Now!

Oversees accountability for on-site monitoring reviews by outside review organizations and third-party payers....

Estimated: $78,000 - $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.

Clover Health - Jersey City, NJ 3.1Online Now!

Knowledge of the managed care industry including Medicare Advantage plans (preferred). A minimum of 3 years of experience working with providers and/or payers...

Estimated: $76,000 - $99,000 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.

Cancer Treatment Centers of America - Zion, IL 3.8

DRG, APC, APL, HHRG, CMG) and Medicare provider-based rules preferred. Knowledge of CMS (Medicare and Medicaid) and commercial payers' billing and documentation...

Estimated: $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.

Essence Group Holdings Corporation - New York State 

Experience in capitation, division of financial responsibility (DOFR) and Medicare Advantage risk arrangements,....

Estimated: $140,000 - $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.

Trinity Health - Livonia, MI 3.5

Minimum of eight years of progressively responsible experience working with pay for performance or accountable care payer arrangements....

Estimated: $94,000 - $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.

Baylor Scott & White Health - McKinney, TX 3.9

Serves as a subject matter expert in the requirements, rules and regulations of third party payers, Medicare, Medicaid, and governmental programs....

Estimated: $64,000 - $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.

Trident Medical Center - Charleston, SC 3.4

Knowledgeable about Medicare, Medicaid, TriCare and other third party payers. Direct experience with regulatory agencies and third party payers within the last...

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Salem Memorial District Hospital - Salem, MO 

I.e. Medicare Secondary Payer, authorization, and verification of eligibility or other primary coverage. Ensures compliance with policies and directives issued...

Sponsored

Diplomat Specialty Pharmacy - Cincinnati, OH 3.1

Ensuring compliance with a variety of regulatory agencies and payers such as various Medicare and Medicaid intermediaries and plans....

Estimated: $80,000 - $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.

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