Senior Healthcare Reimbursement Leader — Medicare/Medicaid
Plante & Moran, PLLC
Plante & Moran, PLLC is seeking an experienced professional to lead strategic engagements related to Medicaid and Medicare cost reports. This role requires a strong background in healthcare reimbursement and substantial experience in accounting and financial analysis. The ideal candidate will possess at least 10 years of relevant experience, with a CPA certification preferred. The position may require travel and working beyond standard hours, emphasizing the importance of confidentiality and effective communication. #J-18808-Ljbffr Plante & Moran, PLLC
$201k - $272k
...is seeking an experienced technology leader to build our Healthcare and Life Sciences (HCLS) Agentic AI... ...AI. In this position, you'll counsel senior HCLS executives on designing AI... ...Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid...ReimbursementSeniorFlexible hours- LCA Lab. Corp. of America is seeking a Senior Incident Responder to protect patient care and sensitive health information in a dynamic... ...in cybersecurity within regulated environments, particularly healthcare. The position supports a hybrid work schedule, requiring a minimum...SeniorWork at office3 days per week
$120k - $180k
...Mechanical Engineer with at least 8 years of licensed experience in healthcare design. The successful candidate will design fire protection... ...0,000, with benefits including generous vacation and professional development reimbursement. #J-18808-Ljbffr Page Mechanical Group, Inc.ReimbursementSenior- ...an Intern to support financial health assurance for various organizations. You will analyze client financial information for Medicare and Medicaid cost reporting, develop client relationships, and research industry trends. The ideal candidate should have a Bachelor’s...ReimbursementInternship
- ...Description Vivo HealthStaff is recruiting for a Senior Healthcare Regulatory Attorney in North Carolina (Charlotte, Raleigh... ...on billing compliance, fraud and abuse laws, and reimbursement policy under Medicare, Medicaid, and other federal programs. Position Overview:...ReimbursementSeniorPermanent employment
$33 - $36 per hour
...compile client financial information into Medicare and Medicaid cost reporting. Interface with... ...clients. Qualifications Detail‑oriented leader with problem solving, communication,... ...plan; travel expense, lodging, and meal reimbursement; pension plan for eligible...ReimbursementSeniorHourly payInternshipLocal areaFlexible hours$79.2k - $178.1k
...the Role At Oracle Health, we're building the future of healthcare - cloud-native Healthcare Solutions with AI at their core... ...enabling better patient care while ensuring accurate, timely reimbursement. We are modernizing Electronic Health Record and Revenue...ReimbursementSeniorTemporary workFlexible hours- ...role requires extensive experience in EDI, particularly with HIPAA X12 transactions, and will support various projects including the Medicaid Reform Project. The ideal candidate will have strong communication skills and the ability to work independently. Responsibilities...SeniorContract work
$155k - $196k
Ascendient Healthcare Advisors is looking for a Litigation Lead to serve as their primary expert witness in contested hearings across multiple states, focusing on North Carolina. This high-impact role requires expertise in Certificate of Need processes and experience in...SeniorRemote job- ...product platforms, ensuring compliance and accuracy across Medicare, Medicaid, and supplemental benefits. You will manage a team and partner... ...10 years of relevant leadership experience, particularly in healthcare operations. Humana offers competitive benefits focusing on...SeniorRemote job
- AssistIQ is seeking a Senior Implementation Manager to lead the deployment of their healthcare platform across surgical suites throughout North America. This role requires strong project management skills and the ability to handle communication across clinical and administrative...SeniorFlexible hours
- ...seeking a Lead EDI Specialist / Tester in Raleigh, NC. This role is crucial for supporting the Managed Care Transition Project and Medicaid Reform Project. Key responsibilities include executing test scripts, conducting QA on EDI applications, and managing EDI document...Senior
- ...Join the Healthcare Revolution - Shape the Future of Recruiting About Us At MLR, we're more than just a healthcare staffing and... ...hunt for driven, entrepreneurial recruiters to come aboard as Senior Medical Sales & Healthcare Recruiters . This isn't just any role...SeniorPermanent employmentRemote workFlexible hours
- ...seeking a Lead EDI Specialist to support the Medicaid Reform Project. This position is... ...support during and after implementation for healthcare electronic data interchange applications... ...activity using established metrics for senior management. Effectively communicate issues...Local area
- Gensler in Raleigh is seeking a Senior Architect to design and deliver impactful buildings. The role involves overseeing projects,... ...Gensler offers comprehensive benefits including medical, paid time off, and professional development reimbursements. #J-18808-Ljbffr GenslerReimbursementSenior
- ...Clinical Team Leader (RN) Community-Based Hospice, Full-Time Dignity Team (Durham... ...with families, physicians, and healthcare providers Ensure complete, timely... ...CPR certification ~ Knowledge of reimbursement sources, Medicare/Medicaid regulations, licensing laws, and...ReimbursementFull time
$74k - $118k
...Pharmacy Network Consultant Senior - Remote Job Description... ...Benefit Management (PBM), healthcare or other highly regulated industry... ...health care/PBM industry, Medicaid, Medicare and health plans... ...contract language and pharmacy reimbursement methodologies Every employee...ReimbursementSeniorContract workWork experience placementLocal areaRemote workVisa sponsorshipWork visa- CVS Health is seeking a Medicaid Market Manager in North Carolina to enhance risk adjustment engagement. The ideal candidate will have over 5 years of experience in healthcare operations, strong analytical skills, and the ability to lead cross-functional projects. This...Full time
$76k - $100k
...A healthcare leader is seeking a Sr. Payer Policy Analyst to work remotely in North Carolina. The role involves analyzing and advocating for payer policies to improve reimbursement processes. Candidates should possess a Bachelor's degree and at least 5 years of relevant...ReimbursementSeniorRemote work$75k - $85k
...Prepare, review, and finalize complex Medicaid cost reports and supplemental... ...field preferred. · Experience with Medicare regulations and reimbursement manual. · Experience with applicable... ...and regulations relating to healthcare reimbursement. ~ Experience working...ReimbursementFor contractorsH1bWork at officeLocal areaRemote work- Construction Claims Analyst/Senior Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time) Job Locations US-NC-... ...plan with company match ~ Tuition Assistance and Student Loan Reimbursement ~ Numerous Training and Professional Development...ReimbursementSeniorFull timeContract workFor contractorsWork at officeNight shift
- ...govern our enterprise data ecosystem, specifically supporting Medicaid operations. This fully remote role requires experience in developing... ...and over 7 years of expertise in data architecture within the healthcare and Medicaid sectors. The position offers competitive...Remote work
$58.62 - $90.48 per hour
...Description: The Senior Compliance Partner provides... ...to Select Health leaders, with a primary focus... ...Bachelor’s Degree in healthcare administration or... ...care billing, coding, reimbursement, contracting, and risk... ...adjustment, such as Medicare, Medicaid, HIPAA, False Claims...ReimbursementSeniorHourly payFull timeCurrently hiringLocal areaRelocationRelocation package$130.56k - $208.9k
...The role requires substantial experience in healthcare operations and robust subject matter expertise in reimbursement models. The ideal candidate will guide teams,... ...members, and strategically present insights to senior leaders within the operation. Salary ranges from $130...ReimbursementSenior$78.4k - $107.8k
Humana Inc is looking for a Senior Insurance Product Compliance Professional to ensure compliance of Member Marketing materials... ...with regulatory bodies. With a strong background in Medicare and/or Medicaid, candidates will lead compliance projects, oversee regulatory...SeniorRemote job$130k - $145k
...accelerate life-changing healthcare breakthroughs and... ...seeking to hire a Senior Manager, Market Access... ...plans to secure reimbursement and coverage. Define... ...plans, FFS, Managed Medicaid, and Medicare Advantage plans.... ...the organization as a leader and an individual contributor...ReimbursementSeniorPart timeCasual workReliefWork at officeRemote workFlexible hours- ...Blue Shield of North Carolina is seeking a Senior Manager of Financial Planning & Analysis... .... This role partners with senior leaders to enhance processes and align financial... ...years of experience, a strong background in healthcare, and the ability to lead a team effectively...Senior
$78.9k - $147.5k
A leading healthcare organization is seeking a Senior Pharmacist to oversee specialty pharmacy programs. The candidate will lead clinical and non-clinical initiatives within interdisciplinary teams, ensuring effective program implementation and continuous improvement. Required...Senior- A prominent healthcare nonprofit is seeking a Senior Corporate Strategy Analyst to transform data and market signals into strategic recommendations. The role focuses on building dashboards, conducting market analysis, and supporting regulatory strategies. The ideal candidate...SeniorRemote work2 days per week
$87k - $178.1k
...and Alaska Natives. A Sr. Knowledge Leader is an experienced solution consulting professional... .... Responsibilities The Senior Knowledge Leader will be expected to:... ...internal stakeholders. ~ At least 2 years healthcare information technology (HCIT) consulting...SeniorTemporary workWork experience placementLocal areaFlexible hours
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