Lead Provider Reimbursement Analyst - PN 20093609 (Provider Reimbursement Analyst 2)
$31.47 per hourState of Ohio
All job postings will expire at 11:59 PM Eastern Time on the application deadline. Organization: Medicaid Agency Contact Name and Information: View email address on click.appcast.io Work Location: 50 West Town Street Columbus, Ohio, 43215 United States Compensation: $31.47/hour Schedule: Permanent - Full Time Work Hours: 8:00AM - 5:00PM Classified Indicator: Classified Union: OCSEA Overtime Status: Overtime Eligible Primary Job Skill: Accounting and Finance Who We Are Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine’s agenda for Ohio’s future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help. Ohio Department of Medicaid plays a unique and necessary role in supporting the governor’s vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by: Delivering a personalized care experience to more than three million people served. Improving care for children and adults with complex behavioral health needs. Working collectively with our partners and providers to measurably strengthen wellness and health outcomes. Streamlining administrative burdens so doctors and healthcare providers have more time for patient care. Ensuring financial transparency and operational accountability across all Medicaid programs and services. What You'll Do Office: Fiscal Operations Classification: Provider Reimbursement Analyst 2 (PN 20093609) Job Overview: The Ohio Department of Medicaid (ODM) is seeking a financial professional to be part of our Sister State Agency Unit. As a Lead Provider Reimbursement Analyst, your responsibilities will include: Reviewing cost reports submitted to ODM for various Sister State Agency and Medicaid programs (e.g., Ohio Department of Aging, Ohio Department of Developmental Disabilities, Long-term care, Medicaid School Program, hospitals, and clinics) Acting as a lead worker providing direction and training to Provider Reimbursement Analysts Reviewing state and federal rules and regulations to establish payment rates and/or to perform interim and final settlements. Assisting in the Ohio Revised Code (ORC) and Ohio Administrative Code (OAC) reimbursement rule revisions Responding to provider and government agencies inquiries Acting as the subject matter expert for cost reports and settlements for assigned program area Additional Information The Ohio Department of Medicaid does not provide employment-based visa sponsorship. Compensation is as listed on the posting unless required by legislation or union contract. The work location of this position is 50 West Town Street, Columbus, Ohio 43215. You will be required to report to this work location full-time, if selected. Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application. Why Work for the State of Ohio At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position. Qualifications Completion of undergraduate core coursework in accounting to include coursework in auditing 2 yrs. exp. in external auditing.
- Or completion of undergraduate core coursework in public or business administration, economics, computer science or related field 16 semester or 24 quarter hours in accounting 2 yrs. exp. in external auditing.
- Or 12 mos. exp. as Provider Reimbursement Analyst 1, 66191 with experience commensurate with type of audits to be conducted.
- Or equivalent of Minimum Class Qualifications For Employment noted above.
- The Ohio Department of Medicaid in Columbus, OH seeks a Lead Provider Reimbursement Analyst to join the Sister State Agency Unit. You will review cost reports, provide guidance to analysts, and ensure accurate payment rates across multiple programs. Responsibilities include...ReimbursementPermanent employmentFull time
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$31.73 - $52.89 per hour
A leading healthcare company is seeking a ProviderPay Data Analyst to analyze provider payment data, ensure accuracy, and support decision-making. This role requires a bachelor’s degree and 2+ years in data analysis, with a strong focus on healthcare trends. The ideal...SuggestedRemote jobHourly pay- ...Advanced Practice Provider Opportunity Are you ready to make a... ...Gastroenterology Group, Inc. is the leading provider of gastroenterology... ...: Preferred at least 2 years of experience as an advanced... ...~ DEA and licensure reimbursement ~ Paid Time Off ~ Paid holidays...ReimbursementTemporary workWork at officeFlexible hours
- ...Purpose: The primary purpose of the Benefits Analyst 2 classification is to assist in the... ...management and contract compliance in a lead capacity; and to manage all internal and... ...activities and ensure operational standards. Provide complex analysis and interpretation of operational...SuggestedContract workLocal areaFlexible hours
$2,177 per week
...Medical Solutions Pay: $2,177 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeImmediate startShift work$2,300 per week
...Medical Solutions Pay: $2,300 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeShift work$2,036 per week
...Medical Solutions Pay: $2,036 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeImmediate startShift work$2,208 per week
...Medical Solutions Pay: $2,208 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeImmediate startShift work$2,245 per week
...Medical Solutions Pay: $2,245 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeImmediate startShift work$2,688 per week
...Medical Solutions Pay: $2,688 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeImmediate startShift work$2,334 per week
...Medical Solutions Pay: $2,334 per week Shift Information... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Day-one medical, dental,... ...benefits ~ Exclusive discounts at leading brands around the world ~ Free...ReimbursementFull timeContract workReliefLocal areaShift work$2,300 per week
...Medical Solutions Pay: $2,300 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeTemporary workShift work$2,334 per week
...Medical Solutions Pay: $2,334 per week Shift Information... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Day-one medical, dental,... ...benefits ~ Exclusive discounts at leading brands around the world ~ Free...ReimbursementFull timeContract workTemporary workReliefLocal areaShift work$2,140 per week
...Medical Solutions Pay: $2,140 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeTemporary workShift work$105.8k - $168.34k
...outpatient center locations, dedicated to providing exceptional patient care while fostering... ...to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and... ...Under the direction of a Physician or Lead Physician, the Nurse Practitioner or Physician...ReimbursementWork at officeFlexible hours$2,203 - $2,298 per week
...Agency: GQR Healthcare Pay: $2,203 to $2,298 per week Shift Information... ...and vision insurance ~ License reimbursement for new licenses needed for each... ...and make a real impact. We are a leading healthcare staffing provider, specializing in connecting skilled...ReimbursementHourly payWeekly payFull timeContract workImmediate startShift work$2,757 per week
...Medical Solutions Pay: $2,757 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeImmediate startShift work$41.81 per hour
...space. What You’ll Do The Business Process Analyst 2 serves as a key connector between... ...and analyze complex business processes, lead requirements ‑ gathering sessions, and create... ...skills than the BPA1 level, and you will provide mentorship to less experienced staff. The...Hourly payPermanent employmentFull timeContract workWork experience placementWork at officeMonday to FridayFlexible hours$120k
...Full-Time Telemedicine Provider (NP or PA) Ohio (Remote) SynergenX is seeking a full-time... ...Ohio. This is a fully remote, full-time W-2 position. SynergenX is a leader in... ...of application, as the company does not reimburse or sponsor DEA registration costs. We...ReimbursementFull timeRemote workMonday to Friday$2,638 per week
...Medical Solutions Pay: $2,638 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeTemporary workShift work$2,085 per week
...Medical Solutions Pay: $2,085 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeTemporary workShift work$105.8k - $168.34k
...outpatient center locations, dedicated to providing exceptional patient care while fostering... ...to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and... ...Practitioner or Physician Assistant At least 2 years experience in primary care...ReimbursementWork at officeFlexible hours$2,757 per week
...Medical Solutions Pay: $2,757 per week Shift Information... ..., and our team of industry-leading, traveler-favorite recruiters... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Traveler discount program...ReimbursementFull timeTemporary workImmediate startShift work$16.4 - $31.97 per hour
Molina Healthcare is hiring a Provider Claims Adjudicator. This position is remote; however... ...assigned. Required Qualifications At least 2 years of experience in a clerical role... ...claims investigation/research/resolution/reimbursement methodology analysis within a managed care...ReimbursementRemote jobHourly payWork experience placementLive inWork at officeMonday to Friday$2,101 per week
...Medical Solutions Pay: $2,101 per week Shift Information... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Day-one medical, dental,... ...benefits ~ Exclusive discounts at leading brands around the world ~ Free...ReimbursementFull timeContract workTemporary workReliefLocal areaShift work$2,201 per week
...Medical Solutions Pay: $2,201 per week Shift Information... ...recruiter. In addition to providing the industry’s best... ...~ Licensure/certification reimbursement ~ Day-one medical, dental,... ...benefits ~ Exclusive discounts at leading brands around the world ~ Free...ReimbursementFull timeContract workTemporary workReliefLocal areaImmediate startShift work$53.05k
Overview As a Staff Provider, you will work with a small team of experienced providers, counselors... ...or will operate soon (with support and reimbursement from Groups) Willingness and ability to... ...workers, case managers, etc) At least 2 years experience working with a similar...ReimbursementWork at officeRemote workWork from homeShift work$80k - $120k
...Description Job Description Lead BCBA | Build the Clinical... ...treatment plan for children, providing supervision and training to staff... ...status with the Behavior Analyst Certification Board (BACB®)... ...and career advancement CEU Reimbursement and Conference Attendance...ReimbursementFull timeFlexible hours$20 - $23 per hour
...Referral bonus Paid training Mileage reimbursement Flexible schedule Training & development... ...SUMMARY The Youth Behavioral Respite Provider gives short-term, planned relief to parents... ...sessions of 3-6 hours. Plan and lead age-appropriate recreational, social, and...ReimbursementHourly payTemporary workPart time10 hours per weekFlexible hoursWeekend workAfternoon shiftWeekday work
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