• Audit & Reimbursement II (US)

    Elevance Health (Nashville, TN)
    ** Audit & Reimbursement II - Medicare Cost Report Audit ** **Locations:** _This is a United States based, virtual position._ **National Government ... Medicaid Services to transform federal health programs The Audit and Reimbursement II will support our Medicare Administrative Contract (MAC) with the… more
    Elevance Health (11/09/24)
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  • Customer Solution Center Compliance Audit

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for...(DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), LACC - CalHers, and National… more
    LA Care Health Plan (11/05/24)
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  • Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …(medical drug) programs as needed. . Performs other duties as assigned. ** Medicare Pharmacy Coordinator II ** Working under general supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Medicare Pharmacy Coordinator II ** . Associate Degree in Business… more
    Medical Mutual of Ohio (09/20/24)
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  • Medical Billing Specialist I/ II

    Ventura County (Ventura, CA)
    …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... Medical Billing Specialist I/ II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply  Medical Billing Specialist I/ II Salary… more
    Ventura County (11/03/24)
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  • Behavioral Health Finance Analyst I/ II

    Ventura County (Ventura, CA)
    Behavioral Health Finance Analyst I/ II /Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4617164) Apply  Behavioral Health Finance Analyst ... I/ II /Senior Salary $75,660.36 - $129,463.29 Annually Location Oxnard, CA...auditors. Oversees audits, interprets and assists with resolution to audit findings; + Plans, schedules and coordinates all aspects… more
    Ventura County (11/06/24)
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  • Hospital Compliance Analyst II

    Penn Medicine (Bala Cynwyd, PA)
    …future each day. Are you living your life's work? **Hospital Compliance Analyst II ** Job Summary: + Responsible for the performance and validation of medical record ... Incumbent will also participate in performing coding research and other hospital-based audit activity that may be necessary in support of the Department mission.… more
    Penn Medicine (09/27/24)
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  • Mental Health Program Manager II

    The County of Los Angeles (Los Angeles, CA)
    …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply  MENTAL… more
    The County of Los Angeles (10/30/24)
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  • Compliance Advisor II

    LA Care Health Plan (Los Angeles, CA)
    Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Compliance Advisor II ensures LA Care business units are compliant with all Product Lines' contractual,… more
    LA Care Health Plan (11/09/24)
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  • Customer Solution Center Quality Auditor II

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Quality Auditor II Job Category: Customer Service Department: Even MORE Quality Location: Los Angeles, CA, US, 90017 Position Type: Full ... Job Summary The Customer Solution Center Quality Auditor (QA) II is responsible for monitoring and actively influencing the...in the development of tools and procedures established to audit each vertical under the Customer Solution Center. In… more
    LA Care Health Plan (11/07/24)
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  • Customer Solution Center Enrollment Analyst…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Enrollment Analyst II Job Category: Customer Service Department: Enrollment Services Location: Los Angeles, CA, US, 90017 Position Type: ... achieve that purpose. Job Summary The Customer Solution Center Enrollment Analyst II is responsible for maintaining various databases and queries related to… more
    LA Care Health Plan (09/28/24)
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