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Sanford Health
Sanford Health
H1B vizasi homiysiSog‘liqni saqlashSug‘urtaTibbiy sug‘urta
Sanford Health — Amerikaning markaziy hududlaridagi jamoalarga xizmat ko‘rsatuvchi integratsiyalashgan tibbiy xizmatlar va tibbiy sug‘urta tizimi. Bosh qarorgohi Janubiy Dakota shtatining Syu-Fols shahrida joylashgan tashkilot tibbiyot markazlari, klinikalar, keksalar uchun yashash majmualari, shifokorlar va ilg‘or amaliyot mutaxassislaridan iborat keng tarmog‘i orqali 1,4 milliondan ortiq bemor hamda qariyb 200 000 nafar tibbiy sug‘urta rejasi a’zosini qo‘llab-quvvatlaydi. Uning faoliyati bevosita bemorlarga tibbiy yordam ko‘rsatish, sug‘urta, klinik tadqiqotlar va shaxsiylashtirilgan genetik tibbiyotni qamrab oladi. Shuningdek, tashkilot onkologiya, ortopediya, ayollar salomatligi va genetika kabi yo‘nalishlarda ixtisoslashtirilgan dasturlarni amalga oshiradi.
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Kompaniyadagi ish o‘rinlari

Sanford Health Reimbursement Analyst (Remote)

Analyze healthcare payment methods, contracts, regulations, and pricing for Sanford Health. Support reimbursement operations, financial planning, audits, and chargemaster management.

USAmerika Qo‘shma ShtatlariMNMinnesotaNDShimoliy DakotaSDJanubiy DakotaWIViskonsin
24 $ – 38 $ / soat
MasofaviyTo‘liq stavkaJuniorO‘rta darajaTalab Qilinadigan Til: inglizchaTahlilchi

Tavsif

  • Assess and implement payment methods to establish appropriate reimbursement and payment levels
  • Help implement and monitor reimbursement work, including Medicare and Medicaid, cost reports, audits, appeals, DSH and 340B programs, and CPT/HCPCS code changes
  • Analyze the effects of proposed and final Medicare and Medicaid regulatory changes
  • Review payer contract changes during negotiation and finalization
  • Prepare third-party payer contracts in Experian and Contract Maintenance
  • Investigate third-party payer issues
  • Help update annual prices and fee schedules, including physician compensation impacts
  • Contribute to annual budgeting and audits
  • Help operations and CDM teams maintain chargemasters and add codes and prices
  • Prepare, analyze, and combine data for projects and reports
  • Support finance and accounting partnerships across the organization
  • Provide reimbursement and accounting assistance and act as a resource
  • Review policies and procedures and help revise them

Talablar

  • Bachelor’s degree in business administration, finance, healthcare management, information technology, or a related field
  • At least two years of related experience, preferably in hospital, clinic, or insurance finance and/or managed care reimbursement
  • At least one year of related experience, preferably in hospital, clinic, or insurance finance and/or managed care reimbursement
  • Demonstrated knowledge and experience in healthcare reimbursement, including claim editing, groupers, provider reimbursement, and methodologies such as MS/APR DRG, APC, EAPG, and CPT/HCPCS
  • Knowledge of industry-standard coding and payment rules
  • Strong attention to detail
  • Ability to uphold data integrity and confidentiality
  • Ability to present data in a useful, understandable format

Imtiyozlar

  • Flexible remote work
  • Work-life balance
  • Exposure to senior leadership
  • Broad collaboration across teams
  • Opportunities for growth and continued learning

O‘xshash ish o‘rinlari

Baker Tilly US

Temporary Epic Application Analyst, Remote US — Baker Tilly

Baker Tilly US
5 001 – 10 000 Xodimlar
H1B vizasi homiysiLogistikaQurilishSog‘liqni saqlash
USAmerika Qo‘shma Shtatlari
22 $ – 109 $ / soat
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaTahlilchi

Support Epic EHR implementations, configuration, and optimization for Baker Tilly healthcare clients. Work across client engagements on workflows, testing, training, and application support, remotely or onsite.

Ochish
Modivcare

Remote Compensation Analyst II at Modivcare

Modivcare
H1B vizasi homiysiSog‘liqni saqlashTibbiy sug‘urtaTransport
USAmerika Qo‘shma Shtatlari
90 000 $ – 105 000 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaTahlilchi

Administer compensation programs, surveys, audits, and incentive planning for Modivcare’s healthcare transportation business. Maintain accurate compensation data and reporting across HR, Payroll, Finance, and HRIS systems.

Ochish