
Integrated Home Care Services, Inc.
Remote Jobs
Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
11 Jobs
RCM Contract Support Specialist
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• Lead and deliver projects related to the development of new business and insurance contracts • Manage enhancements, compliance, and system enhancements • Ensure ongoing activities are in line with policies and regulations • Collaborate with billing management to resolve claim issues • Monitor configuration-driven performance metrics
Contracts Manager
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• The Manager of Contracts is responsible for overseeing payer contract management activities within the Revenue Cycle Management (RCM) department for a home health and durable medical equipment (DME) organization. • This role serves as the subject matter expert for payer reimbursement terms, contract interpretation, fee schedules, and operational requirements that impact billing and collections. • The Manager of Contracts works closely with payers, revenue cycle leadership, compliance, credentialing, billing operations, and IT/system teams to ensure payer contract terms and reimbursement requirements are accurately translated into operational workflows and system configurations. • This position also supervises a Contracts Specialist responsible for loading payer pricing, fee schedules, and contractual requirements into company systems and electronic networks (ENS). • Review, analyze, and maintain payer contracts for home health and DME services. • Interpret reimbursement methodologies, fee schedules, billing rules, authorization requirements, and payer-specific compliance obligations. • Identify operational impacts of payer contract terms and communicate requirements to appropriate departments. • Monitor contract performance and reimbursement trends to identify discrepancies, underpayments, or revenue leakage opportunities. • Collaborate with leadership on contract renewals, amendments, and payer negotiations by providing operational and financial insights. • Maintain a centralized repository of payer contracts and related documentation. • Establish and document payer requirements for implementation within company systems, ENS platforms, and billing workflows. • Ensure payer-specific pricing, billing edits, authorization rules, and reimbursement requirements are accurately configured and maintained. • Partner with IT, billing, and operational teams to validate system setup and resolve configuration issues impacting claims or reimbursement. • Oversee testing and validation processes for payer updates, fee schedule changes, and system enhancements. • Supervise and support the Contracts Specialist responsible for loading pricing and contractual requirements into company systems. • Review and approve fee schedule uploads and payer configuration updates for accuracy and completeness. • Provide training, guidance, and performance management for direct reports. • Develop and maintain standard operating procedures related to payer contract implementation and maintenance. • Ensure payer contract requirements are implemented in compliance with federal, state, and payer regulations. • Serve as a resource to billing, collections, intake, and operational teams regarding contract interpretation and payer requirements. • Assist with audits, appeals, and reimbursement investigations related to payer contract terms. • Support continuous improvement initiatives focused on reimbursement accuracy and All other related duties as assigned.
Sr. Manager FP & A
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
Who we are: IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1 With over 15 years of experience, we are the trusted market leader in Home Health, Durable Medical Equipment, and Home Infusion Services. If you are passionate about inspiring, motivating, and leading teams this opportunity could be for you and we want to hear from you! Join our team as we strive for excellence through teamwork. We are committed to delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care. Full time team members competitive compensation package, include but not limited to; - Medical, Vision, Dental, Short- and Long-term insurance - 6+ Days of Holidays Pay - 17 days of PTO - Employer paid life insurance - 401K with employer contribution - Wellness program with reward incentives - Employee recognition and reward programs - Comprehensive paid training program Position Summary: The Senior Manager of Financial Planning and Analysis (FP&A) plays a critical role in driving financial strategy, decision support, and operational performance within a growing Home Health and Durable Medical Equipment (DME) company. Reporting directly to the VP of FP&A, this position manages a team of analysts and works cross-functionally to support budgeting, forecasting, financial reporting, and strategic initiatives. The ideal candidate brings strong analytical capabilities, team leadership experience, and a deep understanding of healthcare finance. Key Responsibilities: - Lead the annual budgeting and quarterly forecasting processes, working collaboratively with department leaders and executive management. - Analyze financial and operational performance, identify trends and variances, and provide actionable recommendations to senior leadership. - Develop and maintain financial models to evaluate business scenarios, capital investments, and profitability of service lines including home health and DME. - Prepare monthly and quarterly financial performance reports for executive leadership, including KPI dashboards, margin analysis, and operational metrics (e.g., cost per visit, DME utilization). - Monitor reimbursement trends and payer mix impacts in both the home health and DME sectors. - Partner with accounting, billing, operations, and compliance teams to ensure accuracy in financial reporting and cost allocation. - Supervise, mentor, and develop a team of financial analysts; foster a high-performance, collaborative culture. - Assist in strategic initiatives such as acquisitions, expansions, and service line growth opportunities through robust financial modeling and due diligence. - Support the implementation and optimization of financial systems and business intelligence tools. Qualifications: Education & Experience: - Bachelor’s degree in Finance, Accounting, Economics, or a related field (MBA or CPA preferred). - 5+ years of progressive experience in FP&A or corporate finance, with at least 2 years in a supervisory or team lead role. - Prior experience in home health, and/or durable medical equipment (DME) preferred. Skills & Competencies: - Strong leadership and team management skills - Advanced financial modeling and analytical skills. - Proficiency in Excel and BI tools (e.g., Power BI). - Understanding of healthcare reimbursement, cost accounting, and payer dynamics. - Excellent communication and interpersonal skills; ability to present findings to executives. - High attention to detail and ability to manage multiple priorities in a fast-paced environment. Work Environment: - Office setting or remote work environment. - Some travel may be required to company sites or regional operations. Join our team as we strive for excellence through teamwork, where our patients are #1! IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Application Developer
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• This role involves full-stack development within the Microsoft stack, focusing primarily on MedTrac, our custom core application that manages referral management, utilization management, distribution, and reporting. • MedTrac is integral to our home care benefits operation, supporting services for our internal team, service providers, and health plan clients. • The Application Developer will play a key role in coding new features, modernizing existing components, maintaining integrations, and supporting associated portals. • The position requires proficiency with legacy ASP.NET Framework (VB.NET/C#) and newer .NET Core technologies using MVVM with Aurelia, Typescript, and Bulma.
Senior Portfolio Project Manager
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• Owns the enterprise portfolio of programs and projects • Ensures the right investments are selected, sequenced, funded, and delivered to achieve strategic outcomes • Leads portfolio planning, governance, and performance management • Partners with executives, finance, and functional leaders to balance value, risk, and capacity
HRP Product Owner
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• Maximizing the value, stability, and evolution of the company’s HealthRules Payor (HRP) platform • Serving as the primary steward of the HRP product ecosystem • Managing and governing the vendor(s) that provide configuration, development, and production support services for HRP • Overseeing performance, prioritizing work, ensuring adherence to SLAs, and driving high-quality delivery • Acting as a trusted advisor to business leaders, IT leadership, and the PMO
Reporting Analyst
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• Generating, analyzing, and interpreting data to support operational decision-making • Performance monitoring across the Operations division • Process improvement in healthcare utilization trends • Communicating data-driven insights to technical and non-technical stakeholders
Senior Manager, Care Coordination – LTSS/PDN
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• Oversee the strategic and operational functions of Long-Term Services and Supports (LTSS) and Private Duty Nursing (PDN) programs funded through Medicaid • Responsible for ensuring regulatory compliance • Improve provider network performance • Integrate health information technologies • Enhance overall program efficiency and service delivery outcomes • Review, develop and streamline workflows • Collaborate with interdisciplinary teams • Implement utilization management strategies to enhance operational efficiency and cost-effectiveness
Senior Medical Director
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• Responsible for providing clinical oversight and performing medical necessity reviews for home health and durable medical equipment (DME) prior authorization and other coverage requests. • Supports the provision of timely, evidence-based decisions aligned with payer policy, regulatory requirements, and best clinical practices. • Collaborate with utilization management, care coordination, and provider-network engagement teams to support high-quality, cost-effective care delivery in the home setting.
Network Account Executive
Integrated Home Care Services, Inc.Expertly managing Home Health, DME and Home Infusion services through a coordinated, value base model
• Join our team as we strive for excellence through teamwork • Deliver high quality care to our patients through Exceptional Customer Service • Provide in-home care services that improve and enhance daily living for our patients • Communicate with Medicare and/or Medicaid Certified and Accredited providers
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