- WMCHealth (Valhalla, NY)
- …appropriate; Refers to clinic and admission records and other related forms to provide insurance carriers and third party reimbursement agents with complete data ... the practices and procedures used for billing and collection from third party reimbursement agencies for the payment of hospital services to patients;… more
- State of Colorado (Denver, CO)
- …Health Services Program established by Section 25.5-5-315, et seq., CRS; the administration of the Hospital Provider Fee Model and the Hospital Provider ... Hospital Relations & Communication Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5018739) Apply Hospital Relations &… more
- Molina Healthcare (Riverside, CA)
- …contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting, ... etc. * Working experience with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business,… more
- AmeriHealth Caritas (Manchester, NH)
- …**Roles and Responsibilities:** + Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ... for our communities. They will develop and manage all hospital , physician, and extender networks. This position is also...minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships with physicians, ... performance within the contracted working relationship with the health plan. The Provider Engagement Executive works on problems of diverse scope and complexity… more
- Methodist Health System (Dallas, TX)
- …and state laws relating to healthcare, including but not limited to Medicare/ Medicaid reimbursement , HIPAA, AKS, self-referral prohibitions, and fraud and abuse. ... quality of care issues, informed consent, managed care contracting and negotiations, provider credentialing, and billing and reimbursement issues. + The AGC… more
- University of Virginia (Charlottesville, VA)
- …of Plastic & Maxillofacial Surgery is seeking a qualified Advanced Practice Provider (NP/PA/APP) to primarily support post-operative and wound patients with both our ... Department of Plastic and Maxillofacial Surgery, our newly hired APP's will provide professional services to evaluate and treat post-surgical and wound patients,… more
- UCHealth (Longmont, CO)
- …course of practice. + Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide ... to world-class care. UCHealth Medical Group and the UCHealth Hospital Medicine team located in Longmont, CO, are ready...to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . +… more
- Catholic Health Services (Roslyn, NY)
- Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
- State of Indiana (Evansville, IN)
- …Centers for Medicare & Medicaid Services certification as a Psychiatric Medicare/ Medicaid Hospital . Role Overview: As the Assistant Superintendent, you will ... State Hospital Assistant Superintendent Date Posted: Jul 18, 2025...points to improve cost effectiveness of facility expenditures. + Provide consultation and recommendations to the appointing authority and… more