- Humana (Columbia, SC)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Richmond, VA)
- …and reimbursement rates to providers in building and maintaining Medicaid Behavioral Health provider networks. Analyzes the financial impact(s) of ... Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other Behavioral Health contracts and agreements within the… more
- Humana (Richmond, VA)
- … Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts for Virginia Medicaid . The Provider ... of experience in negotiating or servicing managed care contracts with physician, hospital and/or other provider contracts + Proficiency in analyzing,… more
- OhioHealth (Columbus, OH)
- …This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is ... projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining...Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement . Provide… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …DSS: The position is responsible for the development and implementation of Medicaid reimbursement methodologies for hospital inpatient services, outpatient ... members of the state legislature, and state leadership regarding Medicaid hospital payment. Will be required to...in support of federal reporting requirements and for calculating Medicaid reimbursement rates for hospitals. + Experience… more
- University of Rochester (Canandaigua, NY)
- …and addressing consequential barriers to securing public benefits which may impact hospital reimbursement and timely discharge. + Possesses a nuanced ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- University of Rochester (Rochester, NY)
- …_Problem Resolution:_ + Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. Consults with MEOS II, MEOS ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- Avera (Le Mars, IA)
- …claims. + Prepare daily and monthly bills for processing of mailing. + Provide financial consultations with patients regarding their medical bills and the status of ... involvement. **Requirements:** + High school diploma plus specific training in reimbursement /insurance + Two years or experience required. + Mandatory Reporter… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Manager, Provider Contracting initiates, negotiates, and executes physician, hospital , and/or other ... Professionals who will be responsible for the Direct Agreements (Medicare HMO and Medicaid ). The Manager, Provider Contracting will lead a team which is… more
- Humana (Olympia, WA)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex issues where the analysis of… more