- Humana (Boston, MA)
- …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
- Beth Israel Lahey Health (Charlestown, MA)
- …(2) Produce data and analytics that deliver actionable business insights to BILH hospital , physician, and system leaders; (3) Provide strategic solutions that ... applying a deep knowledge of both government and commercial payment systems; and, (4) Provide Medicare, Medicaid , and payment system expertise in support of BILH… more
- Humana (Boston, MA)
- …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
- Cardinal Health (Boston, MA)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- BrightSpring Health Services (Hudson, MA)
- Our Company Amerita Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we ... of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As… more
- Cambridge Health Alliance (Everett, MA)
- …Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend rotation **Category:** Registered ... medical illness. Casework or therapy takes place in the hospital setting. Under the general supervision of the Director...and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …compliance programs that adhere to regulations and industry standards, focusing on hospital and professional billing compliance. The Director acts as the 'second ... We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design… more
- Atrius Health (Newton, MA)
- …along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is ... director. *_Essential Functions_* * * Knowledge regarding current and evolving provider payment methodologies . Reviews and monitors contract/payer performance .… more
- Cambridge Health Alliance (Cambridge, MA)
- …Case Management CH **Requisition Number:** 10194 **Location:** CHA Cambridge Hospital **Work Days:** Mon-Fri; 8:00-4:30, rotating weekends and holidays **Category:** ... medical illness. Casework or therapy takes place in the hospital setting. Summary: Under the general supervision of the...and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case… more
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