- Humana (Atlanta, GA)
- …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 (Atlanta, GA)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Molina Healthcare (Augusta, GA)
- …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
- Molina Healthcare (GA)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- Molina Healthcare (GA)
- …have issues or complaints (eg, problems with claims and encounter data, eligibility, reimbursement , and provider website). + Serves as a resource to support ... live in Georgia _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …healthcare and transplants preferred. + Strong knowledge of Medicare and Medicaid reimbursement regulations. + Excellent analytical and problem-solving skills. ... preparing to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid ...with priority focus on billing changes impacting physician and hospital chargemasters + Assist with Provider based… more
- Cardinal Health (Atlanta, GA)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …three (3) years' of healthcare experience in Managed Care Contracting, Hospital Reimbursement , Professional Reimbursement , Denials, and/or ... career and be what you want to be. We provide : + Comprehensive health benefits that start day 1...Ten (10) years' of experience in Managed Care Contracting, Hospital Reimbursement , Professional Reimbursement , Denials,… more
- Emory Healthcare/Emory University (Duluth, GA)
- …screening process to patients, patients families, and legal guardians in a hospital setting. + Secure maximum reimbursement through up front identification ... career and be what you want to be. We provide : + Comprehensive health benefits that start day 1...start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives +… more
- Waystar (Atlanta, GA)
- …of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare ... Integrity products + Ability to interpret regulatory guidelines from CMS, Tricare, and Medicaid websites + Ability to understand the vocabulary used in hospital … more
Recent Jobs
-
Community Health Liaison, Orthodox Jewish Initiative, Division Management & Systems Coordination
- City of New York (New York, NY)
-
Retail Sales Seasonal Associate
- Staples (Vestal, NY)
-
(USA) Software Engineer III (Full Stack)
- Walmart (Bentonville, AR)
-
Associate Staff Analyst
- City of New York (New York, NY)