• Medicaid Provider Hospital…

    Humana (Frankfort, KY)
    …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 (10/30/25)
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  • Sr. Medicare (PPS) Provider Hospital…

    Humana (Frankfort, KY)
    …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
    Humana (10/18/25)
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  • Provider Contracting Coordinator

    Humana (Frankfort, KY)
    …and provides administrative support for BH practitioner, hospital , and/or other provider contracts for Indiana Medicaid and Medicare. The Provider ... Provider Contracting Coordinator communicates contract terms, payment structures, and reimbursement rates to providers in the Indiana Medicaid and Medicare… more
    Humana (10/28/25)
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  • Director, Provider Contracts (Must reside…

    Molina Healthcare (Bowling Green, KY)
    …* 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 (10/11/25)
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  • Sr. Product Manager - Claims Management

    Waystar (Louisville, KY)
    …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
    Waystar (08/08/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (Owensboro, KY)
    …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
    Molina Healthcare (10/25/25)
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  • Facility Inpatient Complex Senior Coder

    Banner Health (KY)
    **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $27.72 - $46.20 / hour, based on ... Ahima, as defined in minimum qualifications below. **(Please upload a copy or provide certification number in your questionnaire.)** Please note, this is a COMPLEX… more
    Banner Health (10/17/25)
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