• Medicaid Provider Hospital

    Humana (Augusta, ME)
    …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 (09/09/25)
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  • Family Practice PA or FNP

    Down East Community Hospital (Machias, ME)
    …medical education activities. . FNP/PA shall accept all forms of third-party reimbursement , including but not limited to Medicaid , Medicare, commercial health ... shall be a member in good standing of the Hospital Medical Staff and shall meet all requirements of...insurance, and applicable negotiated managed care reimbursement , and shall provide reasonable amounts of… more
    Down East Community Hospital (07/17/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Belfast, ME)
    …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
    Genesis Healthcare (08/30/25)
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  • Dental Recontracting Professional - VSP

    Humana (Augusta, ME)
    …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
    Humana (09/03/25)
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  • Compliance Audit Manager

    Cardinal Health (Augusta, ME)
    …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
    Cardinal Health (08/27/25)
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  • MDS - Nurse Assessment Coordinator (RN)

    National Health Care Associates (Bath, ME)
    …personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven ... prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of the MDS… more
    National Health Care Associates (08/30/25)
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  • PMHNP- Integrated Behavioral Health in Primary…

    Covenant Health (Poland, ME)
    …Health team. This full-time position offers a unique opportunity to provide compassionate, integrated psychiatric services onsite within our Primary Care practice ... from participation in federal health care programs (eg, Medicare, Medicaid ) Preferred: 2+ years of experience providing direct psychiatric...incentive plan + Up to $5,000/year in Student Loan Reimbursement (for the term of the loan) + Full… more
    Covenant Health (06/20/25)
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