• 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 (05/10/25)
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  • Provider Contracting Executive

    Humana (Augusta, ME)
    …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
    Humana (05/07/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Lewiston, 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 (05/13/25)
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  • Physical Therapist

    Covenant Health (Lewiston, ME)
    …to staff. * Documents patient care appropriately with attention to Medicare, Medicaid , Private Pay, and Worker's Compensation reimbursement requirements. * ... to patients by referral of a physician or other appropriate healthcare provider . Essential Duties and Responsibilities * Supports and promotes the mission and… more
    Covenant Health (03/08/25)
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  • Social Services Director

    First Atlantic Health Care (Saco, ME)
    …Healthcare, part of the Atlantic Heights Community, is a fully-licensed Medicaid /Medicare-certified facility offering 105 beds. Our Maintenance Team at Seal Rock ... and welfare agencies to meet the needs of the resident. + Provide solutions for social and practical environmental problems including seeking financial assistance,… more
    First Atlantic Health Care (05/01/25)
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  • Inpatient DRG Quality Auditor

    Humana (Augusta, ME)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (05/03/25)
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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 (04/12/25)
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  • PMHNP - Telepsych

    Covenant Health (Lewiston, ME)
    …from participation in federal health care programs (eg Medicare, Medicaid , SCHIP). Experience: Preferred: 2 years of experience providing direct ... party education loan vendor per the IMG Student loan Reimbursement Policy) * Relocation Assistance * CME * Other...Mary's Regional Medical Center is a 233-bed Acute Care Hospital that offers a full range of inpatient and… more
    Covenant Health (03/18/25)
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