• Medicaid Provider Hospital…

    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 (07/29/25)
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  • Provider Contracts Manager

    Molina Healthcare (Atlanta, 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 (07/17/25)
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  • Inpatient DRG Quality Auditor

    Humana (Atlanta, GA)
    …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 (07/25/25)
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  • Delivery Technician -$1,000 Sign-On Bonus

    Aveanna Healthcare (Marietta, GA)
    …Salary: $17.00 - $18.00 per hour Position Details Aveanna Healthcare is the largest provider of home care to thousands of patients and families, and we are looking ... patients in a timely, courteous, and professional manner * Provide proper instruction to patients and/or families on use...Assist local dietitian with setups of new patients in hospital and clinics when needed Requirements * High school… more
    Aveanna Healthcare (07/24/25)
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  • Director, Clinical and Revenue Integrity…

    Waystar (Atlanta, GA)
    …workers to hospital executives. + Requires working knowledge of hospital billing practices, payer reimbursement methodology, medical necessity criteria, and ... Lead several managers focused on driving high revenue leakage findings for our Hospital Charge Integrity and DRG clients + Support managers with client communication… more
    Waystar (07/03/25)
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  • Senior Nurse Navigator

    PruittHealth (Atlanta, GA)
    …levels of care. 2. Must be knowledgeable of private insurance, Medicare and Medicaid coverage criteria, rules and regulations and reimbursement methodologies. 3. ... continuum and facilitating admissions into the Pruitt Health network. 5. Must provide excellent customer service to all referral sources and network of providers.… more
    PruittHealth (06/17/25)
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