- Humana (Annapolis, MD)
- …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
- Elevance Health (MD)
- RN Nurse Case Manager l - Medicaid (JR152160) **Location** : This role requires associates to be **in-office 4 days per week** , fostering collaboration and ... on the development of care management treatment plans. + Negotiates rates of reimbursement , as applicable. + Assists in problem solving with providers, claims or… more
- Humana (Annapolis, MD)
- …Professional who initiates, negotiates, and executes physician, hospital , and other provider contracts and agreements related to Medicaid health plans. The ... seeking a Provider Contracting...with QuickBase. + 2+ years of network development and Medicaid /Medicare experience. + Excellent written and verbal communication skills.… more
- Intermountain Health (Annapolis, MD)
- …to appropriately maximize reimbursement . Interacts with Medicare Administrative Contractor, State Medicaid , and hospital personnel as needed. + Acts as a ... individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed. + Prepares monthly Medicare..., and/or governmental reporting + Experience with Medicare and Medicaid reimbursement world and cost reports. +… more
- Genesis Healthcare (Bowie, MD)
- …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
- Humana (Annapolis, MD)
- … Provider Contracting Professional 2 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
- Trinity Health (Silver Spring, MD)
- …Position Highlights:** + **Competitive pay** + **Additional Benefits:** tuition reimbursement , free parking, employee discounts + **Quality of Life:** Flexible ... Svcs reviews all assigned charge review errors and claim edits for hospital -based services, including surgical procedures. Ensuring correct charge capture and coding… more
- Cardinal Health (Annapolis, MD)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- Somatus (Berlin, MD)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Trinity Health (Silver Spring, MD)
- …Regulatory and Accreditation Coordinator is responsible for ensuring the hospital remains compliant with all regulatory standards, accreditation requirements, and ... state and federal laws. This individual collaborates with hospital leadership and staff to maintain survey readiness and...as The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and state health departments in collaboration… more