• Medicaid Provider Hospital

    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
    Humana (09/09/25)
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  • Hospital Liaison- PHA

    Somatus (Baltimore, 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
    Somatus (07/10/25)
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  • Clinical Reimbursement Coordinator, LPN

    Genesis Healthcare (Baltimore, MD)
    …of long-term care clinical nursing experience is required. *Experience with Medicare/ Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in...as required by federal and state regulations. *Manage all Medicare/ Medicaid case-mix documents at the nursing center to assure… more
    Genesis Healthcare (09/11/25)
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  • Clinical Reimbursement Coordinator, RN

    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
    Genesis Healthcare (09/08/25)
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  • Dental Recontracting Professional - VSP

    Humana (Annapolis, MD)
    …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 (Annapolis, MD)
    …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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  • Medicare Biller

    TEKsystems (Baltimore, MD)
    TekSystems is currently hiring for a Medicaid Medical Biller in the Baltimore area! MUST HAVE: 2 years of Medicaid Medical Billing experience, EPIC experience is ... issue for assigned account balances that delay or impact reimbursement . Interacts effectively with management/peers/internal parties/and external parties to resolve… more
    TEKsystems (09/10/25)
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  • Regulatory/Accreditation Nurse Coordinator

    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
    Trinity Health (06/13/25)
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  • Bilingual Patient Health Advocate

    Somatus (Rockville, 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
    Somatus (08/01/25)
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  • Business Office Manager

    Genesis Healthcare (Silver Spring, MD)
    …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, ... you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement , and Social Services to maintain accurate and compliant patient… more
    Genesis Healthcare (09/06/25)
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