• Medicaid Provider Hospital

    Humana (Jackson, MS)
    …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 Contracts Manager (Remote in MS)

    Molina Healthcare (Gulfport, MS)
    …* 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 (04/27/25)
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  • Provider Contracting Executive

    Humana (Jackson, MS)
    …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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  • Inpatient DRG Quality Auditor

    Humana (Jackson, MS)
    …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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  • Licensed Clinical Social Worker

    South Central Regional Medical Center (Laurel, MS)
    …factors related to health problems. + Maintains up-to-date knowledge of Medicare, Medicaid , and other third party reimbursement sources. + Maintains accurate ... employees through proper identification, reporting, documentation, and prevention. + Maintains hospital standards for a clean and quiet patient environment to… more
    South Central Regional Medical Center (04/22/25)
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  • Social Worker

    South Central Regional Medical Center (Laurel, MS)
    …factors related to health problems. Maintains up-to-date knowledge of Medicare, Medicaid , and other third party reimbursement sources. Maintains accurate ... and employees through proper identification, reporting, documentation, and prevention. Maintains hospital standards for a clean and quiet patient environment to… more
    South Central Regional Medical Center (03/21/25)
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