• Medicaid Provider Hospital…

    Humana (Jefferson City, MO)
    …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 (01/07/26)
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  • Sr. Medicare (PPS) Provider Hospital…

    Humana (Jefferson City, MO)
    …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
    Humana (12/19/25)
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  • Provider Contracting Network Rep

    Humana (Jefferson City, MO)
    … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... years of experience in negotiating managed care contracts with physician specialty, hospital and/or other provider contracts. + Proficiency in analyzing,… more
    Humana (01/10/26)
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  • Provider Contracting Executive

    Humana (Jefferson City, MO)
    …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 (01/07/26)
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  • Director, Contracting & Network Development

    Centene Corporation (Jefferson City, MO)
    …development or provider relations experience. Previous experience in Medicaid /Medicare contracting and negotiating hospital , large physician groups and ... a leader on the team responsible for building, contracting, and managing the provider network for Ambetter Health Solutions - Centene's ICHRA focused role. This… more
    Centene Corporation (01/06/26)
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  • Program Manager Clinical Quality Measure

    BJC HealthCare (St. Louis, MO)
    …mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state ... of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity… more
    BJC HealthCare (01/07/26)
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  • Inpatient Medical Coding Auditor

    Humana (Jefferson City, MO)
    …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
    Humana (12/23/25)
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  • Hospice Nurse Practitioner

    Gentiva (Wentzville, MO)
    …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
    Gentiva (01/02/26)
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