• 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 (09/09/25)
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  • Field Reimbursement Manager - Immunology…

    J&J Family of Companies (Kansas City, MO)
    …. Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationships. . ... to payer approval processes and business acumen. . Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
    J&J Family of Companies (09/11/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (St. Louis, MO)
    …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
    J&J Family of Companies (09/10/25)
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  • Field Reimbursement Manager, Immunology…

    J&J Family of Companies (Springfield, MO)
    …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
    J&J Family of Companies (08/25/25)
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  • Dental Recontracting Professional - VSP

    Humana (Jefferson City, MO)
    …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 (Jefferson City, MO)
    …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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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Independence, MO)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... CQR Educator will also collaborate with other external departments as needed to provide input on coding education opportunities and assist with creation of education… more
    HCA Healthcare (08/14/25)
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  • Senior Manager, Network Management (Healthcare)…

    CVS Health (Jefferson City, MO)
    …groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals ... cost arrangements within defined groups. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual… more
    CVS Health (09/02/25)
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  • Hospice Nurse Practitioner

    Gentiva (Springfield, 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 (08/25/25)
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  • Referral Coordinator II - Pain Management

    SSM Health (Bridgeton, MO)
    **It's more than a career, it's a calling.** MO-SSM Health DePaul Hospital - St. Louis **Worker Type:** Regular **Job Highlights:** This is a full-time day-shift ... (Four 9-hour days per week). This is an ONSITE position working at DePaul Hospital 12255 DePaul Drive, Bridgeton, MO 63044. **Job Summary:** Coordinates provider more
    SSM Health (09/11/25)
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