- Humana (Santa Fe, NM)
- …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
- Molina Healthcare (Albuquerque, NM)
- …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Molina Healthcare (NM)
- …* 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
- Genesis Healthcare (Clayton, NM)
- …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...RN manages the overall process and tracking of all Medicare/ Medicaid case-mix documents to ensure appropriate reimbursement … more
- Genesis Healthcare (NM)
- …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, ... in NM. Within a defined geographic area, the Clinical Reimbursement Lead models the MDS process and capability standards...support for the MDS Coordinators to meet those goals. * Provide guidance, oversight, and direction for compliance of auditing… more
- Genesis Healthcare (Clovis, NM)
- …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 (Albuquerque, NM)
- …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, ... we serve. Responsibilities *Engage in the budgetary process, payroll analysis, reimbursement issues, and staffing ratios to become educated on the budgetary… more