• Medicaid Provider Hospital

    Humana (Albany, NY)
    …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 (10/21/25)
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  • Medicare (PPS) Provider Hospital

    Humana (Albany, NY)
    …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
    Humana (10/18/25)
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  • Medicaid Enroll & Outrch Spc II

    University of Rochester (Canandaigua, NY)
    …and addressing consequential barriers to securing public benefits which may impact hospital reimbursement and timely discharge. + Possesses a nuanced ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
    University of Rochester (08/07/25)
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  • Director, Provider Contracts (Must reside…

    Molina Healthcare (Rochester, NY)
    …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
    Molina Healthcare (10/05/25)
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  • Advanced Practice Provider -PD - Medicine…

    Catholic Health Services (Roslyn, NY)
    Overview St Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
    Catholic Health Services (07/29/25)
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  • Advanced Practice Provider

    Catholic Health Services (Roslyn, NY)
    Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
    Catholic Health Services (09/10/25)
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  • Hospital Coder

    Albany Medical Center (Albany, NY)
    …coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal ... Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification… more
    Albany Medical Center (09/09/25)
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  • Nurse Practitioner/Physician Assistant: Join…

    Saratoga Hospital (Saratoga Springs, NY)
    …Saratoga Hospital is a 171+ bed, independent, locally-governed community hospital and a leading healthcare provider in the region. The ... or Physician Assistant serves as an additional patient care provider , augmenting and extending patient services provided by the...Quality Rating under the US Centers for Medicare & Medicaid Services Hospital Compare Initiative + Commission… more
    Saratoga Hospital (08/22/25)
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  • Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …in the ongoing marketing of programs and services provided by Calvary Hospital . Works cooperatively with other departments, provider referrers and managed ... by Calvary Hospital . Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital . Oversees the appeals… more
    Calvary Hospital (08/20/25)
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  • Field Reimbursement Manager, Immunology…

    J&J Family of Companies (New York, NY)
    …+ 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 (10/23/25)
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