- Humana (St. Paul, MN)
- …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
- J&J Family of Companies (Minneapolis, MN)
- …+ 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
- Avera (Minneapolis, MN)
- …Report Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare, Medicaid , Tricare and any other ... healths, hopices, and nursing homes. Oversight includes the Medicare, Medicaid and Tricare cost reports for all entities in...clinics, nursing homes and other patient operating units. + Provide expertise, guidance, and advice to the rural network… more
- Cardinal Health (St. Paul, MN)
- …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
- Medtronic (Minneapolis, MN)
- …care contracting. + Established relationships with key decision-makers at commercial insurers, Medicaid , Medicare, and provider networks. Preferred: + MBA or ... anticipate and skillfully navigate the multifaceted challenges of commercial payer reimbursement . This pivotal leadership role demands a sophisticated grasp of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Licensed Professional Clinical Counselor (LPCC) * 1 year of county and/or hospital experience. * Medicaid /Medicare and/or Public Programs experience. * Knowledge ... BCBSMN Care Management team. Behavioral Health Care Advisors will provide clinical approaches that will serve and support members...gaps internally or for the member, health plan or provider coverage needs, and raise gaps to leadership as… more
- Sanofi Group (Minneapolis, MN)
- …+ Maintain extensive knowledge of the Managed Care, GPOs, Specialty Pharmacy, State Medicaid and Veterans Affairs selling and reimbursement environment for their ... the promotion of Belumosudil in their assigned geography. The IHM will provide on-label product information to designated key opinion leaders, health care… more
- Fairview Health Services (Edina, MN)
- …RN to join our team in our EmPath unit at MHealth Fairview Southdale Hospital in Edina, MN. Our Emergency Psychiatric Assessment Treatment & Healing unit is calming, ... and mental health needs of the patient, which will provide a framework from which patient care is provided...Health Officer Authority, Jarvis, Price); Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), etc). **Schedule:… more