• Medicaid Provider Hospital…

    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
    Humana (10/21/25)
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  • Senior Provider Contracting Professional…

    Humana (Nashville, TN)
    …and reimbursement rates to providers in building and maintaining Medicaid Behavioral Health provider networks. Analyzes the financial impact(s) of ... Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other Behavioral Health contracts and agreements within the… more
    Humana (09/25/25)
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  • Director of Medicaid Reimbursement

    AdventHealth (Altamonte Springs, FL)
    …Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on ... supplemental Medicaid payments, provider taxes, Medicaid ...team:** + Serves as AdventHealth subject matter resource for Medicaid reimbursement matters. This role is focused… more
    AdventHealth (10/02/25)
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  • Senior Medicaid & Medicare…

    OhioHealth (Columbus, OH)
    …This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is ... projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining...Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement . Provide… more
    OhioHealth (09/25/25)
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  • Medicare (PPS) Provider Hospital…

    Humana (Honolulu, HI)
    …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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  • Hospital Patient Accounting/Billing Manager…

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    ABOUT US: Formerly Aurora Santa Rosa Hospital , SRBHH was opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California mental ... of care. Conveniently located in the North Bay, this hospital consists of 144 acute psychiatric inpatient beds. Santa...codes, patient diagnosis and authorized level of care. + Provide timely and clear communication of patient eligibility for… more
    Sacramento Behavioral Healthcare Hospital (10/15/25)
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  • Senior Provider Contract Manager

    Commonwealth Care Alliance (Boston, MA)
    …compliance requirements. + Maintain a solid understanding of Medicare and Medicaid reimbursement methodologies for assigned services. + Conduct on-going ... and health care financing required. + Solid understanding of Medicare and Medicaid reimbursement methodologies and particular expertise in Medicare and … more
    Commonwealth Care Alliance (10/18/25)
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  • Senior Net Revenue & Reimbursement Analyst

    Omaha Children's Hospital (Omaha, NE)
    …methodologies + Conducts research on Federal and State regulations/laws + Coordinates regulatory reimbursement audits of the hospital and represents the System * ... and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families-from primary and… more
    Omaha Children's Hospital (10/06/25)
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  • Director, Provider Relations

    Commonwealth Care Alliance (Boston, MA)
    …teams to monitor network performance against internal and regulatory benchmarks. * Ensure provider network compliance with CMS, state Medicaid agency, and NCQA ... 011230 CA- Provider Engagement & Performance Position Summary: The Director...contracting, or population health initiatives. * Prior work with hospital systems, large medical groups, and specialty care networks.… more
    Commonwealth Care Alliance (10/18/25)
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