- Humana (Hartford, CT)
- …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
- State of Colorado (Denver, CO)
- …and negotiating Medicaid provider fee/tax models. + Experience related to Medicaid hospital reimbursement financing, including but not limited to: ... Section 25.5-3-401, et seq., CRS; the administration of the Hospital Provider Fee Model and the ...is responsible for overseeing the annual creation of multiple Medicaid provider fee/tax models. Please briefly describe… more
- 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
- 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 (Rochester, NY)
- …_Problem Resolution:_ + Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. Consults with MEOS II, MEOS ... 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
- 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 (Orem, UT)
- …* 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
- AmeriHealth Caritas (Manchester, NH)
- …**Roles and Responsibilities:** + Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ... for our communities. They will develop and manage all hospital , physician, and extender networks. This position is also...minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including… more
- University of Virginia (Charlottesville, VA)
- …of Plastic & Maxillofacial Surgery is seeking a qualified Advanced Practice Provider (NP/PA/APP) to primarily support post-operative and wound patients with both our ... Department of Plastic and Maxillofacial Surgery, our newly hired APP's will provide professional services to evaluate and treat post-surgical and wound patients,… more
- UCHealth (Longmont, CO)
- …course of practice. + Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide ... to world-class care. UCHealth Medical Group and the UCHealth Hospital Medicine team located in Longmont, CO, are ready...to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . +… more