- Humana (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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
- University of Virginia (Charlottesville, VA)
- …of Virginia Health System is seeking a dedicated Advanced Practice Provider (APP)-Nurse Practitioner (NP) or Physician Assistant (PA)-with a strong background ... plans to promote healing and improve patient outcomes. As an Advanced Practice Provider , you will be responsible for providing comprehensive care at an advanced… more
- University of Virginia (Charlottesville, VA)
- …provides comprehensive clinical and organizational direction and leadership to the healthcare provider team in the care of patients. * Performs comprehensive history ... compliance and regulatory documentation for the purposes of administration and reimbursement * Provides expertise in the measurement, development, evaluation and… more
- J&J Family of Companies (Virginia Beach, VA)
- …+ 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
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …Ensures comprehensive assessment and recommended treatment plan is submitted for reimbursement to third party insurance payer sources based on established ... Health Service Line. + Conducts chart audits in accordance with DMAS and Medicaid regulations, when needed. + Generates program systems and processes to improve… more
- Cardinal Health (Richmond, VA)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
- Somatus (Mclean, VA)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Humana (Richmond, VA)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
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