• Senior Provider Contracting Professional…

    Humana (Charleston, WV)
    …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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  • Medicare (PPS) Provider Hospital

    Humana (Charleston, WV)
    …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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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Charles Town, WV)
    …long term care clinical nursing experience is required. *Experience with Medicare/ Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in...RN manages the overall process and tracking of all Medicare/ Medicaid case-mix documents to ensure appropriate reimbursement more
    Genesis Healthcare (10/03/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Marmet, WV)
    …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
    Genesis Healthcare (10/29/25)
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  • Regional MDS Manager, RN

    Genesis Healthcare (Follansbee, WV)
    …through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, ... and length of service. Within a defined geographic area, the Clinical Reimbursement Lead models the MDS process and capability standards providing direct guidance… more
    Genesis Healthcare (09/19/25)
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  • Business Office Manager

    Genesis Healthcare (Logan, WV)
    …through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, ... you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement , and Social Services to maintain accurate and compliant patient… more
    Genesis Healthcare (10/29/25)
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