• Medicaid Provider Hospital

    Humana (Honolulu, HI)
    …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 (06/18/25)
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  • Provider Contracting Executive

    Humana (Honolulu, HI)
    …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
    Humana (07/01/25)
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  • VP, Revenue Cycle Management and Payer Strategy

    Cardinal Health (Honolulu, HI)
    …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
    Cardinal Health (05/17/25)
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  • Inpatient DRG Quality Auditor

    Humana (Honolulu, HI)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (06/17/25)
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  • Sr. Pre-Encounter Representative II - Access…

    Queen's Health System (Ewa Beach, HI)
    …Pre-registration, Insurance Verification, Authorizations, Specialty Scheduling and/or Primary Care Provider (PCP) scheduling. * Monitors work queues and assigns and ... B. EXPERIENCE: * Two (2) years patient access experience in a hospital or physician office setting. * Prior supervisory experience and/or demonstrated knowledge… more
    Queen's Health System (06/26/25)
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