- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement… more
- Humana (Trenton, NJ)
- …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
- CVS Health (Monroe Township, NJ)
- …The care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective ... and unrestricted RN license in NJ + 3+ years clinical practice experience, eg, hospital setting, alternative care setting such as home health or ambulatory care + 50… more
- Humana (Trenton, NJ)
- …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
- Merck (North Wales, PA)
- …HHDDA, etc.),with focus on customer segments including health plans, Medicare, Medicaid , federal, pharmacy, hospital and Group Purchasing Organizations, among ... health economics outcomes research, and Organized Customer Access and Reimbursement teams to develop strategies to support current indications...on market access KPIs. + Support brand team and provide market access point of view during L3, QBR… more
- Genesis Healthcare (Huntingdon Valley, PA)
- Overview **ABOUT GENESIS** As the nation's leading provider of healthcare services from short-term to long-term and a wide variety of living options and professional ... you comfortable working cross-functionally with departments like **Admissions, Clinical Reimbursement , and Social Services** to maintain accurate and compliant… more