• Medicaid Provider Hospital

    Humana (Charleston, WV)
    …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 (05/10/25)
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  • Provider Contracting Executive

    Humana (Charleston, WV)
    …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 (05/07/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Sissonville, 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 (05/09/25)
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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 (03/21/25)
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  • Inpatient DRG Quality Auditor

    Humana (Charleston, WV)
    …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 (05/03/25)
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