- Humana (Providence, RI)
- …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
- WellSense (Boston, MA)
- …providers preferred** + Experience with Commercial, Medicare and Medicaid reimbursement methodologies + Understanding of provider coding and billing ... Senior Provider Relations Consultant, BH Network Strategy WellSense Health...and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical… more
- Genesis Healthcare (Peterborough, NH)
- …of 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...as required by federal and state regulations. *Manage all Medicare/ Medicaid case-mix documents at the nursing center to assure… more
- Genesis Healthcare (Cumberland, RI)
- …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
- Baystate Health (Palmer, MA)
- …is seeking a **Nurse Manager** to join our Surgical Services team at Baystate Wing Hospital in Palmer, MA. This is a great opportunity to step into a leadership role ... at a welcoming, **community-focused hospital ,** where you'll oversee all aspects of peri-operative services-including...Department of Public Health, it stands as a trusted provider in the region. Recently, the Centers for Medicare… more
- Cardinal Health (Providence, RI)
- …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
- Humana (Providence, RI)
- …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
- Atrius Health (Newton, MA)
- …along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is ... director. *_Essential Functions_* * * Knowledge regarding current and evolving provider payment methodologies . Reviews and monitors contract/payer performance .… more
- National Health Care Associates (Storrs, CT)
- …for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest level of revenue ... looking for potential risks and/or changes that may affect reimbursement + May train, mentor and/or manage MDS Coordinators,...teams to ensure accurate data collection for assessments + Provide insights and ongoing education to facility staff and… more
- Dartmouth Health (Keene, NH)
- …and financial resources; and aligning the department's goals with the hospital 's strategic priorities. Promotes individual, peer and departmental accountability to ... Disease Control and Prevention, Joint Commission, Centers for Medicare & Medicaid Services) Provides oversight for department quality improvement activities, and… more