- Humana (Hartford, CT)
- …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 (Nashville, TN)
- …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
- University of Rochester (Canandaigua, NY)
- …and addressing consequential barriers to securing public benefits which may impact hospital reimbursement and timely discharge. + Possesses a nuanced ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- University of Rochester (Rochester, NY)
- …_Problem Resolution:_ + Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. Consults with MEOS II, MEOS ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- Molina Healthcare (Layton, UT)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- WMCHealth (Valhalla, NY)
- …appropriate; Refers to clinic and admission records and other related forms to provide insurance carriers and third party reimbursement agents with complete data ... the practices and procedures used for billing and collection from third party reimbursement agencies for the payment of hospital services to patients;… more
- AmeriHealth Caritas (Manchester, NH)
- …**Roles and Responsibilities:** + Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ... for our communities. They will develop and manage all hospital , physician, and extender networks. This position is also...minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including… more
- University of Virginia (Charlottesville, VA)
- …of Plastic & Maxillofacial Surgery is seeking a qualified Advanced Practice Provider (NP/PA/APP) to primarily support post-operative and wound patients with both our ... Department of Plastic and Maxillofacial Surgery, our newly hired APP's will provide professional services to evaluate and treat post-surgical and wound patients,… more
- Humana (Austin, TX)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... + 2+ years of network management experience including but not limited to: provider and hospital contracting, network administration in a healthcare company or… more
- University of Virginia (Charlottesville, VA)
- …at the University of Virginia is seeking a full-time Advanced Practice Provider (PA/NP/APP) to join our renal team in Orange/Zions Crossroad/Culpeper and/or ... management, bone disease, fluid and electrolyte imbalances, and vascular access Provide patient and family education, promoting transition to home dialysis… more
- UCHealth (Longmont, CO)
- …course of practice. + Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide ... to world-class care. UCHealth Medical Group and the UCHealth Hospital Medicine team located in Longmont, CO, are ready...to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . +… more
- University of Virginia (Charlottesville, VA)
- …of Virginia Health System is seeking a dedicated Advanced Practice Provider (APP)-Nurse Practitioner (NP) or Physician Assistant (PA)-with a strong background ... plans to promote healing and improve patient outcomes. As an Advanced Practice Provider , you will be responsible for providing comprehensive care at an advanced… more
- Omaha Children's Hospital (Omaha, NE)
- …regulations. + Knowledge of CPT, HCPCS and revenue codes and their effect on hospital reimbursement . + Ability to communicate effectively both verbally and in ... physician billing departments at internal revenue cycle meetings and provider meetings. Stays abreast of changes in the industry... and clinic revenue cycle operations + Knowledge of hospital and physician billing, collection and reimbursement … more
- University of Virginia (Charlottesville, VA)
- …motivated Nurse Practitioner (NP) or Physician Assistant (PA) Advanced Practice Provider (APP) to join our dynamic inpatient Hepato-pancreato-biliary (HPB) and ... provides comprehensive clinical and organizational direction and leadership to the healthcare provider team in the care of patients. * Performs comprehensive history… more
- Catholic Health Services (Roslyn, NY)
- Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
- Prime Healthcare (Chicago, IL)
- … State Operations Manual, HIPAA/HiTech, etc. + Substantial understanding of hospital and physician reimbursement mechanisms. + Significant experience in ... new members to join our corporate team! Responsibilities The Associate General Counsel - Hospital Operations is a senior member of the Prime legal team. The AGC… more
- State of Indiana (Evansville, IN)
- …Centers for Medicare & Medicaid Services certification as a Psychiatric Medicare/ Medicaid Hospital . Role Overview: As the Assistant Superintendent, you will ... State Hospital Assistant Superintendent Date Posted: Aug 16, 2025...points to improve cost effectiveness of facility expenditures. + Provide consultation and recommendations to the appointing authority and… more
- Baylor Scott & White Health (Dallas, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... conduct hospital rounds, assist with admissions and discharges, and provide on-call support. **KEY SUCCESS FACTORS** + Knowledge of information and techniques… more
- Somatus (Atlanta, GA)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Endo International (Hartford, CT)
- …everyone we serve live their best life. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo Access and ... Reimbursement team who represents Endo's interest with Xiaflex, Testopel,...Endo Pharmaceuticals and Patient Access is patients and assisting provider offices to help their patients get access to… more