- Humana (Des Moines, IA)
- …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 (Des Moines, IA)
- …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
- Trinity Health (Des Moines, IA)
- …regulatory and accrediting body requirements (ie, Centers for Medicare and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The ... Joint Commission (TJC),etc.), in conjunction with the hospital 's leaders, colleagues and providers. + Identifies problem areas in need of focused attention and… more
- Humana (Des Moines, IA)
- …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