- 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 ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare/ Medicaid Reimbursement . + The Director will have advanced level of knowledge ... Term Disability + Health Care/Dependent Care Flexible Spending Accounts + Wellness Programs + Tuition Reimbursement My client, a large healthcare company located in… more
- Molina Healthcare (New York, NY)
- …* 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
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Hackensack Meridian Health (Brick, NJ)
- …accordance with the privileges approved by the credentialing committee to provide high-quality, cost-effective patient care within their scope of practice. ... They will be a driving force to ensure patient hospital stay and care transitions are as smooth and...accountable. Need 2-3 years experience as an Advanced Practice Provider , preferably in acute care setting. Education, Knowledge, Skills… more
- Cardinal Health (Trenton, NJ)
- …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
- Hackensack Meridian Health (Brick, NJ)
- …in accordance with the privileges approved by the credentialing committee to provide high-quality, cost-effective patient care within their scope of practice. They ... goal achievement in patient experience and outcomes. They will provide clinical guidance to support the unit-based care managers,...They will be a driving force to ensure patient hospital stay and care transitions are as smooth and… more
- Weill Cornell Medical College (New York, NY)
- …and Medicaid Services (CMS), and other third party payers reimbursement and coding regulations. Submits recommended coding changes for approval by physicians. ... practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital /Weill Cornell Medical Center,… more
- Centene Corporation (New York, NY)
- …established by the American Medical Association and the Centers for Medicare and Medicaid Services. + Analyze provider billing practices by utilizing code ... of experience in medical billing & coding, coding/data analysis, accounting/business or physician/ hospital data management or RN/LPN and 2+ years of related clinical… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional ... documenting, and reporting underpayment trends, payer updates, payer regulations, and provide feedback on workflow procedures pertaining to our negotiated contracts.… more
- RWJBarnabas Health (New Brunswick, NJ)
- …Patient Accounts (Customer Services) - Hybrid -Full Time, Day - Central Hospital Sites, NJ Location: Barnabas Health Corp Department: Patient Financial Services ... on patient accounts, and works with patients or their representatives to provide financial assistance or secure payment. Facilitates processing of Medicaid … 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
- Allaire Rehab & Nursing (Freehold, NJ)
- …Federal and State regulations and reimbursement (Managed Care, Medicare, and Medicaid ). + Provide assistance with new Stakeholder orientation regarding the ... Spending Account + 401k available + Career advancement opportunities / tuition reimbursement + Complementary uniform + Friendly work environment + Referral bonus +… more
- Ascendis Pharma (Princeton, NJ)
- …of payments. . Monitor trends in rebates, disputes, and liabilities; provide regular reporting to management. . Validate rebate calculations, perform variance ... and reporting. + Possesses broad base and in-depth understanding of reimbursement issues, payer segments, use of specialty pharmacies, the J-Code application… more
- Novo Nordisk (Toms River, NJ)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... strategies + May develop and utilize relationships with specialists, key hospital decision-makers, and other individuals who make or influence the purchasing,… more