- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Humana (St. Paul, MN)
- …2 who initiates, negotiates, and executes physician, hospital , and other provider contracts and agreements related to Medicaid health plans. The ... and independent determination of the appropriate courses of action. The Provider Contracting Professional 2 responsibilities include (but not limited to): +… more
- Humana (St. Paul, MN)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (St. Paul, MN)
- …executing upon said strategy. Communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and ... responsibility for developing contracting methodologies and foster relationships with large hospital systems. Maintains metrics and health quality based goals to… more
- Avera (Minneapolis, MN)
- …Report Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare, Medicaid , Tricare and any other ... healths, hopices, and nursing homes. Oversight includes the Medicare, Medicaid and Tricare cost reports for all entities in...clinics, nursing homes and other patient operating units. + Provide expertise, guidance, and advice to the rural network… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Licensed Professional Clinical Counselor (LPCC) * 1 year of county and/or hospital experience. * Medicaid /Medicare and/or Public Programs experience. * Knowledge ... BCBSMN Care Management team. Behavioral Health Care Advisors will provide clinical approaches that will serve and support members...gaps internally or for the member, health plan or provider coverage needs, and raise gaps to leadership as… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Licensed Professional Clinical Counselor (LPCC) * 1 year of county and/or hospital experience. * Medicaid /Medicare and/or Public Programs experience. * Knowledge ... BCBSMN Care Management team. Behavioral Health Care Advisors will provide clinical approaches that will serve and support members...gaps internally or for the member, health plan or provider coverage needs, and raise gaps to leadership as… more
- Grifols Shared Services North America, Inc (Minneapolis, MN)
- …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD and ... to fulfill customer needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist) *Gather and provide customer insights to Marketing teams… more
- State of Minnesota (Vadnais Heights, MN)
- …: Yes Direct Care & Treatment (DCT) is unable to provide sponsorship for work visas. Applicants must be eligible to work ... will be responsible for ensuring compliance with the Centers for Medicare and Medicaid Services (CMS), State Medicaid (MA), Private Insurance, and other… more
- Humana (St. Paul, MN)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... guidelines. Applies clinical experience when conducting chart reviews of hospital and facility billing. Understands department, segment, and organizational strategy… more
- Fairview Health Services (Edina, MN)
- …RN to join our team in our EmPath unit at MHealth Fairview Southdale Hospital in Edina, MN. Our Emergency Psychiatric Assessment Treatment & Healing unit is calming, ... and mental health needs of the patient, which will provide a framework from which patient care is provided...Health Officer Authority, Jarvis, Price); Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), etc). **Schedule:… more
- Fairview Health Services (Edina, MN)
- …RN to join our team in our EmPath unit at MHealth Fairview Southdale Hospital in Edina, MN. Our Emergency Psychiatric Assessment Treatment & Healing unit is calming, ... and mental health needs of the patient, which will provide a framework from which patient care is provided...Health Officer Authority, Jarvis, Price); Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), etc). **Schedule:… more