• Medicaid Provider Hospital

    Humana (Concord, NH)
    …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 (04/30/25)
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  • Director Provider Network Management

    AmeriHealth Caritas (Manchester, NH)
    …Director of Provider Network Management will develop and manage all hospital , physician, and physician extender networks.; This position is also responsible for ... business experience.;; + Minimum 3 years of experience in managed care provider contracting and reimbursement is required, including in-depth knowledge of… more
    AmeriHealth Caritas (04/26/25)
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  • Provider Contracting Executive

    Humana (Concord, NH)
    …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
    Humana (05/07/25)
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  • Clinical Reimbursement Coordinator, LPN

    Genesis Healthcare (Bedford, 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 (03/22/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Bedford, NH)
    …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
    Genesis Healthcare (03/22/25)
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  • Inpatient DRG Quality Auditor

    Humana (Concord, NH)
    …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
    Humana (05/03/25)
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