- 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 ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- State of Massachusetts (Tewksbury, MA)
- …to apply for all Medicaid /Mass health /Medicare coverage for hospital reimbursement ; discharge planning, nursing home placement and/or general hospital ... (DMH) is seeking a dynamic individual to serve as Patient Care Reimbursement Investigator (PCRI). The ideal candidate provides financial assistance to patients and… more
- 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
- 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
- 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 (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
- Fresenius Medical Center (Chelmsford, MA)
- …blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor ... vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual… more
- 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