- 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
- 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
- TEKsystems (Minneapolis, MN)
- …Interventional Urology products. * Knowledge of commercial payers, Medicare and Medicaid and their benefit structure(s) * Requests medical documentation from ... required by insurance payer. * Maintains knowledge of the following: Medicare, Medicaid and Commercial payer requirements, guidelines, and policies. * Ability to… more
- Pfizer (St. Paul, MN)
- …decision making roles of all levels at integrated health systems, large hospital systems, health insurance plans, state departments of health, county/city health ... programs. This includes a clear understanding of the commercial, Medicaid and Medicare landscape as it relates to the...to educate colleagues across Pfizer on insights gained. + Provide the marketing and strategy teams with key local… 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