- 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
- Organon & Co. (Plymouth Meeting, PA)
- …type, including commercial, Medicare, and Medicaid . Serve as an expert on DRG hospital and provider reimbursement . + **Customer Engagement:** Provide ... professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in developing and implementing strategies that… more
- Genesis Healthcare (Bethlehem, PA)
- …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
- 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
- Hunterdon Health Care System (Flemington, NJ)
- …activities of the claims processing and accounts receivables for the Acute Care billings ( hospital ) under the direction of the Director of the SBO. . Maintains an ... efficient billing process for all hospital ancillary areas. Maintains best practices with registration, billing,...seeks opportunities to give directions, answer a question, or provide information or reassurance to customers; Acts as a… 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
- Genesis Healthcare (Pottstown, PA)
- Overview ABOUT GENESIS As the nation's leading provider of healthcare services from short-term to long-term and a wide variety of living options and professional ... you comfortable working cross-functionally with departments like **Admissions, Clinical Reimbursement , and Social Services** to maintain accurate and compliant… more
- Genesis Healthcare (Montgomeryville, PA)
- Overview **ABOUT GENESIS** As the nation's leading provider of healthcare services from short-term to long-term and a wide variety of living options and professional ... you comfortable working cross-functionally with departments like **Admissions, Clinical Reimbursement , and Social Services** to maintain accurate and compliant… more
- Devereux Advanced Behavioral Health (West Chester, PA)
- …contracts and manages all revenue contracts functions including facility and provider credentialing + Maintain funder rates, utilization, rate increase history, and ... on ideal payer mix + Establish relationships with funders, manage and/or provide support on rate negotiations by completing all required documentations with input… more
- CVS Health (Medford, NJ)
- …and hospital admissions through early intervention and education. + Provide enhanced member education on in-home safety measures, including fall prevention and ... coordination, Transition of care, Home Health, Case Management and Medicaid + Must possess reliable transportation and be willing...the time. Mileage is reimbursed per our company expense reimbursement policy + Must reside in South New Jersey.… more