- 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
- Intermountain Health (Trenton, NJ)
- …to appropriately maximize reimbursement . Interacts with Medicare Administrative Contractor, State Medicaid , and hospital personnel as needed. + Acts as a ... individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed. + Prepares monthly Medicare..., and/or governmental reporting + Experience with Medicare and Medicaid reimbursement world and cost reports. +… more
- Genesis Healthcare (Norristown, 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
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Work with PBM to identify and resolve any operational issues. + Provide support and attend all pharmacy-related meetings and committees sponsored by the line ... participate on the plans' P&T Committee. + Generate necessary provider and member communications related to the pharmacy program....evaluate their effect on pharmacy contracts and services. + Provide on-site education and training for the line of… 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 (Huntingdon Valley, 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
- Bristol Myers Squibb (Trenton, NJ)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... and key stakeholders and influencers across the globe. + Provide strategic input into company strategy to ensure policy...data, public healthcare utilization and cost data, Medicare and Medicaid data and third party vendor data. Experience and… more
- Bristol Myers Squibb (Trenton, NJ)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... and analytics either as a stand alone positions. + Provide strategic input into company strategy to ensure policy...data, public healthcare utilization and cost data, Medicare and Medicaid data and third party vendor data. Experience and… more