• Medicaid Provider Hospital

    Humana (Columbus, OH)
    …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 (06/18/25)
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  • Senior Medicaid & Medicare…

    OhioHealth (Columbus, OH)
    …This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is ... projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining...Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement . Provide more
    OhioHealth (06/07/25)
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  • Provider Engagement Professional…

    Humana (Columbus, OH)
    …in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a member of our Medicaid team. The Senior Provider ... preparation and presenting skills, with knowledge of value based programs and provider reimbursement methodologies. + Demonstrated ability to manage multiple… more
    Humana (07/04/25)
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  • Provider Contracting Executive

    Humana (Columbus, OH)
    …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 (07/01/25)
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  • Charge Analyst

    OhioHealth (Columbus, OH)
    …resource person to campus leaders for research on new technology, alternate reimbursement methodologies, and non- hospital settings. Usually requires incumbent to ... proactive management of the charge masters and fee schedules for OhioHealth hospital operations covering 1000+ departments at all hospitals with patient charges of… more
    OhioHealth (07/02/25)
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  • VP, Revenue Cycle Management and Payer Strategy

    Cardinal Health (Columbus, OH)
    …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
    Cardinal Health (05/17/25)
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  • Inpatient DRG Quality Auditor

    Humana (Columbus, OH)
    …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 (06/17/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Columbus, OH)
    …compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to ensure ... (3) years of direct related experience in revenue cycle operations Hospital Billing/Coding experience preferably with a large Health System preferred **Preferred**… more
    Intermountain Health (06/27/25)
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