• Medicaid Provider Hospital

    Humana (Salem, OR)
    …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 (12/18/25)
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  • Senior Provider Contracting Professional

    Humana (Salem, OR)
    …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex issues where the analysis of… more
    Humana (12/02/25)
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  • Behavioral Health Specialist II, Crisis Team…

    Deschutes County (Bend, OR)
    …care programs ( Medicaid , Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal ... (CCBHC). As such, DCBH relies on multi-disciplinary teams to provide innovative, evidence based, recovery oriented services in behavioral...services must be eligible to be enrolled in Oregon Medicaid as a MH Provider within the… more
    Deschutes County (12/13/25)
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  • Dental Network Field Contractor

    Humana (Salem, OR)
    …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
    Humana (12/09/25)
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  • PFS Insurance Follow-Up Rep Ambulatory Denials

    Banner Health (Remote, OR)
    …as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues ... across all groups of patients and all types of provider specialties, as well as the full cycle of...billing is ideal and knowledge of Medicare, Medicare Advantage, Medicaid , and Commercial insurance is highly preferred. **Location** :… more
    Banner Health (12/17/25)
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  • APP - Nurse Practitioner or Physician Assistant…

    Sanford Health (Klamath Falls, OR)
    …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... Full time **Weekly Hours:** 40.00 **Department Details** Seeking an Advanced Practice Provider who shares in the philosophy of establishing strong relationships with… more
    Sanford Health (11/30/25)
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  • Nurse Practitioner Child & Adolescent Psychiatry

    PeaceHealth (Eugene, OR)
    …utilizing team-based care models for the populations we serve. In addition, we provide telepsychiatry services within our network and to rural communities.** **As a ... + Employment bonus + Relocation Assistance + Education Loan Reimbursement (if applicable) + CME Allowance + Medical/dental/vision/disability/life/wellness +… more
    PeaceHealth (11/13/25)
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  • Nurse Auditor 2

    Humana (Salem, OR)
    …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting within the last 5 years (Not… more
    Humana (12/11/25)
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