- Humana (Annapolis, MD)
- …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
- AmeriHealth Caritas (Washington, DC)
- …dual eligibility health insurance, ACA Exchange Business & DSNPs. + 5 years provider contracting/ reimbursement experience in healthcare setting. + 3 years of ... Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible… more
- Humana (Annapolis, MD)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... diverse scope and complexity ranging from moderate to substantial. The Provider Contracting Executive communicates contract terms, payment structures, and … more
- Cognizant (Annapolis, MD)
- We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United ... Monday to Friday - Eastern Time **About the role:** Asan AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged hospital… more
- Genesis Healthcare (Silver Spring, MD)
- …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
- Johns Hopkins University (Baltimore, MD)
- …+ Provide monthly ambulatory clinic practice reports by site, provider , and sub-specialty to divisional leadership. + Report on access, volumes, show ... rates, provider cancellations and other selected metrics to assess outpatient...conform to applicable policies and procedures of Johns Hopkins Hospital (JHH) and Johns Hopkins University Clinical Practice Association… more
- Gentiva (Beltsville, MD)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
- Somatus (Rockville, MD)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Trinity Health (Silver Spring, MD)
- …Regulatory and Accreditation Coordinator is responsible for ensuring the hospital remains compliant with all regulatory standards, accreditation requirements, and ... state and federal laws. This individual collaborates with hospital leadership and staff to maintain survey readiness and...as The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and state health departments in collaboration… more
- Genesis Healthcare (Baltimore, MD)
- …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, ... you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement , and Social Services to maintain accurate and compliant patient… more
- US Anesthesia Partners (Rockville, MD)
- …facility has earned a five-star rating from the Centers for Medicare & Medicaid Services! Contact Callie Wade, Sr. Clincial Recruiter for more information! Email ... sharing with immediate 401k matching contributions + Continued education and professional reimbursement fund + Liberal time off program with company paid holidays +… more
- Novo Nordisk (Washington, DC)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... strategies + May develop and utilize relationships with specialists, key hospital decision-makers, and other individuals who make or influence the purchasing,… more