• Medicaid Provider Hospital

    Humana (Hartford, CT)
    …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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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Hadley, MA)
    …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
    Genesis Healthcare (06/01/25)
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  • Nurse Manager- Surgical Services

    Baystate Health (Palmer, MA)
    …is seeking a **Nurse Manager** to join our Surgical Services team at Baystate Wing Hospital in Palmer, MA. This is a great opportunity to step into a leadership role ... at a welcoming, **community-focused hospital ,** where you'll oversee all aspects of peri-operative services-including...Department of Public Health, it stands as a trusted provider in the region. Recently, the Centers for Medicare… more
    Baystate Health (05/09/25)
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  • VP, Revenue Cycle Management and Payer Strategy

    Cardinal Health (Hartford, CT)
    …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 (Hartford, CT)
    …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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  • MDS Director (RN)

    National Health Care Associates (East Hartford, CT)
    …for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest level of revenue ... looking for potential risks and/or changes that may affect reimbursement + May train, mentor and/or manage MDS Coordinators,...teams to ensure accurate data collection for assessments + Provide insights and ongoing education to facility staff and… more
    National Health Care Associates (06/12/25)
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  • MDS Director (RN)

    National Health Care Associates (Storrs, CT)
    …for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest level of revenue ... looking for potential risks and/or changes that may affect reimbursement + May train, mentor and/or manage MDS Coordinators,...teams to ensure accurate data collection for assessments + Provide insights and ongoing education to facility staff and… more
    National Health Care Associates (06/07/25)
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