- 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
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …records and compile documents for case presentations; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs; + May testify ... high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check...of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement … more
- J&J Family of Companies (Hartford, CT)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Humana (Hartford, CT)
- …- 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
- Baystate Health (Springfield, MA)
- …are a 716-bed independent academic medical center. We are the community's major referral hospital , and we provide a wide range of services, including: + Cancer ... 4 consecutive times + Named a top 50 cardiovascular hospital by Watson Health **SCHEDULE:** + Full time 40...separation from Baystate Health) + Continuing education support and reimbursement + First Time Home Buyers Financial Packages +… more
- Baystate Health (Springfield, MA)
- …are a 716-bed independent academic medical center. We are the community's major referral hospital , and we provide a wide range of services, including: + Cancer ... 4 consecutive times + Named a top 50 cardiovascular hospital by Watson Health **LOCATION** : + Baystate Medical...separation from Baystate Health) + Continuing education support and reimbursement + First Time Home Buyers Financial Packages +… more
- Molina Healthcare (Springfield, MA)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- National Health Care Associates (Stafford Springs, CT)
- …personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven ... prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of the MDS… more
- National Health Care Associates (Stafford Springs, 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
- Humana (Hartford, CT)
- …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