- Humana (Boston, MA)
- …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
- Children's Hospital Boston (Boston, MA)
- …including meeting with department managers. + Assists Government Finance with analytics on Medicaid reimbursement strategy with the goal of improving Medicaid ... 80945BRJob Posting Title: Reimbursement Analyst II-PODepartment:Physician's OrganizationAutoReqId:80945BRStatus:Full-TimeStandard Hours per Week:40 Job Posting… more
- AmeriHealth Caritas (Manchester, NH)
- …**Roles and Responsibilities:** + Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ... for our communities. They will develop and manage all hospital , physician, and extender networks. This position is also...minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including… more
- Genesis Healthcare (Milford, NH)
- …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
- Beth Israel Lahey Health (Charlestown, MA)
- …(2) Produce data and analytics that deliver actionable business insights to BILH hospital , physician, and system leaders; (3) Provide strategic solutions that ... applying a deep knowledge of both government and commercial payment systems; and, (4) Provide Medicare, Medicaid , and payment system expertise in support of BILH… more
- Cambridge Health Alliance (Everett, MA)
- …Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend rotation **Category:** Registered ... medical illness. Casework or therapy takes place in the hospital setting. Under the general supervision of the Director...and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case… more
- Fresenius Medical Center (Stoneham, MA)
- …2,600+ dialysis centers, 350+ research sites across North America + Largest provider of renal care products and services in the nation, including state-of-the-art ... renal specialty laboratories + Up to $5,200 RN tuition reimbursement per calendar year Great for Nursing Assistants ,...and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …compliance programs that adhere to regulations and industry standards, focusing on hospital and professional billing compliance. The Director acts as the 'second ... We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design… more
- Genesis Healthcare (Milford, NH)
- Overview ABOUT GENESIS As the nation's leading provider of healthcare services from short-term to long-term and a wide variety of living options and professional ... you comfortable working cross-functionally with departments like **Admissions, Clinical Reimbursement , and Social Services** to maintain accurate and compliant… more
- Atrius Health (Newton, MA)
- …along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is ... director. *_Essential Functions_* * * Knowledge regarding current and evolving provider payment methodologies . Reviews and monitors contract/payer performance .… more