- Humana (Santa Fe, NM)
- …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
- UTMB Health (Galveston, TX)
- …in annual wage index reviews. + Maintains current knowledge of Medicare and Medicaid reimbursement and cost reporting laws, regulations, and manual instructions. ... Reimbursement Analyst (Cost Reporting - Medicare/ Medicaid )...This role is crucial inensuring UTMB complies with Medicare, Medicaid , and Tricare hospital cost reporting regulations… more
- OhioHealth (Columbus, OH)
- …This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is ... projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining...Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement . Provide… more
- Wellpath (Hendersonville, TN)
- …critical role in ensuring efficient billing processes and improving organizational reimbursement outcomes. **Key Responsibilities** + Provide expertise and ... and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it...care support. **How you make a difference** The Senior Medicaid Support Specialist provides guidance and technical support to… more
- University of Rochester (Rochester, NY)
- …+ _Problem Resolution:_ Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. + Consults with MEOS II, ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- University of Rochester (Rochester, NY)
- …**Problem Resolution:** Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. Consults with MEOS II, MEOS ... and provides outreach services to patients requiring public benefits including; Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Humana (Akron, OH)
- …in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a member of our Medicaid team. The Senior Provider ... throughout the state, including Primary Care Providers (PCPs), FQHCs/RHCs, and Hospital Systems. The Senior Provider Engagement Professional represents the… more
- Elevance Health (Nashville, TN)
- …brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue ... shield plans. **Regional Vice President (RVP) Provider Solutions** **Location** Nashville, Tennessee **Summary** The Regional Vice President (RVP) of Provider … more
- Molina Healthcare (Columbus, OH)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- Molina Healthcare (Cincinnati, OH)
- …contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting, ... etc. * Working experience with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business,… more
- LA Care Health Plan (Los Angeles, CA)
- Provider Network Account Manager III Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager III is responsible for all… more
- Methodist Health System (Dallas, TX)
- …and state laws relating to healthcare, including but not limited to Medicare/ Medicaid reimbursement , HIPAA, AKS, self-referral prohibitions, and fraud and abuse. ... quality of care issues, informed consent, managed care contracting and negotiations, provider credentialing, and billing and reimbursement issues. + The AGC… more
- Centene Corporation (New York, NY)
- …the need for additional health plan providers + Manage and coordinate customized provider contracts and hospital contracts + Participate in physician and ... experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid… more
- Albany Medical Center (Albany, NY)
- …coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal ... Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Hospital Coder, Albany Health Information Management The Hospital Coder applies… more
- Organon & Co. (Plymouth Meeting, PA)
- …type, including commercial, Medicare, and Medicaid . Serve as an expert on DRG hospital and provider reimbursement . + **Customer Engagement:** Provide ... professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in developing and implementing strategies that… more
- Tidelands Health (Pawleys Island, SC)
- …+ At least 5 years of progressive healthcare experience working as a Reimbursement Analyst in a hospital , a Medicare Administrative Contractor (MAC), and/or ... and help people live better lives through better health!** ** Reimbursement Analyst** Are you passionate about quality and committed...Tidelands Health team. As our region's largest health care provider , we are also one of our area's largest… more
- Saint Luke's (Kansas City, MO)
- …care, graduate medical education, organ transplants, wage index, bad debts, and state Medicaid provider tax programs. Under the direction and guidance of ... - Timely and accurate completion of the annual Medicare, Medicaid , and Tricare cost reports assigned, including the preparation...degree in accounting and 3 years of experience in hospital reimbursement . Experience with government audit, … more
- Catholic Health Services (Roslyn, NY)
- Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
- Catholic Health Services (Roslyn, NY)
- Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more