- Humana (Honolulu, HI)
- …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 (Honolulu, HI)
- …Professional who initiates, negotiates, and executes physician, hospital , and other provider contracts and agreements related to Medicaid health plans. The ... seeking a Provider Contracting...with QuickBase. + 2+ years of network development and Medicaid /Medicare experience. + Excellent written and verbal communication skills.… more
- Cardinal Health (Honolulu, HI)
- …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
- Humana (Honolulu, HI)
- …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
- TEKsystems (Honolulu, HI)
- …role. + Strong understanding of medical terminology, coding systems, and healthcare reimbursement . + Familiarity with claims processing systems and EHR platforms. + ... problem-solving skills. Preferred Qualifications: + Experience working with Medicare, Medicaid , and commercial insurance claims. + Knowledge of claim adjudication… more