• 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 (05/10/25)
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  • Financial Analyst I / Finance Reimbursement

    Hartford HealthCare (Farmington, CT)
    …Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, ... other common practices across the system. *_Position Summary:_* The Reimbursement Financial Analyst is responsible for preparation, filing and...disproportionate share hospital adjustment, and uncompensated care payments 5. Work as… more
    Hartford HealthCare (04/04/25)
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  • Provider Contracting Executive

    Humana (Hartford, CT)
    …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
    Humana (05/07/25)
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  • Manager Corporate Reimburse / Finance…

    Hartford HealthCare (Farmington, CT)
    …Responsible for managing, supervising and performing tasks related to Governmental Reimbursement issues for the healthcare system. Must have a working knowledge ... reporting. Additionally, this position collaborates with leadership in the reimbursement regulatory, operational, and financial impacts of proposed operational… more
    Hartford HealthCare (05/10/25)
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  • Medical Staff Coordinator - Medical Staff Office

    Hartford HealthCare (Meriden, CT)
    …Hartford HealthCare, we offer: * /Newly Revised/ Competitive Hourly Rates * Tuition Reimbursement after just 6 months of employment and up to 40% reimbursement ... and standards by The Joint Commission (TJC), Center for Medicare and Medicaid (CMS), and Connecticut Department of Public Health (DPH). *Job Responsibilities: *… more
    Hartford HealthCare (04/22/25)
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  • Clinical Supervisor - RN - Home Care

    Aveanna Healthcare (Plainville, CT)
    …Clinical Supervisor (RN) (Nursing Supervisor) Aveanna Healthcareis a leading national provider of home health services to medically fragile children and adults. ... of this job will consist of internal case management, potentially assisting with hospital discharges, our start of care process and nurse competency validation. The… more
    Aveanna Healthcare (05/10/25)
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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 (05/03/25)
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  • MDS - Nurse Assessment Coordinator (RN/LPN)

    National Health Care Associates (East Hartford, 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 (02/25/25)
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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 (03/04/25)
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  • MDS Director (RN)

    National Health Care Associates (Glastonbury, 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 (03/13/25)
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  • Business Office Manager

    National Health Care Associates (Bloomfield, CT)
    …including management or supervisory responsibilities + Thorough knowledge of Medicare, Medicaid , Pending, Applied Income, and Managed Care reimbursement ... Your work will ensure regulatory compliance and that resources are optimized to provide the best care for our residents. **Key Responsibilities:** + Efficient and… more
    National Health Care Associates (05/02/25)
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