• Medicaid Provider Hospital

    Humana (Boise, ID)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement more
    Humana (03/04/25)
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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 (02/19/25)
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  • Medicaid Enroll&Outrch Spc I

    University of Rochester (Strong, AR)
    …**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
    University of Rochester (01/14/25)
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  • Far West Division Reimbursement Director

    HCA Healthcare (Henderson, NV)
    …HCA and/or the hospitals within the particular state. You will keep apprised of Medicaid reimbursement policy and insure any state survey or application used to ... include: + ​Perform feasibility analysis and/or due diligence related to Medicare/ Medicaid reimbursement for syndications, purchase/sales and mergers of… more
    HCA Healthcare (03/04/25)
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  • SR Reimbursement Analyst

    Methodist Health System (Dallas, TX)
    …financial records. 5. Assist CBO and other department managers to resolve Medicare/ Medicaid reimbursement , billing, and compliance issues as they arise. ... Experience using HFS software preferred * Working knowledge of Hospital Medicare reimbursement areas of Wage Index,...* Assist with the preparation of the annual MHS hospital Medicare/ Medicaid cost reports and home office… more
    Methodist Health System (02/21/25)
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  • Vice President Provider Network Management

    AmeriHealth Caritas (Philadelphia, PA)
    …network is configured and performing in compliance with the terms of the provider contract, the state contract, and reimbursement methodologies. + Ensures market ... preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth knowledge of … more
    AmeriHealth Caritas (03/04/25)
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  • Manager, Provider Relations (Remote in MS)

    Molina Healthcare (Southaven, MS)
    …have issues or complaints (eg, problems with claims and encounter data, eligibility, reimbursement , and provider website). * Serves as a resource to support ... * Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid more
    Molina Healthcare (01/24/25)
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  • Senior Provider Engagement Professional-1-1

    Humana (Columbus, 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 ... the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex issues… more
    Humana (03/04/25)
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  • Director, Provider Contracts (Texas Health…

    Molina Healthcare (Fort Worth, TX)
    …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
    Molina Healthcare (03/05/25)
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  • Manager, Reimbursement

    LifePoint Health (Brentwood, TN)
    …of loss of income and seize opportunities to provide value throughout the reimbursement process related to Medicare and Medicaid programs to include, but not ... in Accounting. *Experience:*Minimum of 5 years related experience in hospital reimbursement . *Certifications:*Certified Professional Accountant (CPA) preferred.… more
    LifePoint Health (03/14/25)
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