• Medicare Part A Institutional

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …The PRRB is an independent five-member panel that adjudicates disputes over institutional reimbursement matters in the Medicare program. Responsibilities ... Reimbursement Review Board, which adjudicates adversarial disputes over institutional reimbursement matters in the Medicare...Qualifications Candidates must be knowledgeable in the field of Medicare Part A reimbursement and… more
    Centers for Medicare & Medicaid Services (12/21/25)
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  • Provider Contracting Specialist (Hybrid)

    CareFirst (Baltimore, MD)
    …lead, guide, strategize and manage negotiations for provider-specific institutional , ancillary, and professional contracts. Key responsibilities include negotiating ... role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal workgroups… more
    CareFirst (12/16/25)
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  • Risk Management Professional

    Humana (Annapolis, MD)
    …Puerto Rico. + 2 years TRICARE claims experience to include professional and institutional claims reimbursement + Strong knowledge of TRICARE policy and claims ... **Become a part of our caring community and help us...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (12/13/25)
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