- Humana (Dover, DE)
- …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 (Dover, DE)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... diverse scope and complexity ranging from moderate to substantial. The Provider Contracting Executive communicates contract terms, payment structures, and … more
- Humana (Dover, DE)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- AmeriHealth Caritas (Dover, DE)
- …with members, community stakeholders, and providers. **Responsibilities:** + Provide support to low-risk maternity members following emergency department ... visits and/or acute care episodes involving services such as hospital inpatient stays and postpartum care. + Assist with appointment scheduling, referrals, linkages… more