- Humana (Sacramento, CA)
- …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 (Sacramento, CA)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Humana (Sacramento, CA)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex issues where the analysis of… more
- CommonSpirit Health (Rancho Cordova, CA)
- …including an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies. + Experience in contributing to ... between CommonSpirit Health providers and payers. Recommends strategies for maximizing reimbursement and market share. Develops new managed care products with… more
- Humana (Sacramento, CA)
- …- 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
- Humana (Sacramento, CA)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Sutter Health (Sacramento, CA)
- …+ Identify areas of improvement and communicate improvement strategies to hospital leadership. + Ability to provide leadership including innovation, ... potential impact on data quality for prospective payments, utilization, and reimbursement . Knowledge of ICD-10 desirable. + Strong Organization and Quantitative… more