Senior Provider Hospital Reimbursement Analyst
Humana
Overview Become a part of our caring community The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst, also known as a Senior Business Systems Analysis Professional, is an integral member of the Pricer Business and System Support team. This role is responsible for administering complex Medicare provider reimbursement methodologies and working closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business at Humana. #J-18808-Ljbffr
- Humana Inc in Providence, Rhode Island, is seeking a Sr. Medicare Provider Hospital Reimbursement Analyst. This integral role involves administering complex Medicare provider reimbursement methodologies and collaborating with various business teams. The ideal candidate...ReimbursementSenior
- The Senior Provider Reimbursement Analyst is responsible for development and management of fee schedules, including sample schedules, and alternative payment methodologies (APM) that support strategic and corporate goals. This position develops provider reimbursement mechanisms...ReimbursementSeniorDaily paidWork at office
$78.4k - $107.8k
...a part of our caring community The Senior Provider Contracting Professional initiates, negotiates... ...terms, payment structures, and reimbursement rates to providers. Analyzes financial... ...with Value Based Contracting Hospital contracting experience Additional Information...ReimbursementSeniorFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...looking for a seasoned workforce analyst who can build and own the... ...operate at executive speed, providing timely updates on hiring... ...workforce planning updates to senior leadership Maintain a real... ...to use as you like ~ Reimbursements for high-speed internet, we'...ReimbursementSeniorTemporary workLocal areaRemote workShift work
$39.23 - $44.37 per hour
...maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. Note, Citizens’ paid time off... ...Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all...ReimbursementSeniorHourly payWork at officeLocal areaFlexible hours$105k - $130k
...Senior Analyst, Life Sciences Consulting Company: Dedham Group Location: Remote, United... ...life sciences data and AI solutions provider dedicated to improving patient access... ...will work on projects addressing the reimbursement, pricing, demand creation, health policy...ReimbursementSeniorFull timeTemporary workLocal areaRemote workFlexible hoursShift work$36.53 - $46.63 per hour
Appraisal Analyst III You will be a contributing member of the Collateral Risk Management... ..., flexible work arrangements, education reimbursement, wellness programs and more. Note,... ...subsidiaries, and related companies (Citizens) provide equal employment and advancement...ReimbursementSeniorHourly payWork at officeLocal areaMonday to FridayFlexible hours$34.29 per hour
...OVERVIEW: This job builds and maintains hospital, professional, and ASC contracts in... ...payor. ESSENTIAL RESPONSIBILITIES Provides support to senior analysts in building hospital, professional,... ...in performing analyses to support reimbursement impact analysis. (10%) Perform...ReimbursementContract workFor contractorsWork at officeLocal area$90k - $128k
Senior Business Analyst - Commercial Banking / Treasury Products Job Summary The Senior Business Analyst... ...work arrangements, education reimbursement, wellness programs and more. Note, Citizens... ..., and related companies (Citizens) provide equal employment and advancement...ReimbursementSeniorLocal areaFlexible hours$80k - $110k
...Evolent partners with health plans and providers to achieve better outcomes for people... ...What You’ll Be Doing: About the Role The Senior Analyst, AI Transformation is a hands-on... ...to databases. Knowledge of healthcare reimbursement (DRGs, CPT, RVUs) and utilization management...ReimbursementSeniorImmediate start- TMH The Miriam Hospital is seeking a Senior Analyst for Ambulatory Business Operations. The role involves supporting key leadership in operational analytics, business planning, and financial analysis to enhance healthcare services across Rhode Island. The ideal candidate...SeniorFull time
$79k - $95k
...Description The Fraud Risk Sr Analyst is accountable for monitoring and developing fraud... ...Standards. Develop, implement, monitor, and provide performance tracking of fraud strategies... ..., flexible work arrangements, education reimbursement, wellness programs and more. Note,...ReimbursementSeniorWork experience placementWork at officeLocal areaMonday to FridayFlexible hours$2,333 - $2,482 per week
...Emergency Room (ER) / Trauma Location: Providence, RI Agency: Fusion Medical... ...within the scope of practice Adhere to hospital safety protocols, infection control guidelines... ...Program ~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why Choose...ReimbursementFull timeContract workTemporary workShift work$80k - $120k
Description Business Insights Sr. Analyst As the Business Insights Sr Analyst, you will... ...data-driven decision-making processes, provide strategic insights, and mentor junior analysts... ..., flexible work arrangements, education reimbursement, wellness programs and more. Note,...ReimbursementSeniorLocal areaMonday to FridayFlexible hours$2,333 - $2,482 per week
...Emergency Room (ER) / Trauma Location: Providence, RI Agency: Fusion Medical... ...within the scope of practice Adhere to hospital safety protocols, infection control guidelines... ...Program ~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why Choose...ReimbursementFull timeContract workTemporary workShift work$2,123 - $2,258 per week
...Registered Nurse (RN) | Stepdown Location: Providence, RI Agency: Fusion Medical... ...within the scope of practice Adheres to hospital safety protocols, infection control... ...Program ~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why Choose...ReimbursementFull timeContract workTemporary workShift workNight shift$2,058 - $2,189 per week
...Unit (ICU) / Critical Care Location: Providence, RI Agency: Fusion Medical... ...as assigned within scope Adhere to hospital safety protocols, infection control guidelines... ...Program ~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why Choose...ReimbursementFull timeContract workTemporary workShift workNight shift- Neighborhood Health Plan of Rhode Island is seeking a Senior Provider Reimbursement Analyst to develop and manage fee schedules, ensuring alignment with industry standards and corporate goals. This role involves significant data analysis to optimize reimbursement mechanisms...ReimbursementSenior
$2,123 - $2,258 per week
...Registered Nurse (RN) | Stepdown Location: Providence, RI Agency: Fusion Medical... ...within the scope of practice Adheres to hospital safety protocols, infection control... ...Program ~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why Choose...ReimbursementFull timeContract workTemporary workShift workNight shift$2,058 - $2,189 per week
...Unit (ICU) / Critical Care Location: Providence, RI Agency: Fusion Medical... ...as assigned within scope Adhere to hospital safety protocols, infection control guidelines... ...Program ~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why Choose...ReimbursementFull timeContract workTemporary workShift workNight shift$100k - $140k
SENIOR BUSINESS INTELLIGENCE ANALYST The Senior Business Intelligence Analyst is responsible for the development... ...work arrangements, education reimbursement, wellness programs and more. Note,... ..., and related companies (Citizens) provide equal employment and advancement...ReimbursementSeniorFull timeLocal areaMonday to FridayFlexible hours$104k - $138k
...seeking a highly motivated, detail-oriented Senior Data Analyst to join the Enterprise Sponsorships,... ...flexible work arrangements, education reimbursement, wellness programs and more. Note,... ...subsidiaries, and related companies (Citizens) provide equal employment and advancement...ReimbursementSeniorWork at officeLocal areaRemote workMonday to FridayFlexible hours$82.28k - $135.78k
...and financial analyses for Rhode Island Hospital. Assist clinical leaders in monthly... ...accounting practices have on budgeting, reimbursement, cost accounting, payroll, accounts payable... ...University Health is committed to providing equal employment opportunities and maintaining...ReimbursementSeniorWork at officeShift work$110.3k - $182k
...the EVP, Ambulatory and Urgent Care, the Senior Analyst, Ambulatory Business Operations is a... ...Care/Ob-Gyn. Working in partnership with Hospital Operations in RI and in Massachusetts,... ...utilize his/her wisdom and experience to provide an operational analytics function for...SeniorWork at officeShift work$75k - $90k
...Sr. HR Generalist – Providence, RI Status: Full-Time | Exempt/Non‑Exempt: Exempt | Job Code: HR111 Perform a variety of Human Resources... ...and disability insurance, health care and dependent care reimbursement accounts, certification incentives, education assistance, referral...ReimbursementSeniorFull timeLocal area$139.23k - $168.71k
...maintain credibility with regional thought leaders, community and hospital‑based HCPs, medical groups, office staff, and other... ...access and product availability; understand access/affordability, reimbursement, payer/formulary, treatment pathways, discharge planning, and...ReimbursementSeniorWork at office$275k
...Center for Obstetrics and Gynecology in Providence, Rhode Island. This is an excellent... ...deliveries performed at Women & Infants Hospital of Rhode Island, a nationally recognized... ...Highlights Competitive compensation CME reimbursement Comprehensive health, dental, and...ReimbursementTemporary workWork at officeShift work$75k
...Advanced Practice Provider – Primary Care Are you an NP or PA who wants to practice meaningful, relationship-driven... ...up to 4% Critical Illness, Accident Insurance, and Hospital Indemnity Wellness Reimbursement up to $200/year PTO starting at 30 days, increasing...ReimbursementFull timeLocal areaFlexible hours1 day per week$143k - $243k
A leading pharmacy benefit manager is seeking a Senior Principal Actuary to provide actuarial direction and thought leadership. This remote role requires a bachelor's degree in a relevant field and 10 years of experience in actuarial work, along with an ASA or FSA designation...SeniorRemote work$60k
...Job-Specific Essential Duties and Responsibilities: Provide advanced support for configuration, change, and release management activities across enterprise systems. Maintain and govern the CMDB to ensure accuracy, completeness, and audit compliance. Perform reconciliation...Senior
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