Medicaid Provider Hospital Reimbursement Methodologies Analyst
RemoteMid Level
Officially published on: 11/16/2025
Annual Salary: $89,000 - $121,400
Role Activities
- Researching Medicaid reimbursement methodologies
- Developing groupers expertise
- Reviewing RFPs and state contracts
Requirements Summary
3+ years researching Medicaid hospital reimbursement methods (MS-DRG/APC/EAPG), 2+ years with Optum Rate Manager and Optum WebStrat/PSI, experience reviewing facility claims, Excel proficiency.
Other Requirements
Year of Experience Required:3
Working Language:English
Company Info
Humana
Humana Inc. operates as a managed health care company. The Company offers coordinated health care through health maintenance organizations, point-of-service plans, and administrative services products. Humana offers its products to employer groups, government-sponsored plans, and individuals.
Founded in:1961
Number of Employees:67600
Industry
Health Insurance CompaniesInsurance CompaniesFinancial Services CompaniesHospitalsHealth Care CompaniesMedical OrganizationsPublic Health Organizations
Activities
- insurance
- hospital and medical service plans
- insurance carriers
- healthcare
- health and wellness
- health insurance carriers
- life insurance carriers
- computer software
- coworking space
- building
- finance and insurance sector
- direct health and medical insurance carriers
- insurance agents, brokers, and service
- health care
- managed care
- health insurance
- wholesale trade-durable goods
- non-life insurance
- trusts, funds and similar financial entities
- reinsurance carriers
- insurance funds
- reinsurance
- financials
- venture capital
- workers compensation and disability insurance
- life insurance
- hospitalization, medical and surgical plans
- home health services
- insurance consultants and analysts
- medical specialities
- preferred provider organization
- healthcare plans
- long term care insurance
- business and commercial insurance
- health care facilities and svcs
- enterprise
- insurance industry
- public company
- financial services
- community
- mental health service
- health care providers and services
- health
- medical plans
- business services
- health, wellness and fitness
Original Job Info
Humana's more open positions