- Olympus Corporation of the Americas (Center Valley, PA)
- …**__** Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can ... and programs addressing purchasers, payers and policy makers. + Coordinate with Medical & Clinical Affairs, Regulatory to ensure appropriate support and guidance… more
- Penn Medicine (Lancaster, PA)
- …of supervisory or oversight experience + A healthcare provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs + ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- BAYADA Home Health Care (Dushore, PA)
- …and reassessments. + Oversee care plans, medication management, and documentation in compliance with state and federal guidelines. + Collaborate with physicians ... coaching. + Monitor clinical documentation and provide feedback to improve compliance and quality. + Deliver annual competencies and in-service training. +… more
- Gentiva (Blue Bell, PA)
- …performance, and compliance + E nsure all care delivery meets federal , state, and local regulatory standards, as well as company policies and procedures ... + Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge and compassion… more
- Highmark Health (Pittsburgh, PA)
- …(COB), and processing of claims with unique processing arrangements including Federal Employee Program (FEP) and Medicare Advantage. **ESSENTIAL ... Allegheny General Hospital assists patients and their support systems in managing medical conditions effectively. Our team of talented Case Managers aims to… more
- Humana (Harrisburg, PA)
- …and deadlines with diligence. + Ability to understand state and regulatory compliance . **Use your skills to make an impact** **Required Qualifications** + Minimum ... Excel, PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment… more
- Humana (Harrisburg, PA)
- …comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing solutions + ... PSI applications + Experience interacting with a State Medicaid or Federal government agency + Intermediate Microsoft Access skills **Additional Information** This… more
- Banner Health (PA)
- …Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to ... requirements and AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes diagnostic and… more
- Humana (Harrisburg, PA)
- …improvement, reduce waste, and align processes with strategic financial and compliance goals. Advises executives to develop functional strategies (often segment ... and stakeholders + Ensure alignment of improvement efforts with organizational goals, compliance standards, and quality expectations **Use your skills to make an… more
- Humana (Harrisburg, PA)
- …environment** experience with large-scale red team operations. + **Regulatory compliance ** knowledge relevant to adversary simulation (SOX, PCI, HIPAA). + ... with client-facing technical communication. + **Cross-functional collaboration** with IT, compliance , and business stakeholders. **Compensation & Benefits** + **Competitive… more