- Penn Medicine (Lancaster, PA)
- …American Heart Association (AHA). + A health care provider in good standing with Medicare , Medicaid and other federal and state health insurance programs, ie not ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...excluded from participation in Medicare , Medicaid or any other federal or… more
- CenterWell (Harrisburg, PA)
- …delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to ... a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D. + Experience with contact center platforms and CRM… more
- Humana (Harrisburg, PA)
- …and demographic diversity. **Preferred Qualifications** + Special Needs Plan (SNP) in Medicare and/or Medicaid + Medical Social Work experience + Experience ... working with members with medical and behavioral health co-morbidities. + Experience advocating for...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Organon & Co. (Plymouth Meeting, PA)
- …in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. Serve as an expert on DRG hospital and provider… more
- Trinity Health (Newtown, PA)
- …electronic forms with patients as necessary. + Screens outpatient visits for medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare ... primary outpatients. Provides cost estimates. Collects and documents Medicare Questionnaire and obtains information from the patient if third party payers need to… more
- Humana (Harrisburg, PA)
- …skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management ... a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- CenterWell (Harrisburg, PA)
- …quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value of each opportunity ... the Advisor will collaborate across functions (particularly Data, Technology, Analytics, Medical Economics, and Finance) to optimize strategies that address current… more
- WellSpan Health (York, PA)
- …and some evenings **General Summary** Coordinates clinical research activities and compliance to study requirements, and patient and staff considerations relative to ... collection of research data for patients in clinical trials. Assists the medical investigators in achieving the objectives of clinical research studies and supports… more
- Humana (Harrisburg, PA)
- …Power Apps and/or Power + Proven experience working with both Medicaid and Medicare data sets + Demonstrated ability to leverage reporting solutions to address ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- BAYADA Home Health Care (Boyertown, PA)
- …and appropriateness of all services provided by your staff to ensure compliance and client satisfaction while ensuring adequate staff education, training and ... Degree OR MHA Degree + Management experience within a Medicare Certified Home Care Agency + Demonstrate record of...Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with… more