- Highmark Health (Monroeville, PA)
- …in a courteous and efficient manner, and releases medications required by policy /procedure. (25%) + For Outpatient Techs: Validates Medicaid , Medicare, or ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** **Shifts...Handbook of Privacy Policies and Practices and Information Security Policy ._ _Furthermore, it is every employee's responsibility to comply… more
- Aveanna Healthcare (Scranton, PA)
- …LPN License in the state of application As an employer accepting Medicare and Medicaid funds, employees must comply with all health -related requirements in all ... Home Health Licensed Practical Nurse LPN Full Time ApplyRefer...etc. * Maintain clinical record documentation according to company policy , procedures and state/federal regulations. * Coordinate and support… more
- Fresenius Medical Center (Harrisburg, PA)
- …the FMCNA Compliance Program, including following all regulatory and company policy requirements PRINCIPAL DUTIES AND RESPONSIBILITIES: Meets regularly with dialysis ... on the availability of alternative insurance options (ie, Medicare, Medicaid , Medicare Supplement, State Renal programs and COBRA). +...period each month for those patients on employer Group Health Plans to ensure Medicare will be in place… more
- Cardinal Health (Harrisburg, PA)
- …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... Cardinal Health Sonexus (TM) Access and Patient Support helps...complete accurate referrals and applications and keep updated on policy or procedural changes + Investigate and resolve patient/physician… more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and commercial insurances (ie, PPO, HMO, EPO, POS, Medicare, Medicaid , HRA's) and coordination of healthcare benefits, including requirements… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... of the managed care industry including Medicare Advantage, Managed Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery Systems,… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- …that are assigned to nursing, adhering to current Centers for Medicare and Medicaid Services (CMS) and Veterans Health Administration (VHA) timeframes of ... safe and supportive environment conducive to the professional development of health care professionals. Evaluates outcomes of evidence-based decisions and practice… more
- Highmark Health (Philadelphia, PA)
- …with and being a thought partner on the Individual, Small Group, Senior and Medicaid P&Ls + Establishing relationships with the Top 3 health system CEOs ... requested. **EDUCATION** **Required** + Bachelor's Degree Business Administration/Management or Health Care **Substitutions** + None **Preferred** + Master's Degree… more
- Genesis Healthcare (Paoli, PA)
- …Cycle Management, which includes census, ancillaries, billing, adjustments, deposits, collections, Medicaid Pending and resident funds. The BOM must also have a ... all business office functions and is responsible for ensuring policy and procedure compliance in all related areas. The...9. Monitors private spend down and timely conversions to Medicaid Pending; manages Medicaid Pending tracking and… more
- Prime Therapeutics (Harrisburg, PA)
- …PBM industry, with expert knowledge of Managed Medicaid , Medicare Part D, and health plans + Extensive experience with policy and regulatory actions as it ... pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director, Pharm Trade Relations leads a team of directors… more
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