- Highmark Health (Harrisburg, PA)
- …a formal or informal capacity **Preferred** + 1 year of experience performing Medicaid and /or Medicare systems setup of provider contracts and provider demographics ... + Understanding of software applications used Highmark Wholecare(R), such as Managed Health Care System, CACTUS, OnBase Document Management and/or OnBase Workflow +… more
- Health Advocates Network (Blairsville, PA)
- …of current professional CPR certificate Must have ? DEA number ? Valid Medicare/ Medicaid ID number ? Evidence of malpractice or applicable insurance. ? Basic ... by the Commonwealth of Pennsylvania, Client, Office of Mental Health and Substance Abuse Services. The Staff Psychiatrist will...order to develop a plan of correction or draft policy /procedure for the hospital and/or clinical division. ? Develops… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** CenterWell's Home Solutions Organization is a leading provider of home-based care and ... post-acute value-based services. The Home Health Business Unit is one of the largest providers...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the ... Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other...venture among three stakeholders: Humana (majority owner), Main Line Health System, and Jefferson Health System. Humana… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and ... techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Health Quality and Stars (HQS) is an organization that is responsible for improving ... health outcomes and advancing the care experience of our...quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Health Quality and Stars (HQS) is an organization that is responsible for improving ... health outcomes and advancing the care experience of our...quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system… more
- Prime Therapeutics (Harrisburg, PA)
- …participates inclient and stakeholder meetings + Reviews proposedfederal and state public policy and rule changes and prepares position papers for internal and ... client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** Health Quality and Stars (HQS) is an organization that is responsible for improving ... health outcomes and advancing the care experience of our...quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system… more
- Commonwealth of Pennsylvania (PA)
- …position is responsible and accountable for determining eligibility for financial assistance, Medicaid , SNAP, LIHEAP, nursing home care and waivers as well as any ... office setting environment. Major duties include determining eligibility for financial assistance, Medicaid , SNAP, LIHEAP, nursing home care, and waivers as well as… more