- WellSpan Health (York, PA)
- …cost reports, therefore, must stay abreast of current governmental reimbursement regulations. Contributes to ensuring the overall continued financial success ... general ledger and patient accounting systems. + Assists in performing reimbursement analyses when updated regulations are published. + Communicates with Hospital… more
- AON (Philadelphia, PA)
- …is eligible to take paid time off at the discretion of the employee and management in accordance with company policy and practices. Various other types of leaves ... North America Industry Leader, Healthcare Are you an experienced executive who is...time off at the discretion of the employee and management in accordance with company policy and… more
- The Cigna Group (Erie, PA)
- …PA - Western PA/West Virginia market** The **Manager, Provider Contracting Network Management ** serves as an integral member of the Provider Contracting Team and ... AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities… more
- The Cigna Group (Harrisburg, PA)
- …and broker partners. The NSD is also responsible for relationship management with external partners, including brokers and consultants (Supplemental Health ... strategy, as will product specific sales reports and forecasts. + **Partner with Cigna Healthcare Team.** The NSD will work closely with our partners in Cigna … more
- Maxim Healthcare (Plains, PA)
- …development, and contracting with new customers while maintaining compliance with all reimbursement guidelines, as well as Maxim policy and procedures. Why ... Maxim Healthcare is hiring an Operations Manager to manage...and Responsibilities: + Responsible for fiscal planning, budgeting, and management with the office teams to maintain adequate cost… more
- AmeriHealth Caritas (Newtown Square, PA)
- Your career starts now. We're looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay ... well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions… more
- Genesis Healthcare (Camp Hill, PA)
- …to ensure that delegated tasks and interventions are implemented appropriately and per policy ; 4.3. Evaluates and adjusts the plan of care to achieve patient goals ... and minimize rehospitalizations; 4.4. Actively participates in Utilization Management or InterdisciplinaryCare Management Meeting to facilitate appropriate… more
- Humana (Harrisburg, PA)
- …the ACD and ECHO as outlined in the TRICARE Operations Manual (TOM), the TRICARE Reimbursement Manual (TRM), and the TRICARE Policy Manual (TPM). + Assist with ... case management , managed care settings, Autism services and/or other healthcare settings. + Above average written and verbal communication skills. + Proficiency… more
- AmeriHealth Caritas (Philadelphia, PA)
- …any Federally or State funded healthcare programs. + MHA, MPH, or MBA in healthcare management preferred. + Minimum of 3 years of utilization management ... management , utilization review, appeals, quality improvement and related policy and practice initiatives in collaboration with the Corporate Medical Director(s),… more
- Cardinal Health (Harrisburg, PA)
- …ensure accuracy + Configure and maintain insurance plan details in the revenue cycle management system, including plan names and reimbursement types + Ensure all ... **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations...+ Knowledge of basic medical terminology + Knowledge of reimbursement and policy impacts on fee schedules… more