- Highmark Health (Harrisburg, PA)
- …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... and payment model design. Demonstrate of the application of healthcare economic drivers and/or population health based...reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) +… more
- Elevance Health (Harrisburg, PA)
- …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement… more
- Highmark Health (Harrisburg, PA)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job supports Highmark Health 's Value-Based Reimbursement , Strategy & Innovation Team. The incumbent ... stakeholders to develop, coordinate, and manage analysis accompanying existing and new reimbursement models, as well as provide analysis in the development and… more
- Highmark Health (Pittsburgh, PA)
- …or strategic tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and ... creation of value-based reimbursement (VBR) & risk programs, as well as the...+ 7 years leadership experience + 7 years in Healthcare Strategy, with strong preference for Payor experience +… more
- Highmark Health (Pittsburgh, PA)
- …+ None **Preferred** + None **SKILLS** + Analytical and Logical Reasoning/Thinking + Healthcare Information Systems + Health Insurance + Microsoft Office + Data ... all key stakeholders to successfully design, plan, test, implement, and maintain reimbursement systems and all related reimbursement data tables. Manages all… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- The Cigna Group (Harrisburg, PA)
- **SUMMARY** The Cigna Group is a global health Service Company dedicated to helping people improve their health , well-being, and sense of security. The Cigna ... Global Health Benefits team seeks dedicated, compassionate, and empathetic Japanese...operating on multiple computer applications. Respond to inquiries from policy holders, providers and/or others for information and assistance… more
- Geisinger (Pittston, PA)
- …Act and its regulations and any other applicable law, this individual provides healthcare in the out-of-hospital setting with a goal of improving a patient's overall ... health by providing patient assessment and treatments in an...Home, care managers, primary care physicians, hospitalists, and other healthcare providers. + Maintains competency in knowledge and psychomotor… more
- AON (Philadelphia, PA)
- …short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and ... North America Industry Leader, Healthcare Are you an experienced executive who is...and optional long-term disability, health savings account, health care and dependent care reimbursement accounts,… more
- Grant Thornton (Philadelphia, PA)
- …Information Systems (MIS), or a related field required. A Master's degree in Public Health or Health Administration is preferred. + At least 6 years of ... 4 years of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and… more