- Humana (Harrisburg, PA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Highmark Health (Pittsburgh, PA)
- …risk share models and will be implemented for the Organization'sMedicare Advantage, Medicaid , ACA, and commercial populations with the goal of maximizing quality ... while reducing healthcare costs. + Keep abreast of new developments in both the public and private reimbursement space, including new innovative models developed by CMS to ensure seamless integration and that the organization is ahead of the curve with regard… more
- Gentiva (Somerset, PA)
- …+ Current Medicare Provider Enrollment, Chain, and Ownership System (PECOS) validation and Medicaid equivalent for the state of practice, if required by that state + ... Experience demonstrated by Hospice & Palliative Medicine board certification, Hospice Medical Director Certification Board certification, or substantial practice within the hospice setting + Should possess a passion for helping patients with palliative care… more
- Humana (Harrisburg, PA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Banner Health (PA)
- …with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General ... (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes. 5. Able to identify… more
- Banner Health (PA)
- …with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General ... (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes. 5. Works… more
- Humana (Harrisburg, PA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Prime Therapeutics (Harrisburg, PA)
- …Qualifications** + Experience with Medicare Part D and Centers for Medicare and Medicaid Services rules and regulations + 1 year of experience working with claims ... systems Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every… more
- CareGivers Home Care (Erie, PA)
- …is an overview: + Case opens/updates, aide supervisions - $30.00 / hour + Medicaid 1 hour assessments, medication box setups - Visit Rate: $37.00 + Medicare visit ... rate - Opening Skilled Cases $75/visit, $60 for all subsequent visits QUALIFICATIONS: + Must be a Registered Nurse currently licensed in Pennsylvania, with at least six months of experience as a professional nurse, and/or competent in knowledge and skills… more
- Fresenius Medical Center (Pittston, PA)
- …High School diploma or GED required. + Must meet Centers for Medicaid and Medicare Services (CMS)-approved state and/or national certification requirements within ... the required state or CMS timeline. + All appropriate state licensure, education, and training (if any) required. + Demonstrated commitment to organizational mission, culture, core values, and customer service standards. **EXPERIENCE AND REQUIRED** **SKILLS**… more