- UPMC (Mechanicsburg, PA)
- …UPMC Harrisburg received a five-star rating from the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Ratings for 2024, one of only 38 ... hospitals nationwide to achieve this rating. Mechanicsburg is a borough (https://en.wikipedia.org/wiki/borough\_(pennsylvania)) in Cumberland County, Pennsylvania (https://en.wikipedia.org/wiki/cumberland\_county,\_pennsylvania) , United States. The borough is… more
- UPMC (Pittsburgh, PA)
- …federal and state health care laws and regulations (eg Medicare, Medicaid , licensure, accreditation, malpractice liability, medical staff, patient care law, ... behavioral health, guardianships, etc.), corporate law, taxation, real estate, labor and employment, antitrust, insurance, commercial and finance; and apply specialized legal knowledge in one or more of such areas. + Independently, but subject to general… more
- 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 ... + 3 years of experience in a provider data maintenance department of a managed care organization + Inventory management of production work load + Direct supervisory and/or management of staff (monitor day to day workloads, disciplinary reviews) + Project… more
- UPMC (West Mifflin, PA)
- …off. + Must have requisite knowledge of current Home Health Medicare, Medicaid , State and Federal regulations and Joint Commission accreditation standards. Must be ... able to demonstrate problem-solving abilities and have excellent telephone, interpersonal and written communication skills. + Strong commitment to teamwork and customer service, both internally and externally, is required. + Must have strong/proven data entry… more
- Aveanna Healthcare (Wyncote, PA)
- …child, daycare, medical transportation. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all ... relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- AccentCare, Inc. (Elizabethtown, PA)
- …of permit to practice in state(s) of agency operation Medicare/ Medicaid /Insurance specialty preferred Required Certifications and Licensures: Licensed to practice ... as a clinical social worker in the state of agency operation if required Must be a licensed driver who can travel to all business locations Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at… more
- WellSpan Health (York, PA)
- …hospital/physician issues, complex contract negotiation and management, Medicare/ Medicaid reimbursement issues, regulatory compliance, patient issues, employment ... law, contract law, nonprofit corporate governance, tax and medical staff issues. + Maintains professional affiliations and enhances professional growth and development to keep abreast of latest trends in field of expertise. + Provides outstanding service to… more
- Gentiva (Blue Bell, PA)
- …to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid , JCAHO, ACHC) + Knowledge and compassion for terminally ill patients ... and their families + Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds + Strong interpersonal, organizational, and leadership skills + Competency in clinical documentation and technology… 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
- CVS Health (Harrisburg, PA)
- …Care Anti-Fraud Association (AHFI), or have a minimum of three years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications ... such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures is a plus * Experience working Behavioral Health fraud cases **Education** A Bachelor's degree, or an Associate's degree, with an additional three years (3 years… more