- WellSpan Health (Lebanon, PA)
- …achieve and maintain thresholds. + Maintains positive communications with assistant directors, medical director and office staff to accomplish Sleep Medicine ... for taking after hours call for technical staff. + Works in concert with the Director , Managers and Medical Director to maintain Sleep Center's AASM… more
- CVS Health (Harrisburg, PA)
- …an exciting opportunity to join it's CVS Health's leadership team as a Director , Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy. In this role, ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market… more
- Cardinal Health (Harrisburg, PA)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
- Humana (Harrisburg, PA)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of… more
- Gentiva (Pittsburgh, PA)
- …Patient Care Manager Senior, You Will:** * Report directly to the Executive Director or Administrator * Lead and support a high-performing hospice program, ensuring ... administrative workflows such as documentation of referrals, DME pickups, Medicare eligibility, insurance verifications, and patient benefit tracking * Coordinate… more
- Organon & Co. (Plymouth Meeting, PA)
- …state government pricing programs, including Medicaid Drug Rebate Program (MDRP), 340B, Medicare Part B/D, and the Veterans Affairs (VA)/Department of Defense (DOD) ... GP. The role reports to US Market GP Associate Director (GP AD), supports and works closely with the...the pharmaceutical industry. + Strong knowledge of Medicaid, 340B, Medicare Part B, and VA pricing rules and requirements.… more
- UPMC (Pittsburgh, PA)
- …care. + Must be eligible to receive medical command authorization by the Medical Director , have reliable transportation, and be willing to travel to any ... exam, hearing evaluation, and being declared fit for duty by the Medical Director . **Licensure, Certifications, and Clearances:** Driver's License, Advanced… more
- St. Luke's University Health Network (Allentown, PA)
- …to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among all treatment team members. + Manages ... applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle… more
- St. Luke's University Health Network (Allentown, PA)
- …to: RN care managers, assistants, coordinators, utilization management staff, and director . . Facilitates communication among all treatment team members. . Manages ... applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle… more
- WellSpan Health (Lancaster, PA)
- …program leadership to implement programming including but not limited to: Assisting director /managers/nurse in operation and management of the milieu for a specific ... LADV program; Orienting new RC staff to LADV; Assisting LADV director /managers in delegating resident assignment, activities, and milieu tasks; insuring all tasks… more