- Evolent (Harrisburg, PA)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Penn Medicine (Lancaster, PA)
- …30 days of hire. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from ... participation in Medicare , Medicaid or any other federal or state health insurance program. + As outlined in unit based Plan for Provision of Care. Preferred… more
- AON (Fort Washington, PA)
- …Term Care (New York Life), Auto & Home (Liberty Mutual), and Medicare Supplement (Transamerica). Your responsibilities will include managing complex client matters ... Term Care (New York Life), Auto & Home (Liberty Mutual), and Medicare Supplement (Transamerica). Your responsibilities will include managing complex client matters… more
- Penn Medicine (King Of Prussia, PA)
- …servicing through advanced knowledge of reimbursement methodology and procedures, and Medicare requirements prior to acceptance on service. Negotiates pricing, as ... charity requests.Supports Ongoing Patient Qualification Process Reviews and interprets Medicare , Medicaid and third-party payer guidelines to determine appropriateness… more
- Penn Medicine (Lancaster, PA)
- …Association APhA . + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded ... from participation in Medicare , Medicaid or any other federal or state health insurance program. + Previous retail pharmacy experience preferred. + Attention… more
- Prime Therapeutics (Harrisburg, PA)
- …Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible ... Advanced degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge and experience **Physical Demands**… more
- Humana (Harrisburg, PA)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- St. Luke's University Health Network (Quakertown, PA)
- …applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle ... Payment Care Initiative (BPCI) notification. + Monitors risk assessment using available tools and implements discharge interventions accordingly. + Actively addresses and monitors resource utilization and documents delays as appropriate. + Identifies patients… more
- Penn Medicine (Lancaster, PA)
- …equivalent experience preferred. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not ... excluded from participation in Medicare , Medicaid or any other federal or state health insurance program. + Equivalent of three 3 years experience as a hospital… more
- Penn Medicine (Lancaster, PA)
- …(GED) is required.Equivalent Experience:*A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie ... not excluded from participation in Medicare , Medicaid or any other federal or state health insurance program.*1+ years One (1) to two (2) years of Medical Assistant… more