- WellSpan Health (York, PA)
- …members of the health care team. Primary responsibilities include identification of Medicare patients appropriate for Annual Wellness Visits (AWV) and execution of ... Functions:** + Review office schedules and identify patients appropriate and due for Medicare AWV. + Work collaboratively with clinical teams to accomplish AWV in an… more
- Humana (Harrisburg, PA)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare… more
- Humana (Harrisburg, PA)
- …You'll play a key role in shaping financial insights, supporting Medicare -related initiatives, and guiding analytical projects that impact business outcomes. + ... Lead financial analytics projects, with a focus on outcomes of Medicare risk adjustment operations and initiatives. + Work independently to analyze historical and… more
- Penn Medicine (Lancaster, PA)
- …in the area of specialty + A healthcare 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...graduation. + A healthcare provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
- Merck (North Wales, PA)
- …how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including payer-specific access questions ... matter expert on access and affordability challenges across various payer types, including Medicare , Medicaid, and commercial plans * Educate and update HCPs on key… more
- CVS Health (Harrisburg, PA)
- …every day. **Position Summary** The Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood ... Renal, Diabetes, Hypertension, Primary Care/Geriatric, Oncology -Managed Care and Medicare experience -Must live in EST/CST -Hardwired Internet Connection… more
- Intermountain Health (Harrisburg, PA)
- …with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics (NCHS), US ... AND Demonstrated knowledge of government benefits and regulations related to Medicare , Medicaid or the ACA. AND Demonstrated knowledge of queries. **_Preferred… more
- Geisinger (Danville, PA)
- …rates for contracted providers, hospitals, etc. + Develops and maintains quarterly Medicare fee schedules. + Develops and maintains current percentage of Medicare ... rates and payments. + Develop a weighted comparison of previous and existing Medicare payments to provider fee schedule using claims utilization. + Provides pricing… more
- CVS Health (Harrisburg, PA)
- …to manage multiple health plan clients across multiple lines of business including Medicare , Medicaid, Exchange, and Commercial. This is a remote role, open to ... + Demonstrated understanding of CVSH clinical portfolio, marketplace segments dynamics ( Medicare , Medicaid, Exchange, and or Commercial) and industry trends +… more
- BAYADA Home Health Care (Blue Bell, PA)
- …full-time **Registered Nurse** to become one of our next **Clinical Managers** in our Medicare certified home health office in **Blue Bell, PA.** As one of the ... 2 years of nursing experience (med/surge, acute, ER, etc ) + Recent Medicare Certified Home Health Care experience. + Comprehensive knowledge of the Medicare… more