- Geisinger (Danville, PA)
- …schedules treatment days and times. + Delivers Important Message from Medicare notice and Medicare Outpatient Observation Notice (MOON); completes ... appropriate documentation. + Interacts with patients, family members, healthcare professionals, payers and community agencies in this effort. + Aids in facilitating a patient's discharge plan of care. Position Details Geisinger cares about not only its… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …access, billing, and coding in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part ... D + Experience in "Buy and Bill" reimbursement environment + Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite **Qualifications Preferred** + Bachelor's… more
- Penn Medicine (Lancaster, PA)
- …(GED) exam required. + 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. + National pharmacy technician certification (CPhT) required within… more
- Aveanna Healthcare (Harrisburg, PA)
- …time with or without notice. Vaccine Requirement As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in ... for medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Humana (Harrisburg, PA)
- …data driven methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- 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
- 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) ... Pricing within the pharmaceutical industry. + Strong knowledge of Medicaid, 340B, Medicare Part B, and VA pricing rules and requirements. + Experience with… more
- Cardinal Health (Harrisburg, PA)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- …podiatry in Pennsylvania. + Pennsylvania DEA registration. + Participation in the Medicare and Medicaid programs or willingness to participate. + Enrollment in ... podiatry in Pennsylvania. + Pennsylvania DEA registration. + Participation in the Medicare and Medicaid programs or willingness to participate. + Enrollment in… more
- ChenMed (Philadelphia, PA)
- …Network Management experience/understanding + Understanding of cost as it r elates to Medicare part A and B + Ability to effectively communicate with employees, ... data and making decision based of the data + Experience working in Medicare managed care environment + Experience managing teams greater than 3 employees We're… more