- Humana (Harrisburg, PA)
- …administrative expenses and quality/bonus performance + Comprehensive knowledge of Medicare policies, processes and procedures **Additional Information** To ensure ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Organon & Co. (Plymouth Meeting, PA)
- …in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. Serve as an expert on DRG hospital and provider… more
- Humana (Harrisburg, PA)
- …to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Penn Medicine (Lancaster, PA)
- …Provision of Care. + Maintains a safe working environment through compliance with established evidence-based practice policies and procedures and timely reporting ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- Penn Medicine (Lancaster, PA)
- …Provision of Care. + Maintains a safe working environment through compliance with established evidence-based practice policies and procedures and timely reporting ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- Penn Medicine (Lancaster, PA)
- …Provision of Care. + Maintains a safe working environment through compliance with established evidence-based practice policies and procedures and timely reporting ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- CVS Health (Harrisburg, PA)
- …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market ... pricing consultation and strategy in an evolving regulatory environment to ensure compliance . + Exercising sound business judgment to achieve proper balance between… more
- Highmark Health (Natrona Heights, PA)
- …Network (CIN) to enhance the quality and value of care delivered to Medicare beneficiaries. + You will collaborate with practices to assist patients with ... goals. + This role supports a new value-based reimbursement model for Medicare beneficiaries focused on improving population health, quality, and patient experience.… more
- Penn Medicine (Lancaster, PA)
- …for Provision of Care. + Maintains a safe working environment through compliance with established evidence-based practice policies and procedures + and timely ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- Penn State Health (Reading, PA)
- …Department of Health regulatory components, accurate guarantor information, and Medicare required information. + Conduct full patient pre-registration and ... Department of Health regulatory components, accurate guarantor information, and Medicare required information. + Complete all State and Federal regulatory… more