- Penn Medicine (Lancaster, PA)
- …associated with the procuring, compounding and storage of medications in compliance with department policies and procedures that provide optimal pharmaceutical care. ... to promote efficient operation of the pharmacy and regulatory compliance . + Assists with the clinical management of assigned...+ A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
- Evolent (Harrisburg, PA)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...part of the application process. This is collected for compliance and security purposes and only reviewed if an… 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 ... as they enhance the ability to navigate complex financial products and compliance requirements. The role involves supporting the Group Variable Universal Life… more
- WellSpan Health (York, PA)
- …of contract pharmacies (if applicable) and 340B pharmacy operations to ensure compliance with 340B Program requirements for qualified patients, drugs and locations. ... Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. Evaluates patient eligibility for qualified and… more
- Penn Medicine (East Petersburg, PA)
- …or other facilities + Assures ICD and CPT codes are accurate, to ensure compliance with all third party payors. + If appropriate, registers or covers the ... + 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
- Humana (Harrisburg, PA)
- …following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship ... 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
- Healthfirst (PA)
- …advocate and liaison with various governmental and private agencies such as Medicaid, Medicare , and Social Security to maximize network of support and secure needed ... as needed. + Keeps up to date on federal ( Medicare ) and state (Medicaid) regulations. + Interacts with community...skills **License or Certification:** LMSW or LCSW **Regulatory or Compliance activities:** N/A WE ARE AN EQUAL OPPORTUNITY EMPLOYER.… more
- CenterWell (Harrisburg, PA)
- …innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director ... with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare regulations, value-based care principles, and best practices for complex care… more
- BAYADA Home Health Care (Boyertown, PA)
- …and appropriateness of all services provided by your staff to ensure compliance and client satisfaction while ensuring adequate staff education, training and ... + Either a BSN Degree OR MHA Degree + Management experience within a Medicare Certified Home Care Agency + Demonstrate record of goal achievement and successfully… more