- Highmark Health (Harrisburg, PA)
- …Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Responsible for the Medicare Coverage Analysis (MCA) for sponsored projects within WPAHS, budget ... is the creation, revision and management of spreadsheets related to Medicare coverage analysis and compliance with Medicare rules and regulations.… more
- WellSpan Health (York, PA)
- …practices, as well as dispensing patterns. + Purchasing/Inventory/Split-Billing Duties - Provides coverage for the Pharmacy Buyer as necessary. - Analyzes and audits ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Discover more about us at www.amerihealthcaritas.com . The **Network Pricing Analyst ** will collaborate with team members and other stakeholders toward delivering ... of trends. + Support the Network team with validation of Medicaid/ Medicare /Exchange pricing, collaborating with internal partners as well as external consultants… more
- Banner Health (PA)
- …with regard to correct interpretation of coding guidelines and LCDs (Local Coverage Determinations) prior to referral to coding analyst , coding educator ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more