- CVS Health (Harrisburg, PA)
- …it all with heart, each and every day. **Position Summary** The Lead Director , Provider Portal Strategy & Operations is responsible for the strategic leadership and ... oversight of Aetna's three primary provider portal solutions: Availity Commercial/ Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental Portal. This… more
- IQVIA (Wayne, PA)
- Job Description Summary: **Associate Director Finance Operations** Directs financial planning and accounting practices including budgeting, costing, financial ... financial application software is essential. Understanding of **PBM systems and Medicaid/ Medicare billing.** + **Familiarity with NCPDP standards.** + **Knowledge of… more
- CSL Behring (King Of Prussia, PA)
- …collection and submit all reports needed for compliance. 4. Work with Senior Director , Policy Advocacy & Government Affairs, & Legal to interpret and implement ... **Experience** + Strong knowledge of the regulatory requirements for MDRP, Medicare /IRA, Veteran's Healthcare Act, and other Federal regulations mandating price… more
- WellSpan Health (York, PA)
- …payment rates and methods for various types of managed care payors: including Medicare , Medical Assistance, & Commercial managed care payors. + Oversees working with ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- WellSpan Health (Lebanon, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- Genesis Healthcare (Mechanicsburg, PA)
- …with our Clinicians in Action professional development program. Responsibilities The Director of Rehab is responsible for the efficient management of rehabilitation ... in integration of rehabilitation services in all settings. The Director of Rehab supports the delivery of the highest...period of one year. 6. A thorough knowledge of Medicare and third party billing is also required. Posted… 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
- Penn Medicine (Lancaster, PA)
- …didactic for local, state, national and global programs. + Collaborates with the Director of Nursing Research and Science to support and engage in the organizational ... specialty + A healthcare 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
- Sunrise Senior Living (Haverford, PA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... of guests/residents charts. + Completes Incident Reports and reports to Director of Nursing Services (DNS). + Reviews, updates and documents communication… more
- UPMC (Pittsburgh, PA)
- …This role will require some evening shifts. Under the direction of LS Clinical Director and/or the Medical Director , the EAP Specialist is responsible for ... confidential counseling and guidance to the employees, household members, Medicare members, students of various contracted organizations and telemedicine clients… more