- 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
- 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
- Prime Therapeutics (Harrisburg, PA)
- …all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the ... to the plan + Provide clinical guidance and support for client's Health Insurance Marketplace business + Manage incoming requests for information from the plan… 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
- 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 ... and their families as needed. + Keeps up to date on federal ( Medicare ) and state (Medicaid) regulations. + Interacts with community mental health providers,… more
- ChenMed (Philadelphia, PA)
- …and leadership-focused position working directly with patients and their families, insurance representatives, doctors and other medical personnel in a dynamic and ... + Understanding of cost as it r elates to Medicare part A and B + Ability to effectively...decision based of the data + Experience working in Medicare managed care environment + Experience managing teams greater… more
- BAYADA Home Health Care (Boyertown, PA)
- …+ Either a BSN Degree OR MHA Degree + Management experience within a Medicare Certified Home Care Agency + Demonstrate record of goal achievement and successfully ... taking on increased responsibility with positive results + Understand Medicare Conditions of Participation **Why choose BAYADA?** + BAYADA offers the stability and… 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 disciplinary or legal action by a state medical… 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
- UPMC (Pittsburgh, PA)
- …at the local, state, and national level. With a primary focus on Commercial Insurance products, this leader will play a key role in developing and effectively ... In coordination with the Government Relations department, represent the UPMC Insurance Services Division in communications to federal and state legislators,… more