- CVS Health (PA)
- …a data engineering team that is responsible for processing Claims, Revenue, and Medicare Specific files and data from 30+ payors into our Data Warehouse. ... Kafka). **Preferred Qualifications** + Familiarity with healthcare data and healthcare insurance feeds + Familiarity with Data Analytics and reporting + Familiarity… more
- CenterWell (Harrisburg, PA)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** About CenterWell Pharmacy:… more
- AmeriHealth Caritas (Newtown Square, PA)
- …of trends. + Support the Network team with validation of Medicaid/ Medicare /Exchange pricing, collaborating with internal partners as well as external consultants ... schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition… more
- BAYADA Home Health Care (Troy, PA)
- …or education/training experience strongly preferred. + Strong knowledge of Medicare /Medicaid regulations, OASIS documentation, and home health standards. + CPR ... Competitive salary with mileage reimbursement + Comprehensive benefits: PTO, medical/dental/vision insurance , 401(k) with company match + Supportive team culture and… more
- Evolent (Harrisburg, PA)
- …experience + 10+ years leading national oncology programs with deep regulatory expertise in Medicare , Medicaid, and Commercial + 5+ years as a national leader in the ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Trinity Health (Pittsburgh, PA)
- …Abide by the credentialing and re-credentialing policy. + Maintain participation in Medicare , Medicaid, and other third party payer programs as required by ... benefits including health/vision/dental insurances + 403B with employer match + Life Insurance + Paid Time Off (PTO) + Paid Holidays + Relocation assistance… more
- WellSpan Health (Lancaster, PA)
- …with other Behavioral Health Providers, completing clinical reviews with insurance companies facilitating placement to other facilities, arranging Outpatient ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- BAYADA Home Health Care (Meadville, PA)
- …effective fiscal management of your caseload by monitoring metrics (admissions, % Medicare , referrals rejected by reason, etc.) + Client Services Managers will ... and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct deposit and employee assistance program + To… more
- Penn Medicine (Philadelphia, PA)
- …clinical study or lab requested by the clinical team adhering to insurance provider requirements and protocol. + Schedules physician, social worker, dietitian, or ... and living donor areas. + Accurately report pre-transplant activities for the Medicare Cost Report. Timecards are turned in complete and accurate prior to… more
- WellSpan Health (York, PA)
- …conditions. + Protects sensitive patient data per HIPAA (Health Insurance Portability and Accountability Act) regulations. + Reasonable flexibility for ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more