- WellSpan Health (York, PA)
- …collaboration. Creates an environment that supports high employee and physician engagement. Strategically selects, on boards, continuously develops, rewards, ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Penn Medicine (Lancaster, PA)
- …license is required. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded ... from participation in Medicare , Medicaid or any other federal or state health insurance program. Credentials: + Basic Cardiac Life Support (Required) + Nationally… more
- Humana (Harrisburg, PA)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- UPMC (Pittsburgh, PA)
- …of topics affecting the financial performance of the health plan; assist with reconciling Medicare Advantage Part C and Part D claims data to financials; analyze bid ... changes; develop assumptions, project costs and monitor emerging experience of Medicare Advantage Mandatory Supplemental Benefits including, but not limited to,… more
- Humana (Harrisburg, PA)
- …us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, DME, skilled nursing facility and ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Amgen (Philadelphia, PA)
- …HUB, providing live one-on-one coverage support + Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer ... to HCPs on how the products are covered under the benefit design (Commercial, Medicare , Medicaid). + Serve as a payer expert for defined geography and promptly… more
- CenterWell (Harrisburg, PA)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary ... The IPA Chief Medical Officer (CMO) is an entrepreneurial & experienced physician leader committed to the principles of comprehensive primary care and unlocking… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- …Assists in gathering and reviewing patient records for appeal requests + Medicare Certifications/Recertifications + Assisting with querying the physician for ... in a long-term care setting. + Proficient in ability to interpret Managed Care/ Medicare Advantage Contracts and provide education to the teams in our centers. +… more
- WellSpan Health (Lewisburg, PA)
- …Health Evangelical Hospital is seeking a full time **Nurse Practitioner or Physician Assistant** to join our General Surgery team in Lewisburg, PA. Employment ... Health allows you to enjoy a fulfilling career in an organization with strong physician leadership, a culture of support and a focus on patients. **About the… more
- Surgery Care Affiliates (Philadelphia, PA)
- …for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a ... accurate verification and eligibility. This step may require direct contact with the physician office and/or the patient. + Determine if a secondary insurance should… more
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