- Humana (Harrisburg, PA)
- …across our tax accounting operations. **Key Responsibilities** + Lead the preparation, review , and analysis of the company's quarterly and annual income tax ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- CenterWell (Harrisburg, PA)
- …services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. + ... Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special projects and performs other… more
- Cognizant (Harrisburg, PA)
- …with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. * 1 year of ... * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with minimal supervision.… more
- Humana (Harrisburg, PA)
- …vendor relationships (eg, CDP, marketing automation tools). 5. Technical Oversight: + Review architecture decisions, code quality, and system design. + Stay ahead of ... are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal… more
- WellSpan Health (York, PA)
- …through interdisciplinary collaboration, Shared Decision Making activities including peer review . Integrate Shared Decision Making by unit committee membership or ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Insight Global (Newtown, PA)
- …is actively hiring for a REMOTE Senior Salesforce Developer to support their Medicare expansion efforts for the Provider Engagement team. As the Salesforce Developer ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
- WellSpan Health (York, PA)
- …through interdisciplinary collaboration, Shared Decision Making activities including peer review . Integrate Shared Decision Making by unit committee membership or ... 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 (Mount Gretna, PA)
- …and patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results in Anticoagulation ... 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 (Waynesboro, PA)
- …and follow-up instructions. + Obtains basic health information from patient/family members to review with providers or clinical resource person at the time of the ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- ChenMed (Philadelphia, PA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... and explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization, provide family education and… more