- Aveanna Healthcare (York, PA)
- …evaluate clinical staff + Participate in hiring and performance management + Support a positive and growth-oriented team environment Compliance & Quality + Ensure ... and implement improvements + Promote safety and ethical care practices Operational Support + Participate in on-call rotation + Collaborate with care teams and… more
- Penn Medicine (Lancaster, PA)
- …Residency Program. + CPR Certification - American Heart Association AHA Basic Life Support , formerly Healthcare Provider AHA Heart Saver courses for CPR are not ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...be sensitive of others. Credentials: + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) Education… more
- UPMC (Pittsburgh, PA)
- …individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. To provide service coordination services across the continuum of ... implementation of PCSPs. Assist Members in obtaining HCBS services that will support independent living. + Identify, coordinate, and assist Members in gaining access… more
- Humana (Harrisburg, PA)
- …Primary Care & Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + ... speaker series, fireside chats, and curated networking events. + **Mentorship & Support :** Receive personalized guidance from mentors, coaches, and buddies to help… more
- Penn State Health (Reading, PA)
- …Registration Associate position involves direct interaction with patients and provides support across multiple hospital departments. Associates play a crucial role ... Department of Health regulatory components, accurate guarantor information, and Medicare required information. + Conduct full patient pre-registration and… more
- Option Care Health (Audubon, PA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...services that are available through Option Care and provides support to sales professionals on an ongoing basis. **Supervisory… more
- CVS Health (Harrisburg, PA)
- …day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence… more
- Humana (Harrisburg, PA)
- …standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental ... experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of… more
- Humana (Harrisburg, PA)
- …maintaining optimum health. We provide telephonic outreach to assess and support their health, offering education, identifying resources, and helping remove barriers ... to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group Account members and create actionable and… more
- CVS Health (Blue Bell, PA)
- …for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements ... cost and outcomes focused analytical research, financial modeling, and business decision support . + Understand the terms of the VBC arrangements to answer questions,… more