- Highmark Health (Harrisburg, PA)
- …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) + 5 years Familiarity with… more
- Highmark Health (Harrisburg, PA)
- …and maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for ... the overall conceptualization, strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across… more
- Elevance Health (Harrisburg, PA)
- …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement… more
- Highmark Health (Harrisburg, PA)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job supports Highmark Health 's Value-Based Reimbursement , Strategy & Innovation Team. The incumbent ... stakeholders to develop, coordinate, and manage analysis accompanying existing and new reimbursement models, as well as provide analysis in the development and… more
- Highmark Health (Pittsburgh, PA)
- …or strategic tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and ... creation of value-based reimbursement (VBR) & risk programs, as well as the...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Highmark Health (Pittsburgh, PA)
- …all key stakeholders to successfully design, plan, test, implement, and maintain reimbursement systems and all related reimbursement data tables. Manages all ... and authority. + Design, plan, test, implement and maintenance of all reimbursement systems and associated data tables, including all fee schedules and methods.Use… more
- WellSpan Health (York, PA)
- …cost reports, therefore, must stay abreast of current governmental reimbursement regulations. Contributes to ensuring the overall continued financial success ... general ledger and patient accounting systems. + Assists in performing reimbursement analyses when updated regulations are published. + Communicates with Hospital… more
- Sanofi Group (Pittsburgh, PA)
- …business-related issues for T1D. In addition, they will help support product reimbursement through compliant support of the PA policy requirements supporting ... Physician reimbursement experience + Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …Understanding of medical delivery systems, reimbursement , market access conditions and health policy trends in the United States. + Demonstrated knowledge of ... and tactical execution of a value-based market access strategy that integrates reimbursement , health economics, outcomes research and market access solutions… more