- 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)
- …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
- 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
- Cardinal Health (Harrisburg, PA)
- …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... Cardinal Health Sonexus (TM) Access and Patient Support helps...complete accurate referrals and applications and keep updated on policy or procedural changes + Investigate and resolve patient/physician… more
- Norstella (Harrisburg, PA)
- …Sciences industry and strategy consulting. Analysts will work on projects addressing the reimbursement , pricing, demand creation, health policy , health ... Job ID: R-410 **Description** **About Us** We set out to develop a health care innovation organization that could separate the background "noise" from what warrants… more
- Caterpillar, Inc. (Kennett Square, PA)
- …world for future generations! **Job Summary:** As the Senior Energy Markets & Policy Analyst in the Energy Services Department, you will be a critical part ... will do:** In this role, you will perform energy policy , regulatory, utility program, and market analysis for the...(Vacation, Holidays, Volunteer, etc.)* + 401(k) savings plans* + Health Savings Account (HSA)* + Flexible Spending Accounts (FSAs)*… more
- Guthrie (Sayre, PA)
- …non‐responded claims as assigned. Utilizes internal rejection protocols, coding knowledge, reimbursement policies, payer guidelines and other sources in order to ... resolution. Documents support on request forms and performs adjustments within policy guidelines. Other Duties: 1. Provides feedback related to workflow processes… more