• Medicaid Provider Hospital

    Humana (Harrisburg, PA)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (09/09/25)
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  • Senior Specialist of Contract…

    Organon & Co. (Plymouth Meeting, PA)
    …type, including commercial, Medicare, and Medicaid . Serve as an expert on DRG hospital and provider reimbursement . + **Customer Engagement:** Provide ... professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in developing and implementing strategies that… more
    Organon & Co. (09/06/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Pottstown, PA)
    …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
    Genesis Healthcare (09/03/25)
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  • Director, Operations

    UPMC (Pittsburgh, PA)
    …the BU and solve problems and identify resources related to insurance coverage and reimbursement issues for all BU community-based BU. + Create a culture of service ... external customers. + Serve on all committees as assigned. Provide leadership, oversight and direction for assigned special project...but not limited to, PSD, School of Medicine and hospital . Ensure that BU meets budget goals. Assist with… more
    UPMC (09/04/25)
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  • Dental Recontracting Professional - VSP

    Humana (Harrisburg, PA)
    …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
    Humana (09/03/25)
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  • Compliance Audit Manager

    Cardinal Health (Harrisburg, PA)
    …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
    Cardinal Health (08/27/25)
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  • Contract Negotiator III

    Centene Corporation (Harrisburg, PA)
    …experience. 4+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician's office/group setting. Working ... fresh perspective on workplace flexibility. **Position Purpose:** Recruit physician, hospital and ancillary service providers to sign network participation… more
    Centene Corporation (09/06/25)
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  • Patient & Family Representative - Administration

    Penn State Health (Hershey, PA)
    …compliments, complaints and grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department of Health (DOH), and ... sensitize health care professionals to the need to humanize patients' hospital experience using communication models and service recovery techniques. + Coordinate… more
    Penn State Health (08/21/25)
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  • Interventional Radiologist for UPMC Altoona

    UPMC (Pittsburgh, PA)
    …+ Option to earn significant additional income + Generous CME allowance & PTO + Relocation reimbursement + Work at a busy community hospital + Live in a great ... hospital , as rated by Centers for Medicare and Medicaid services (CMS). + HeartCARE Center National Distinction of...+ UPMC is a $23 billion world-renowned health care provider and insurer + 92,000 employees, including 4,900 physicians… more
    UPMC (08/14/25)
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  • Nurse Practitioner - NP - Hospice - PRN - Flexible…

    Gentiva (Chambersburg, PA)
    …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
    Gentiva (09/10/25)
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