- 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 (Harrisburg, PA)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- 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
- Organon & Co. (Plymouth Meeting, PA)
- …type, including commercial, Medicare, and Medicaid . Serve as an expert on DRG hospital and provider reimbursement . + **Customer Engagement:** Provide ... in developing and implementing strategies that support billing, coding, and reimbursement processes across diverse healthcare settings, including hospitals today and… more
- Cardinal Health (Harrisburg, PA)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
- AmeriHealth Caritas (Newtown Square, PA)
- …cultivates market opportunities, implementing strategic initiatives to drive growth for Medicaid and other AmeriHealth Caritas products. Reporting to the Director ... to appropriate state and local government officials, C-level executives at hospital and health systems, ACOs, FQHCs, community behavioral health systems, public… more
- 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
- Humana (Harrisburg, PA)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Geisinger (Scranton, PA)
- …Providers, community agencies, behavioral health, and other health plan departments to provide a model of care to maximize member's health status. Integrates ... promoting quality and efficiency in the delivery of healthcare for the Medicaid , Medicare and Commercial populations. + Completes structured clinical assessments for… more
- 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